Provider Reimburse Admin Sr (US) jobs in United States
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Elevance Health ยท 1 day ago

Provider Reimburse Admin Sr (US)

Elevance Health is a health company dedicated to improving lives and communities. They are seeking a Provider Reimbursement Admin Sr responsible for ensuring accurate adjudication of claims and serving as a subject matter expert on reimbursement policies and coding conventions.

Health CareHealth InsurancePersonal HealthWellness
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H1B Sponsor Likelynote

Responsibilities

Works with vendors and enterprise teams to develop enterprise reimbursement policies and edits, ensuring policies and edits do not conflict with Federal and state mandates
Works with other departments on claims adjudication workflow development and business process improvements
May lead the full range of provider reimbursement activities for a state(s)
Leads projects related to provider reimbursement initiatives
Serves as a mentor to less experienced administrators

Qualification

Reimbursement policiesClaims adjudicationPayment methodologyWGS knowledgeMultitasking

Required

Requires a BA/BS degree and a minimum of 4 years related experience; or any combination of education and experience, which would provide an equivalent background

Preferred

Payment methodology knowledge preferred
WGS knowledge preferred
Ability to multitask and complete deadlines preferred

Benefits

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical
Dental
Vision
Short and long term disability benefits
401(k) +match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources

Company

Elevance Health

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Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (488)
2024 (604)
2023 (660)
2022 (222)

Funding

Current Stage
Public Company
Total Funding
unknown
2001-10-30IPO

Leadership Team

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Gail K. Boudreaux
President and CEO
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Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
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Company data provided by crunchbase