Health Policy & Claims Coding Manager
CVS Health
CVS Health in the United States seeks a policy implementation specialist to operationalize Aetna Clinical Policy Bulletins and Payment Policies into precise coding logic guiding claims adjudication across lines of business. The role requires 40 hours per week, with typical 8am–5pm ET/CT hours and a focus on auditability, accuracy, and compliance in a fast-paced healthcare setting. Strong CPT/HCPCS/ICD-10 knowledge is essential. #J-18808-Ljbffr CVS Health
$152.4k - $219.6k
...Environmental team provides specialized claim handling for Chubb insureds... ...on varied pollution policy products which include energy... ...required. Experience in performance management, training and staff... ...personal accident and supplemental health insurance, reinsurance, and...PolicyFor contractorsLocal area$250k
General Job Title: Claims Manager- Cyber Division: Group Claims Location: United States Reports... ...a wide variety of matters under Cyber policies. Supports Beazley's vision of being the... ...policies and regulations including the code of conduct, which incorporates the PRA and...PolicyTemporary workWork at officeImmediate startHome officeFlexible hours$170k - $200k
Sr. Product Manager, Legal & Insurance Remote - United States Full-time regular Datavant... ...Guided by our mission to make the world’s health data secure, accessible and actionable, we... ...use your data, please review our Privacy Policy. #J-18808-Ljbffr Datavant CorporationPolicyFull timeRemote work- ...Baylor Scott & White Health (BSWH) seeks a Provider Coding Compliance Consultant to support policy development and audits. Reporting to the Coding Compliance Manager, the role ensures adherence to federal, state, and local laws, and BSWH procedures. Strong communication...PolicyLocal area
$83.6k - $119.9k
The Westchester Casualty Claim Director is responsible for investigating... .... Responsible for litigation management. Qualifications:Bachelor’s... ...accident and supplemental health insurance, reinsurance, and... ...regulations pertaining to it. Our policy is to provide employment,...PolicyLocal area$180k - $225k
## VP, Insurance Policy Platform ManagerApplyremote type... ...Policy Platform Manager** to join our **Information... ...around security, secure coding, logging, alerting, and... ...financial systems, claim systems, portals, third... ...PPO & a Consumer Driven Health Plan with a Health Savings...PolicyFull timeWork at officeFlexible hours$96k - $129k
...the way we help customers to manage risk. Join us as a Mass Tort and... ...ll work with some of the best claims and underwriting minds in the... ...Coverage B of Primary/Excess CGL policies, as well as environmental and... ...benefits focused on your health, wellbeing and financial security...PolicyFull timeWork at officeFlexible hours$99k - $143k
Our award-winning Cyber Claim Department has an exciting career opportunity... ...will include the following:Manage complex first- and third-party... ...coverage issues under cyber policies;Conduct timely and effective... ...accident and supplemental health insurance, reinsurance, and life...PolicyLocal area- Hattiesburg Clinic seeks a Chart Auditor to review medical records for accuracy and billing purposes, ensuring E/M and CPT/ICD-10 coding align with policies. The role involves internal audits, staying current with guidelines, and promoting compliant coding practices. The...Policy
- ...Highmark Health is seeking an experienced HCC risk adjustment coder to translate provider documentation into ICD-10/ HCC diagnoses and... ...physicians, mentor new hires, and develop training materials while adhering to CMS guidelines and Highmark policies. #J-18808-Ljbffr...PolicyRemote work
$64.83k - $85.09k
Associate Manager, Credentialing Operations Remote Hi, we're Oscar. We're hiring an Associate... ...Credentialing Team. Oscar is the first health insurance company built around a full... ...personal information, please see our Privacy Policy . #J-18808-Ljbffr Oscar Health InsurancePolicyFull timeRemote workWork from homeHome office$272k - $306k
...is seeking a highly technical Engineering Manager to lead the Safety ML team. You will own end... ...technical roadmap across Trust & Safety, Product, Policy, Legal, and Data Science. The role emphasizes coaching engineers, hands-on coding when needed, and delivering scalable ML...Policy$61.16 - $80.62 per hour
...St. Catherine of Siena Hospital is a proud member of Catholic Health and has served the residents of the Smithtown area for more than... ...and result reporting, and ensures compliance with all hospital policies, departmental procedures, regulatory requirements, and accreditation...PolicyWork at office- ...terminology, computer applications, and electronic health records, as well as proficiency with... ...as outlined in Human Resources policy HR-106 within 90 days of commencing employment... ...computer skills. Knowledge of ICD-9 and 10 CPT coding Equal Opportunity Employer This employer...PolicyWork at officeMonday to FridayShift work
