Highmark Health is a healthcare company committed to reinventing the healthcare system and improving its services for everyone. The organization offers a broad range of career opportunities across various fields such as clinical care, technology, finance, and marketing. Highmark Health emphasizes diversity, equity, and inclusion in its workforce, creating a supportive environment for employees from all backgrounds. The company has been recognized for its commitment to disability inclusion, diversity, and military-friendly employment. As an independent licensee of the Blue Cross Blue Shield Association, Highmark Health strives to create remarkable healthcare experiences for its customers and employees alike.
health care
10,000+ employees
Founded 1852
βοΈ Healthcare Insurance
π€ Non-profit
π Social Impact
π° $5M Grant on 2021-05
March 30
βοΈ Louisiana β Remote
π² North Carolina β Remote
+3 more states
π΅ $22 - $35 / hour
β° Full Time
π‘ Mid-level
π Senior
π§ Analyst
π¦ H1B Visa Sponsor
Highmark Health is a healthcare company committed to reinventing the healthcare system and improving its services for everyone. The organization offers a broad range of career opportunities across various fields such as clinical care, technology, finance, and marketing. Highmark Health emphasizes diversity, equity, and inclusion in its workforce, creating a supportive environment for employees from all backgrounds. The company has been recognized for its commitment to disability inclusion, diversity, and military-friendly employment. As an independent licensee of the Blue Cross Blue Shield Association, Highmark Health strives to create remarkable healthcare experiences for its customers and employees alike.
health care
10,000+ employees
Founded 1852
βοΈ Healthcare Insurance
π€ Non-profit
π Social Impact
π° $5M Grant on 2021-05
β’ Compile and analyze data related to complex adjusted claims. β’ Conduct reviews of organizational activities related to fraud/abuse. β’ Ensure compliance with adjustment processes based on SOX and regulatory guidelines. β’ Identify vulnerabilities and generate reports for analysis/sampling. β’ Train staff on processes and recommend process changes.
β’ High School Diploma/GED β’ 3-5 years of relevant, progressive experience in the area of specialization. β’ Experience in claims and/or inquiry processing or equivalent experience in quality β’ Experience with Microsoft Office Products β’ Preferred Bachelorβs Degree
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