(Agile) Claims Examiner
1 week ago
To analyze high-level commercial General Liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requi General Liability, Claims, Examiner, Liability, Insurance
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(Agile) Claims Examiner
1 month ago
Eden Prairie, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...
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(Agile) Claims Examiner
1 week ago
Eden Prairie, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...
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(Agile) Claims Representative
1 week ago
Eden Prairie, United States Sedgwick Claims Management Services Full timeTo analyze low to mid-level commercial General Liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service Claims Representative, Claims, Liability, Representative, General Liability, Insurance
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Claims Examiner
6 days ago
Eden Prairie, Minnesota, United States Sedgwick Full timeAbout the RoleSedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing complex commercial general liability and bodily injury claims on behalf of our valued clients.Key ResponsibilitiesAnalyze and process claims through well-developed action plans to achieve timely and...
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Commercial Claims Adjuster
6 days ago
Eden Prairie, Minnesota, United States Sedgwick Full timeAbout the RoleSedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will play a critical role in analyzing and processing complex commercial general liability and bodily injury claims on behalf of our valued clients.Key ResponsibilitiesAnalyze and process claims through well-developed action plans to achieve timely...
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Agile Product Owner
3 days ago
Eden Prairie, United States Genesis10 Full timeGenesis10 is seeking a Agile Product Owner for a contract with our client in Eden Prairie, MN. 100% Remote. Job Description: Ability to set a clear vision and roadmap for the data product, aligning it with business objectives Required Basic Qualifications: Prioritizing and managing the product backlog, ensuring that the most valuable features are...
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IT Facets Configuration Analyst
2 weeks ago
Eden Prairie, United States Experis Full timeAs an IT Facets Configuration Analyst, you will have the opportunity to be a part of a focused team dedicated to helping to make the health care system work better for everyone. Here, you'll partner with some of the smartest people you've ever worked with to design solutions to meet a wide range of health consumer needs. And we need world-class IT Facets...
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Procurement Support Specialist
2 weeks ago
Eden Prairie, Minnesota, United States Aston Carter Full timeJob Title: Purchasing AssistantJob Overview: The role of Purchasing Assistant is integral to streamlining procurement processes and boosting operational efficiencies within our organization. This position will be responsible for managing a substantial budget of approximately $10 million in essential supplies and finished products, ensuring that all...
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Purchasing Assistant
1 month ago
Eden Prairie, United States Aston Carter Full timeJob Title: Purchasing AssistantJob Description The purchasing, operations, and IT support role will be crucial in optimizing the purchasing process and enhancing our company's operational efficiencies. Focusing on managing approximately $10 million in critical supplies and finished goods, this role will ensure that all procurement activities align with the...
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Sr Healthcare Economics Consultant
2 months ago
Eden Prairie, Minnesota, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Testing Solution Architect
2 months ago
Eden Prairie, Minnesota, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Senior Cloud Data Engineer
1 month ago
Eden Prairie, Minnesota, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Senior Cloud Data Engineer
1 month ago
Eden Prairie, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Fraud Investigation Specialist
2 weeks ago
Grand Prairie, Texas, United States Elevance Health Full timePosition Title: Fraud Investigation Specialist Job Overview: The Fraud Investigation Specialist plays a crucial role in examining assigned cases, gathering, scrutinizing, and interpreting claim information to identify fraudulent, abusive, or wasteful practices within the healthcare sector. Key Responsibilities: Utilizing relevant systems and databases to...
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Clinical Provider Auditor II
1 month ago
Grand Prairie, Texas, United States Elevance Health Full timeClinical Provider Auditor II Supports the Payment Integrity line of business Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights,...
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Clinical Provider Auditor II
1 month ago
Grand Prairie, United States Elevance Health Full timeClinical Provider Auditor II Supports the Payment Integrity line of business Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights,...
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Patient Services Specialist 2
3 months ago
Grand Prairie, United States Baylor Scott & White Health Full timeJOB SUMMARYThe Patient Services Specialist 2 provides administrative help in a physician office, clinic or other operational area that assists patients, to ensure high quality, patient-centered care. Duties include patient relations, check-in or check-out, scheduling, insurance verification and answering phones. May assist in training and mentoring junior...
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Investigator V
4 weeks ago
Grand Prairie, United States Texas Department of Aging & Disability Services Full timeJob Description: The Office of Inspector General (OIG) Benefits Program Integrity (BPI) Field Investigator V reports to the BPI Unit Manager. BPI Field Investigators conduct highly complex administrative and criminal investigations involving recipients of HHS programmatic services, such as Medicaid; the Children’s Health Insurance Program (CHIP); the...
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Senior Medicaid Investigator
2 weeks ago
Grand Prairie, Texas, United States Texas Department of Aging & Disability Services Full timeJob Overview: This role is situated within the Provider Field Investigations (PFI) unit of the Medicaid Program Integrity division, reporting directly to a PFI Manager. The primary responsibility involves conducting administrative inquiries into Medicaid providers concerning allegations of fraud, waste, and/or abuse related to health and human services...
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Senior Medicaid Investigator
2 weeks ago
Grand Prairie, Texas, United States Texas Department of Aging & Disability Services Full timeJob Overview: This role is situated within the Provider Field Investigations (PFI) unit of the Medicaid Program Integrity division, reporting directly to a PFI Manager. The position entails conducting thorough administrative investigations of Medicaid providers concerning allegations of fraud, waste, and/or abuse in the delivery of health and human services...