medicaid

Sr Manager/Associate Director - Analytics(Health Insurance)

posted by: spj_bot

Tiger Analytics is pioneering what AI and analytics can do to solve some of the toughest problems faced by organizations globally. We develop bespoke solutions powered by data and technology for several Fortune 100 companies. We have offices in multiple cities across the US, UK, India, and Singapore, and a substantial remote global workforce.

If you are passionate about working on business problems that can be solved using structured and unstructured data on a large scale, Tiger Analytics would like to talk to you. Now hiring for multiple opportunities in Technology Consulting and Solution Delivery.

Responsibilities

Requirement gathering - Work closely with clients and business SMEs to analyze pain points in the Medicare and Medicaid processes (with greater focus on claims management) and provide detailed information on business procedures, industry regulations, and user needs.

Evaluation and recommendation of use-cases - Evaluate and recommend AI, analytics, software, and engineering use cases to address client challenges with regards to complex business logics and user workflows.

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Medical Biller III

posted by: spj_bot

Millennium Health LLC is an accredited specialty laboratory with more than a decade of experience in medication monitoring and drug testing services, helping clinicians monitor use and misuse of prescription medications and illicit drugs. The testing is used by healthcare professionals to obtain objective information about patients’ recent use of prescription medications and/or illicit drugs and helps monitor the effectiveness of treatment plans.

Under general supervision monitors and initiates claim appeals on all insurance claims and pending receivables after final bill.  This position will be expected to maintain a comprehensive understanding of general coding and billing compliance, the adjudication process and contractual obligations specific to various payers. 

The following are intended to be examples of the accountabilities for which the person in this position is responsible.  This position is not intended to be complete or all-inclusive and does not preclude management from assigning other or related functions for which the individual has demonstrated competency through performance.

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Associate Director/ Director - Analytics Consulting (Health Insurance)

posted by: spj_bot

Tiger Analytics is an advanced analytics consulting firm. We are the trusted analytics partner for several Fortune 100 companies, enabling them to generate business value from data. Our consultants bring deep expertise in Data Science, Machine Learning, and AI. Our business value and leadership have been recognized by various market research firms, including Forrester and Gartner.

We are looking for someone with a good blend of business consulting skills and a data analytics background. If you are passionate to work on unstructured business problems that can be solved using data, we would like to talk to you.

RESPONSIBILITIES:

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