Global FWA Negotiation Specialist - Healthcare Claims
Socket.dev
Blue Cross Blue Shield Global SolutionsSM is hiring a Fraud, Waste & Abuse Negotiation Specialist to execute enhanced claim control strategies. You will evaluate claim submissions for fraud, waste or abuse and negotiate outcomes with international providers. The role emphasizes strong judgement, problem-solving, and relationship-building across departments, with a hybrid work model and opportunities for travel and professional growth. #J-18808-Ljbffr Socket.dev
- ...Blue Cross Blue Shield Global Solutions SM (BCBS... ...to access and pay for healthcare abroad. By combining... ...Fraud, Waste & Abuse Negotiation Specialist to join the team! The... ...Fraud, Waste & Abuse (FWA) Negotiation Specialist... ...of our enhanced claim control strategies. The...Claims
- BCBS Global Solutions is hiring a Fraud, Waste & Abuse Negotiation Specialist to execute enhanced claim control strategies and reduce unnecessary medical spending. You will evaluate claims for fraud, waste, or abuse using tools and sound judgement, negotiating with providers...Claims
$96.2k - $151.4k
Job DescriptionSenior Specialist, New Product IntroductionsJob DescriptionOur company is a global health care leader with a diversified... ...new milestones in global healthcare. Our ability to excel depends... ...data on an ongoing basis.Negotiation Planning - To create detailed...SuggestedFull timeContract workFor contractorsWork experience placementWork at officeLocal areaFlexible hours$96.2k - $151.4k
Senior Specialist, New Product Introductions Our company is a global healthcare leader with a diversified portfolio of prescription medicines, vaccines, and animal health... ...reporting systems. Create detailed pre‑negotiation plans, participate in prolonged negotiations,...SuggestedContract workWork experience placementWork at officeRelocationShift work- ...Senior Payment Specialist Independence Physician Management (IPM), a subsidiary of UHS,... ...leadership team, practitioners, and teams of healthcare professionals are collectively dedicated... ..., knowledge of CPT/ICD-10 coding, claim submission requirements and remittance processing...ClaimsWork at office
- Universal Health Services (IPM) in King of Prussia, PA seeks an Accounts Receivable Specialist for timely follow-up on unpaid/underpaid claims. The role requires 1-3 years in healthcare revenue cycle, CPT/ICD-10 knowledge, and strong organizational skills. A 3 month in-...ClaimsWork at office
$17 - $18.15 per hour
...Patient Access Specialist Ensemble is a leading provider of technology-enabled revenue cycle... ...hospitals healthy. We recognize that healthcare requires a human touch, and we believe that... ...processes to assist with a clean claim rate. Responsible for accurately screening...ClaimsWork at officeLocal areaRemote work$213k - $260k
...Safety & Aggregate Reporting, the Director, Global Clinical Safety Scientist will play a... ...of responses to safety inquiries from healthcare professionals and regulatory agenciesCollaborate... ...employment offers from people claiming to work for or on behalf of Madrigal, we...ClaimsMinimum wageFull timeLocal areaFlexible hours$22.13 per hour
Join to apply for the Mid-Level Payment Specialist role at Jobright.ai 1 day ago Be among the... ..., contributing to the efficiency of the healthcare billing process. Responsibilities: •... ...billing, knowledge of CPT/ICD-10 coding, claim submission requirements and remittance processing...ClaimsFull timeWork at office- ...At Blue Cross Blue Shield Global SolutionsSM (BCBS Global SolutionsSM... ...to access and pay for healthcare abroad. By combining digital... ...looking for in our Actisure Policy Specialist: You're a detail-oriented... ...the foundation of a seamless claims experience and exceptional...ClaimsWork at officeRemote work
- ...West’s indelible mark on the healthcare industry has just begun. A name... ...closely with the Director, Global Risk and Insurance to support... ...and support for financial and claims administration duties as may... ...property/casualty insurance negotiations from compiling exposure data...ClaimsLocal areaWorldwideRelocation3 days per week
- ...inquiries from property owners about delinquent municipal taxes and fees. You will respond to calls, provide details on unpaid claims, and negotiate payment terms in line with client and PLA guidelines. The role requires clear verbal communication, strong listening skills,...ClaimsWork at office
$130k - $209k
Job TitleSr Global Product Manager, MCT Clinical SystemsJob DescriptionSr Global Product... ..., product and feature definition, claims roadmaps, pricing, and launch planning.Collaborate... ...everywhere has access to the quality healthcare that we all deserve. Do the work of your...ClaimsFull timeWork experience placementWork at officeLocal areaImmediate startWork visaRelocation package3 days per week- ...Insurance Claims Processor CCS (a UHS company) One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built... ...related to the patient accounts and negotiate any overdue balance to recover...ClaimsWork experience placementLocal areaRelocation package
- ...West’s indelible mark on the healthcare industry has just begun. A... ...efforts. Job SummaryThe Senior Specialist, Process supports the... ...system leaders to document global standards, analyze planning... ...defend itStrong influencing and negotiating skillsAbility to work independently...Relocation3 days per week
