Browse Jobs
Browse fresh roles from company career pages, then filter by keyword, location, salary, skills, remote scope, and more. Each listing links back to the employer-controlled apply path when available.
Browse fresh roles from company career pages, then filter by keyword, location, salary, skills, remote scope, and more. Each listing links back to the employer-controlled apply path when available.
HMSA
SIU case investigation management and resolution: Manage FWA case investigations, collaborate with federal, state and law enforcement entities, and provide applicable notifications as required. Maintain extensive documentation and evidence for SIU cases. Recommend and implement p
HMSA
Evaluation, interpretation, and processing of clinical review requests to include but not limited to applying the following requirements: Validation that requests has met submission requirements based on accreditation / governmental regulation requirements. Educate and/or communi
HMSA
Performance Proactively service and grow HMSA products and services through various methods including site visits, on-line meetings, telephone and email correspondence, power point presentations, and one-on-one customer servicing. Protect HMSA's market share through the successfu
HMSA
CUSTOMER EXPERIENCE Provide all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand message and commitment to service excelle
HMSA
CUSTOMER EXPERIENCE Provide all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand message and commitment to service excelle
HMSA
Claims Resolution & Support Serve as the primary liaison for complex escalated claim inquiries from providers, members, account management, and internal departments. Research and resolve complex claim discrepancies, denials, adjustments, and payment issues within established serv
HMSA
Manage community health by establishing and maintaining trusting relationships with individuals, families, and providers to promote health, recovery, resiliency, and wellness. Advocate and support members and their families by prioritizing their needs and preferences, making sure
HMSA
Sustains mastery of encounter system processes within HMSA and external partners, for multiple lines of business. Monitors trends in data exchange with external entities and recommends adjustments as needed. Researches highly nuanced claim-member-provider scenarios to determine r
HMSA
Research and Data analysis Provide quality, objective, and professional analysis of relevant topics Gather and analyze information to identify trends, issues, innovations, and potential problems and solutions related to internal operations performance Develops analysis Present re
HMSA
Data Governance Expertise and Processes The Data Governance Analyst will coordinate and contribute to the management of governance processes, including reviewing existing processes and assisting in the implementation of new ones aligned with corporate priorities and initiatives.
HMSA
Resolve enrollment, eligibility and billing issues and inquiries timely and accurately from members, employer groups and third party administrators by phone, email and written correspondence by: Researching and collaborating with other units or departments to find a solution Accu
HMSA
Lead provider performance management activities. Monitor technical, process, and business outcome metrics across all provider contract requirements and Service Level Agreements (SLAs). Recommend actions for improvement and drive continuous improvement. Oversee and manage staff. M
HMSA
Responsible for managing all aspects of the planning, execution, controlling, and closure of projects/programs. Responsibilities include, but are not limited to, the following: Receives high-level business requirements and develops detailed requirements. Prioritizes efforts and m
HMSA
Research and Financial analysis Performs complex financial analysis with minimal supervision and report findings to management. Reviews and reconciles medium to high complexity balance sheet accounts. This includes, but is not limited to, cash, revenue, receivable, expense, and l
HMSA
Reviews and conducts analysis of financial statements for HMSA and other related entities in an accurate and timely manner. This includes preparation, summarization, and maintenance of source data in various subsystems of financial data. Compiles data that is obtained from other
HMSA
Coordinates various projects as assigned. Develops system requirements, test plan, test scenarios, test cases, anticipated test results and objectives and acceptance criteria. Also, performs testing, communicates status/concerns to appropriate parties, documents testing results,
HMSA
a. Research and Data analysis Provides quality, objective, and professional analysis of relevant topics. Gathers and analyzes information to identify trends, issues, innovations, and solutions for priority business needs. Develops design analysis frameworks Prepares reports Prese
HMSA
Recommends competitive and sustainable pricing for products based on actuarial models and market trends Leads product updates, maintains competitiveness and addresses customer needs throughout the product lifecycle Develops and implements data quality control procedures for actua
HMSA
Responsible for leading the support of HMSA's unified communications infrastructure. Responsibilities include, but are not limited to the following: Ensures the reliability of HMSA's unified communications infrastructure, to include the planning and implementation of enhancements
Hms Networks
Your mission The selected candidate will be part of young and motivated team located between Igualada and Barcelona focusing in the design and development of Embedded Software (Firmware) for IoT, Building and Home Automation devices. Your profile Minimum requirements: Telecommuni
Stella Partners HMS Services
Nocturnal Hospitalist (Hospital Medicine Physician) Located at Heywood Hospital 7 on/7 off *Additional quality bonus opportunity Job Summary The Hospitalist provides comprehensive inpatient medical care to hospitalized patients across medical units, collaborating with interdiscip
Stella Partners HMS Services
Opportunities Currently Available in: MA, NH, ME Hospitalist (Hospital Medicine Physician) Job Summary The Hospitalist provides comprehensive inpatient medical care to hospitalized patients across medical units, collaborating with interdisciplinary teams to deliver high-quality,
Stella Partners HMS Services
Opportunities Currently Available in: MA, NH, ME Job Summary The Nurse Practitioner (NP) or Physician Assistant (PA) provides comprehensive inpatient care to hospitalized patients in collaboration with physician hospitalists and interdisciplinary teams. This role supports the del
Rhythms
About Rhythms Rhythms is building the AI that helps you run your business autonomously. Founded by the team behind Ally.io (acquired by Microsoft), backed by GreenOaks, Madrona, and Accel—earning GeekWire's Deal of the Year and recognized among the top AI innovators of 2025. Alr
Rhythms
About Rhythms Rhythms is building the AI that helps you run your business autonomously. Founded by the team behind Ally.io (acquired by Microsoft), backed by GreenOaks, Madrona, and Accel—earning GeekWire’s Deal of the Year and recognized among the top AI innovators of 2025. Alr