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Claims jobs in eden prairie USA

64 claims jobs found in eden prairie: showing 41 - 60

Sr Healthcare Economics Consultant - Remote
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: $88000 - 173200 per year | Date posted: 23 Jan 2025
Use claims and membership data to support medical behavioral integration and total cost of care analyses Perform quality..., such as authorizations or claims Intermediate level of proficiency working with MS Excel, including formulas, pivot tables, and vlookups...
Actuarial Consultant - Remote
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: $70200 - 137800 per year | Date posted: 23 Jan 2025
with statistical findings and conclusions Run complex data programs to analyze medical and pharmacy claims data Contribute... with large claims datasets Proven well developed oral and written communication skills Proven technical skills including Power...
Actuarial Manager
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: $106800 - 194200 per year | Date posted: 23 Jan 2025
in this role will work with detailed health care claims data to build and maintain models to support financial analysis; Address...
Actuarial, Sr. Consultant - Remote
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: $88000 - 173200 per year | Date posted: 23 Jan 2025
and building of a trend forecast model and will engage with detailed healthcare claims data to build and maintain studies...
Senior Software Engineer - Optum Serve - Remote
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: $70200 - 137800 per year | Date posted: 23 Jan 2025
of experience in Cognizant Facets and dental claims management 5+ years of experience with EDI 837D format standard 5+ years...
Associate General Counsel - Remote
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: $124500 - 239400 per year | Date posted: 23 Jan 2025
-kickback Statute and the False Claims Act Proven knowledge of U.S., state contract, corporate health care and regulatory law...
Actuarial Sr Consultant - Remote
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: $88000 - 173200 per year | Date posted: 23 Jan 2025
Design and run complex data programs to analyze medical claims and create actuarial models Contribute on multiple work... actuarial experience Project management experience Consulting experience Working experience with large claims datasets Well...
Actuarial, Sr. Consultant - Remote
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: $88000 - 173200 per year | Date posted: 23 Jan 2025
and building of a trend forecast model and will engage with detailed healthcare claims data to build and maintain studies...
Actuarial Consultant - Remote
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: $70200 - 137800 per year | Date posted: 23 Jan 2025
claims utilization and cost data Lead process improvement initiatives and drive operational efficiency Collaborate... with formulas, calculations, charts, graphs Preferred Qualifications: 1+ years of experience in dealing with health care claims...
Medical Director - Remote
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: unspecified | Date posted: 23 Jan 2025
Validation Audit) Reviews Experience in claims handling related to Fraud, Waste, Abuse and Error Experience with Encoder...
Senior Software Engineer - Optum Serve - Remote
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: $70200 - 137800 per year | Date posted: 23 Jan 2025
of experience in Cognizant Facets and dental claims management 5+ years of experience with EDI 837D format standard 5+ years...
Medical Director - Neurosurgery - Remote
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: unspecified | Date posted: 23 Jan 2025
Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims... U.S. as you take on some tough challenges. Primary Responsibilities: Reviews surgical and other professional claims for correct coding using...
Drg Cva Rn Auditor - National Remote
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: $33.75 - 66.25 per hour | Date posted: 23 Jan 2025
Clinic Guidelines in the auditing of inpatient claims. Employing both industry and Optum proprietary tools, you will validate... determinations, generate audit rationales and move claims through workflow process correctly Demonstrate knowledge of and compliance...
Actuarial Consultant - Remote
Company: UnitedHealth Group |

Location: Eden Prairie, MN, USA

| Salary: $70200 - 137800 per year | Date posted: 23 Jan 2025
claims utilization and cost data Lead process improvement initiatives and drive operational efficiency Collaborate... with formulas, calculations, charts, graphs Preferred Qualifications: 1+ years of experience in dealing with health care claims...
Healthcare Data Analyst
Company: Mavinsys |

Location: Eden Prairie, MN, USA

| Salary: unspecified | Date posted: 18 Jan 2025
: Healthcare Data Analyst (Claims, Pharmacy, SQL Data Visualization) Location: EDEN PRAIRIE, MN(Remote) Primary Skills: Data.... - Proficiency in data analysis techniques and tools. - Exceptional knowledge of clients' claims, pharmacy, and member files...
Strategic Account Executive - Complex Property
Company: Hub International |

Location: Eden Prairie, MN, USA

| Salary: $100000 - 120000 per year | Date posted: 11 Jan 2025
meetings, discussing exposures, coverage, claims, and other objectives while ensuring follow-up actions are executed. Build... closely with claims departments to address concerns effectively. Provide high-level technical assistance to the service team...
Pharmacy Operations Manager
Company: Walgreens |

Location: Eden Prairie, MN - Hennepin, IL, USA

| Salary: $22.5 - 31 per hour | Date posted: 25 Dec 2024
claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as well as medical...
Billing Manager
Company: RxFunction |

Location: Eden Prairie, MN, USA

| Salary: unspecified | Date posted: 21 Dec 2024
Billing department, including the filing of all claims to third-party payers (e.g., commercial insurers, Medicare and Workers... preparation and submittal of accurate and timely claims for all products to third party payers. Oversee the Billing staff...
Collections Manager
Company: RxFunction |

Location: Eden Prairie, MN, USA

| Salary: unspecified | Date posted: 21 Dec 2024
of commercial payer claims. Work together with payer contracting team to manage collections at the contracted rates. Stay abreast... receivables from third party payers. Prepare necessary payer correspondence regarding collection of claims and payment...
(hybrid) Claim Representative - Liability | Midwest Region
Company: Sedgwick |

Location: Eden Prairie, MN, USA

| Salary: $42175 - 59045 per year | Date posted: 07 Dec 2024
and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing...: To analyze mid-level commercial General Liability / Bodily Injury claims on behalf of our valued clients to determine benefits...