$96.2k - $151.4k
...DescriptionOur company is a global health care leader with a diversified... ...are building a new kind of healthcare company - one that is ready... ...performance. The Senior Specialist will join an enthusiastic... ...innovation, supplier engagement, negotiations, and contract implementation...Full timeContract workFor contractorsWork at officeLocal areaFlexible hours- ...the curve. As a family-owned global technology leader, we take pride... ...industries: Precious Metals, Healthcare, Semiconductor & Electronics,... ...and scope of authority. Negotiate prices and contracts within budgetary... ...and suppliers to solve claims related to invoices, damaged...Claims
$18.65 - $19.9 per hour
...Senior Patient Access Specialist Ensemble is a leading provider of technology-enabled revenue... ...hospitals healthy. We recognize that healthcare requires a human touch, and we believe... ...billing processes to assist with a clean claim rate including pre-registration of...ClaimsWork at officeLocal areaRemote work- ...Reimbursement Specialist Performs a variety of AR activities and related tasks in order to... ...recognize the maximum reimbursement from each claim. This position will be responsible for... ...Specialist Where Your Skills Drive Healthcare Forward! Are you a natural problem-solver...ClaimsWork at office
$100k - $190.5k
...enable business partners to advance our global market strategy, and drives business solutions... ...an actuarial opportunity on CNA's Healthcare Reserving team. In this position, you will... ...needed.Proactively monitors reserving and claim trends for Healthcare & Surety and shares...ClaimsFull timeWork experience placementWork at office$134.5k - $190.5k
...enable business partners to advance our global market strategy, and drives business solutions... ...portfolio across a diverse range of healthcare segments, including Dentists, Nurses, Physicians... ...monitors profitability/reserving and claim trends for Healthcare Pricing and shares...ClaimsFull timeWork experience placementFlexible hours- ...US commercial organization needs on the global CRM (Veeva) operating committee within the... ...pharmacy data and use of secondary claims data (e.g. IQVIA claims data). Experience... ...international and matrixed environment. Excellent negotiation, communication, and relationship-...ClaimsSummer workWork at officeLocal area
- ...order to recognize the maximum reimbursement from each claim. This position will be responsible for navigating the... ...finalization of claim. Join MPOWERHealth as a Reimbursement Specialist - Where Your Skills Drive Healthcare Forward! Are you a natural problem-solver who thrives...ClaimsWork at office
- ...attorneys with full responsibility for your own title insurance claims? Do you want to be the decision maker rather than just an... ...litigation counsel, and engage in high-level problem solving, negotiation and legal analysis in a stimulating and collegial environment...ClaimsFull time
- ...and project management information systems. The Project Controls Specialist II reports on cost controls and schedules for projects... ..., scheduling, document control, reporting, risk management and claims analysis functions.Assess the cost and schedule impacts of design...ClaimsFull timeFor contractors
- ...Informed Consent Specialist II ICON is a global healthcare intelligence and clinical research organisation united by a mission to bring new medicines... ..., and regulatory bodies to address queries and negotiate consent wording when required. Developing and maintaining...Local area
- ...maintaining data integrity, and implementing process improvements. If you have a passion for technology and a proven track record in software asset management, this is an exciting opportunity to make a significant impact in a global environment. #J-18808-Ljbffr TechDigital Group
- ...Solutions is an established and rapidly growing global provider of computational, research, and... ...expertise within Life Sciences and Healthcare. At RCH Solutions, our team rallies... ...Integrity, ownership and accountability are non negotiables. Adventure Together: We are committed...Full timeRemote work
- Jobtailor is seeking an organized Medical Billing/AR Specialist in King of Prussia, PA to manage claims, follow up on denials, and ensure accurate revenue booking. You will work with DME and Brightree, processing claims and communicating payer guideline changes. The role...ClaimsWork at office
- ...Refund Specialist This role requires a 3 month training period in the King of Prussia, PA... ...leadership team, practitioners, and teams of healthcare professionals are collectively dedicated... ..., payment posting, ERA processing, claim adjustment reason codes, contractual adjustment...ClaimsWork at officeLocal areaRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Global FWA Negotiation Specialist - Healthcare Claims. Be the first to apply!
- health specialist King of Prussia, PA
- information technology specialist King of Prussia, PA
- rehabilitation specialist King of Prussia, PA
- change management specialist King of Prussia, PA
- housing program specialist King of Prussia, PA
- equal employment specialist King of Prussia, PA
- cybersecurity specialist King of Prussia, PA
- patient safety specialist King of Prussia, PA
- qc specialist King of Prussia, PA
- facility management specialist King of Prussia, PA

