*Primary City/State:* Phoenix, Arizona*Department Name: * Coding-Acute Care Hospital*Work Shift: * Day*Job Category:* Revenue Cycle*Primary Location Salary Range:* $23.37/hr - $35.06/hr, based on education & experienceIn accordance with Colorado s EPEWA Equal Pay Transparency Rules. Health care is full of possibilities. Medical Coders play a pivotal role in ensuring patients receive the best at Banner Health. If you re looking to leverage your abilities you belong at Banner Health. Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. As a *Inpatient ***Se*nior ***Coder* HIMS *you will have the remarkable opportunity to work remotely and still be part of an engaged team who works hard every day to make healthcare easier, so life can be better. If you have three or more years of experience providing coding services for a broad range of hospital and acute care...

**Description**Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.**Responsibilities****Must Be Bilingual in English and Spanish**Conviva is seeking a dedicated, compassionate and cheerful Work from Home / Bilingual / Call Center Customer Service...

Interested in remote opportunity as an IT Business Systems Analyst (Financial Systems) while working for an innovative healthcare company where you can have an impact on people's lives? Apply today and come join us at Magellan Health as we lead the world toward a healthier future! For this Principal IT Business System Analyst role, we are looking for someone with 7+ years experience and they must understand Financial systems - preferably Oracle SQL and Oracle Financial System. This is a fully remote opportunity, allowing you to work from the comfort of your own home from anywhere inside the US. This position will analyze, evaluate and design/redesign business, IT or operational processes using scientific approaches such as Critical Thinking, Lean Management, ITIL, Design Thinking and structured systems analysis and design. Provide leadership to more junior IT Analysts through all aspects of the software development cycles. Be a hands-on analyst who can define user...

Strong DevOps skill set, more development experience than administration. Plan, Architect, and communicate AWS infrastructure for a transformational organization Python Development Experience Hands on development experience in AWS environment, experience designing, executing Experience with In-structure-as-code highly desirable. AWS security concepts - IAM, KMS, VPC security controls Cloud Formation/Terraform development experience. Monitor performance and capacity metrics for technology solutions while identifying and developing plans to address long term trends or issues. Maintain and Operationally support Cloud Security infrastructure across various providers such as Azure, GCP, AWS, utilizing various cloud native tools such as Prisma Cloud, CASB, DLP, Zscaler, Microsoft Advanced Threat Protection, and others. Any AWS Certification preferred, but not required AWS lambda/"serverless" development experience preferred, but not required JIRA, Agile...

Interested in fully remote opportunity as a Principal IT Business Analyst working for an innovative healthcare company where you can have an impact on people's lives? Apply today and come join us at Magellan Health as we lead the world toward a healthier future!  This position will analyze, evaluate and design/redesign business, IT or operational processes using scientific approaches such as Critical Thinking, Lean Management, ITIL, Design Thinking and structured systems analysis and design. Provide leadership to more junior IT Analysts through all aspects of the software development cycles. Be a hands-on analyst who can define user stories and acceptance criteria, assist with problem solving, root cause analysis, trouble shooting and coaching of junior it analysts on the team and ensure that requirements and acceptance criteria satisfy business needs. Demonstrate a high level of expertise in the `IT Analyst` craft. Help the team work through impediments. Clear impediments...

Interested in fully remote opportunity as a Sr. IT Business Analyst working for an innovative innovative healthcare company where you can have an impact on people's lives? Apply today and come join us at Magellan Health as we lead the world toward a healthier future! We're looking for candidates with 2-5+ years experience as a Business Analyst or Business Systems Analyst.   Plan, develop, and ensure completion of all documentation elements in a timely manner, and communicate all changes in documentation to appropriate management staff. Types of documentation include, but not limited to, technical documentation, mapping of source and target data sets and data dictionaries. Writes documentation, obtain appropriate approvals of completed documentation and distribute to appropriate end users. Edits documentation language to ensure compliance with requirements and to ensure readability and user-friendly communication to targeted audience. Independently participate in...