- ...Manages the day-to-day operations of assigned medical clinic locations, ensuring efficient... ...while ensuring adherence to organizational policies, procedures, and regulatory requirements.... ...readiness, and adherence to billing, coding, registration, and reimbursement guidelines...PolicyWork at office
- Beth Israel Lahey Health, Inc. is seeking an experienced OB/GYN coder to support providers and operations during obstetric CPT coding updates. The role focuses on accurate coding, regulatory compliance, and training clinicians through a critical transition. The position...PolicyRemote jobFull timeDay shift
$134k - $305.9k
...opportunity EY’s Forensics Insurance and Federal Claims Services practice specializes in helping... ...services firm, we offer grants management, compliance, and insurance claims services... ...or year. Under our flexible vacation policy, you’ll decide how much vacation time you...PolicySummer holidayWork at officeLocal areaFlexible hours$100k
...take a fearless approach to advancing human health in emerging fields such as virology,... ...life. Description: The Philanthropic Giving Manager will serve as a key frontline fundraiser... ...strategies, programs, goals, processes, and policies. Stay informed of current institute...PolicyNight shiftWeekend work$104.8k - $192.3k
...opportunity EY's Forensics Insurance and Federal Claims Services practice specializes in helping... ...services firm, we offer grants management, compliance, and insurance claims services... ...or year. Under our flexible vacation policy, you’ll decide how much vacation time you...PolicySummer holidayWork at officeLocal areaFlexible hours- ...driving force behind our success. They’re not just managers; they’re passionate advocates for their... ...legacies. Responsibilities Complies with facility policies and procedures for appropriately documenting, billing and coding for residents receiving speech language...PolicyFull timeLocal areaHome office
- ...Desk Coordinator with experience to manage dental insurance claims, billing, and patient accounts. You will... ...include processing claims, reviewing policies, following up on denials, and... ...providers. Strong knowledge of dental coding and EMR/EHR systems is preferred. #J...Policy
$25 - $27 per hour
...oriented Medical Billing Specialist to manage end-to-end insurance claim processing. This role is ideal for... ...and validate documentation for correct coding and regulatory compliance. Monitor... ...billing regulations, authorizations, and policy updates. Required Qualifications...Policy- ...medical supervision and medical management of clinical trials proposed... ...answers to questions from Health Authorities, IRB/Ethics Committees... ...events reported to GPE and coding of events and drugs • Provide... ...in respect with communication policies (e.g. study results, DMC...PolicyWork at officeLocal areaImmediate start
$86k
...Job Opportunity At Episcopal Health Services Inc. Episcopal Health... ...mastery of ICD-10-CM/PCS coding guidelines Serves as liaison... ...with internal and external policies, procedures, regulations, industry... ...letters and supports denial management process Generates...PolicyFull timeShift work$72k - $85k
...alternative application process. Full Time Manager/Sr Manager Chicago, IL, US The American... ...mission: to save lives by improving lung health and preventing lung disease through research... ...an equal opportunity employer. It is the policy of the American Lung Association to...PolicyFull timeTemporary workWork at officeNight shiftAfternoon shift- ...Resources Collaboration & Staff Management · Conduct performance... ...resolution among clinical team Policy, Compliance & Workflow... ...structures Oversee billing, coding and labor cost Leadership... ...best practices and community health guidelines. Foster a culture...PolicyWork at office
- The Fullington Auto Bus Company is seeking a Compliance Manager to join our Safety Department. The Compliance Manager supports insurance... ...maintains documentation to ensure adherence to regulations, policies, and procedures. Key duties include managing records, coordinating...Policy
- ...Prepares for the evaluation in accordance with department policies/procedures and standards of practice including... ...treatments provided • Attends annual JAG Billing and Coding seminar • Communicate with Manager/Patient Access team for scheduling evaluations once demographics...PolicyHourly payDaily paidFull time
- We’re looking for a Senior Claims Director Professional Lines Medical and Non Medical, Hamilton... ...tri-state area and reporting to a Claims Manager who is based in Richmond, you will be... ...matters on both primary and excess policies. Review claims and related systems and processes...PolicyWork at officeRemote work
- ...Preferred: 1+ year clinical experience Experience with billing, coding, or insurance preauthorization Familiarity with eClinicalWorks or... ...-driven organization where your work makes an impact Company Policy: Hemphill County Hospital District is an equal opportunity employer...PolicyWork at office
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