The Insurance Follow up Specialist Level I is responsible for following up directly with commercial and governmental payers to resolve billing issues and secure appropriate reimbursement in a timely manner, on both facility and professional claims. This individual identifies and analyzes denials and payment variances and enacts corrective measures as needed to effectively

You will contribute to recommendations and significant revisions to one or more actuarial methodologies related to insurance pricing, ratemaking, loss reserving, modeling or reinsurance. You will develop relationship with core business partners and provide insights and solutions to address specific business concerns. You will explore new concepts statistical models, and d

Position Compensation Range $109,000.00 $186,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. You will provide the highest level of expert analysis, consulting and project or staff leadership for the full range of actuarial activities related to either insurance pricing or ratemaking for a line of business (LOB),

Position Compensation Range $123,000.00 $209,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. You will provide the highest level of expert analysis, consulting and project or staff leadership for the full range of actuarial activities related to either insurance pricing or ratemaking for a line of business (LOB),

Position Compensation Range $76,000.00 $125,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. You will provide analysis for the full range of actuarial activities related to either insurance pricing or ratemaking for a line of business (LOB), loss reserving, modeling, or reinsurance. You will build models and proje

Position Compensation Range $95,000.00 $161,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. You will provide expert analysis, consulting and project or staff leadership for the full range of actuarial activities related to either insurance pricing, valuation, modeling, or reinsurance. The primary responsibility f

Position Compensation Range $109,000.00 $186,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. You will provide the highest level of expert analysis, consulting and project or staff leadership for the full range of actuarial activities related to either insurance pricing or ratemaking for a line of business (LOB),

Lumicera Health Services Powered by Navitus Innovative Specialty Pharmacy Solutions Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. We are unable to

Position Compensation Range $125,000.00 $212,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. As the Corporate Legal Assistant General Counsel Venture Capital, you will provide legal counsel on matters relating to the American Family enterprise's venture capital investment activities and related matters. You will

Data Analyst Enterprise Solutions Job Locations US WI ID 2023 2025 Category Data Warehouse & Data Analysis Type Regular Full Time Overview Are you ready to make a significant impact in the world of healthcare? Do you have a passion for problem solving and a desire to drive meaningful change in the industry? If so, we invite you to join our dynamic Data Warehouse Team as a

Senior Data Analyst Enterprise Solutions Job Locations US WI ID 2023 2026 Category Data Warehouse & Data Analysis Type Regular Full Time Overview Are you ready to make a significant impact in the world of healthcare? Do you have a passion for problem solving and a desire to drive meaningful change in the industry? If so, we invite you to join our dynamic Data Warehouse Te

Provider Enrollment Analyst Job Locations US WI ID 2024 2088 Category Provider Relations Type Regular Full Time Overview Quartz is thrilled to offer opportunities for professional growth in our Provider Enrollment Department. The Provider Enrollment Analyst will build and maintains Practice Locations, Facilities, Practitioners and Contracts in both the Provider Database a

Position Compensation Range $109,000.00 $186,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. The Auto Underwriting Analyst refines and introduces products and services in existing markets to improve auto underwriting results and eliminate leakage. You will deliver enhancements that improve bottom line results usi

Investigate all non standard claim problems (25%) Investigates for COB and determine the primary payer (25%) Investigate and process adjustment requests (25%) Adjust claim payments resulting from duplicate payments, incorrect payee, etc. Recover expended funds for managed care plans System documentation of investigation results Training of Coordination of Benefits claim p

Join the team of a highly successful property & casualty insurance company voted Best Places To Work