This is a fully remote role, allowing you to work from the comfort of your own home from anywhere in the US. Plan, develop, and ensure completion of all documentation elements in a timely manner, and communicate all changes in documentation to appropriate management staff. Types of documentation include, but not limited to, technical documentation, mapping of source and target data sets and data dictionaries. Writes documentation, obtain appropriate approvals of completed documentation and distribute to appropriate end users. Edits documentation language to ensure compliance with requirements and to ensure readability and user-friendly communication to targeted audience. Independently participate in requirements documentation, business systems configuration and defining/execution of acceptance criteria. Document issues and participate in their resolution. Work closely with development and business teams to understand business requirements. Translate business needs...

Investigates, evaluates, reserves and resolves mid-level and/or litigated auto and commercial transportation claims for multiple jurisdictions by reviewing coverage, completing investigation, determining liability and evaluating scope of damages. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims for TPA clients in a timely manner and in accordance with client, carrier, company and regulatory guidelines. Responsibilities: Promptly investigates auto claims in multiple jurisdictions for coverage, liability, damages, subrogation and contribution. Ensures timely disposition of all claims in accordance with client, carrier, and company requirements Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claims management and clients when exposure...

We are looking for candidates that are focused and highly professional to join our team of Claims Processors. The successful candidate will be a strongly self-motivated and driven individual who is goal-oriented and can effectively interact with a team. We are currently hiring REMOTE Claims Processors. Job Description The role of a Claims Processor involves processing insurance claims for clients worldwide. We ensure a high level of client service while processing claims within an industry leading 48 hours timeframe. The Claims Department is a very fast paced and challenging environment. Key Responsibilities •Process claims within the agreed company SLA, Clear to Zero, and adjudicate each claim in accordance with employer policy benefits. •Ensure accurate and efficient adjudication/investigation of each claim, ensuring timely follow-up of claims, to deliver a superior client experience and accurate reporting •Consistently contribute to departmental success by...

This is a fully remote position, allowing you to work from the comfort of your own home from anywhere in the US. This position will analyze, evaluate and design/redesign business, IT or operational processes using scientific approaches such as Critical Thinking, Lean Management, ITIL, Design Thinking and structured systems analysis and design. Provide requirements and testing leadership for the portfolio of applications managed by an IT Service Owner. Drive requirements definition. Oversee detailed design and definition of acceptance criteria to ensure high quality deliverables. Drive usability and quality of the software developed within the area. Ensure integrity of the system is maintained despite the speed of changes. Be a hands-on analyst who can define user stories and acceptance criteria, assist with problem solving, root cause analysis, trouble shooting and coaching of junior it analysts on the team. Develop relationships with senior stakeholders across partner...

Interested in fully remote opportunity as a Lead IT Analyst while working for an innovative healthcare company where you can have an impact on people's lives? Apply today and come join us at Magellan Health as we lead the world toward a healthier future! Looking for a Business Systems Analyst with: -  Meticulous attention to detail; the ability to juggle many tasks in parallel while delivering high quality results -  Someone who can work and collaborate with Software Engineers to understand features and technical implementation and ensure highest quality product delivery - Someone who can drive the software development process toward quality-centric methodologies - Experience in working in a team environment to support managed care vendors to implement solutions for pharmacy Claims Processing, Provider Operation Management, Member Management, and other Pharmacy benefit management Subject areas. - At least 5+ years of experience in analyzing various NCPDP transactions, 3 +...

Interested in a fully remote Sr. Software Engineer opportunity with a Fortune 500 healthcare company that's making a difference in the world? Consider joining us as at Magellan Health!  We're looking for a Software Engineer with web portal development experience and content management tool expertise. You will be working with React, JavaScript, and AWS.   This position services as an expert technical and industry resource to management, clients and development staff in new uses of information technology in all phases of major system and subsystem development. Provides consultation on internal and industry IT technical and business domain process capabilities including leadership in the identification and recommendation of new IT opportunities and business operations as it relates to application development. Formulates, contributes to, and directs task identification, work effort estimates, and work schedules for research, prototype, and proof-of-concept IT activities. Directs...