Healthcare Data Scientist – Claims, Quality, - Phoenix

This role involves working with large healthcare claims and provider datasets to ensure accuracy and integrity. The data scientist will use SQL and Python to identify issues, apply statistical methods, and deliver insights for smarter decision-making. · Utilize reference data sou ...

Vālenz Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. As a Healthcare Data Scientist at Valenz you'll work hands-on with large complex healthcare ...

Vālenz Health seeks a Healthcare Data Scientist to analyze complex healthcare claims data ensuring accuracy integrity. · Utilize reference data sources advanced validation techniques ensure accuracy completeness integrity healthcare claims data · ...

We are seeking a Healthcare Data Scientist to work with large complex healthcare claims and provider datasets. · ...

tango is a leader in the home health management industry and is preparing for significant growth Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. · We partner with health plans to provide a comprehensive s ...

Our client seeks an experienced Auto Bodily Injury Claims professional to manage high-complexity claimsCome work with our leading insurance organization! · ...

Our client, a leading insurance and financial services provider, is seeking an experienced Claims Manager to join their team. · ...

Brief Descriptiontango is a leader in the home health management industry and is preparing for significant growth Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes.We partner with health plans to provide a c ...

The ESIS Senior Claims Representative handles complex workers' compensation claims in Nevada. The role involves investigating, evaluating, and managing claims to ensure compliance with laws and company policies. · ...

This Medical Claims Specialist helps ensure claims are handled accurately and thoughtfully so people can focus on getting the care they need without stress confusion or unexpected costs. · ...

We are a resiliency-building company that unleashes the power of our employees and participants to create a resilient world. We support healthy work/life balance for our employees and invest in their potential through opportunities for continual learning and growth. · Manage and ...

Nuestro cliente, una organización líder en seguros, busca a un profesional para manejar reclamos auto fisicos. Se enfoca en la cobertura y resolución de casos complejos. · Investiguen reclamos complejos para determinar cobertura y daños. · Negocie con clientes y proveedores para ...

The Healthcare Risk Management Analyst will partner with the Chief Risk Officer to investigate patient-related incidents and MPL claims, coordinate counsel and depositions, and manage risk systems. · ...

The Workers' Compensation Claims Specialist supports the Risk Management department by developing, executing, · and overseeing workers' compensation claims programs designed to identify loss trends, · reduce claim frequency and severity, · and drive positive claim outcomes. · ...

By joining Sedgwick you'll be part of something truly meaningful. · ...

We are seeking a Customer Service Representative to join our Claims team. · This role serves as the primary point of contact for taking First Notice of Loss information, ensuring prompt and accurate claim setup, and delivering responsive, high-quality service to both internal and ...

The Restoration Claims Specialist is responsible for the Managed Repair claims process from intake to resolution, ensuring accuracy, compliance, and exceptional customer service.This role ensures that restoration claims are handled efficiently and in alignment with company standa ...

We are seeking a Pharmacy Claims Analyst to analyze, build and maintain pharmacy benefit plans by reviewing PBM prescription claims. · ...

We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. · Gather information to determine liability exposure; · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · ...