- Daiichi Sankyo, Inc. (Bernards, NJ)
- …Division of the Company. [Specific assignments to be determined by direct manager of the role.]- Creates, implements, and presents training programs and materials ... exchange, and disease state communications (including FDA regulations, False Claims Act, Anti-Kickback Statute, OIG guidance, the PhRMA Code,...support functions in an in-house capacity, as a legal consultant , and/or at a law firm in a practice… more
- CVS Health (Woodland Hills, CA)
- …candidates across the country for this hybrid opportunity The Sr. Analytic Consultant is an experienced customer-facing analyst who supports the Account Team's ... communicate areas of opportunity. + Must have strong knowledge of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding,… more
- Prime Therapeutics (Eagan, MN)
- …to adjust focus **Reporting Structure** + Can report to a Functional Business Consultant , Functional Business Owner, Manager or a Director in PBM Operations, ... decision we make. **Job Posting Title** Associate Functional Business Consultant **Job Description** **Purpose:** The Associate Functional Business Consultant… more
- Access Dubuque (Dubuque, IA)
- Account Consultant - 1st Party Property Claims Experience Required **Sedgwick** 1 Positions ID: R53990 Posted On 09/23/2024 **Job Overview** Taking care of people ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Account Consultant - 1st Party Property Claims Experience Required **PRIMARY PURPOSE**… more
- HUB International (Columbia, SC)
- …Strong community support and involvement through HUB Gives **SUMMARY:** The **Senior** ** Claims Consultant ** , in a client-facing role, applies their experience ... act as a liaison between clients, adjusters, lawyers, insurance companies, claims management and other related client services. Provides professional, courteous… more
- Brink's (Oakland, CA)
- …GSP + Prior experience working in the transportation industry as a Safety Manager or Consultant . Professional Skills: + Interpersonal effectiveness: able to ... team - and stay here. Job Title Regional Safety Manager J ob Description Guided by the Vice President...action s necessary . + Communicates and assists with claims data gathering for corporate risk and safety. +… more
- Access Dubuque (Dubuque, IA)
- …pursuant to the claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim action with claimant and client. ... Ensures claim files are properly documented and claims coding is correct. + May process complex lifetime...Manager Cottingham & Butler/ SISCO Employee Benefits Client Consultant Cottingham & Butler/ SISCO Entry Level Sales Executive… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Sep 22, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva is ... on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process...to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure… more
- Access Dubuque (Dubuque, IA)
- Sales Executive - Casualty Claims (Fully Remote) **Cottingham & Butler/ SISCO** 1 Positions ID: 4012424008 Posted On 08/16/2024 **Job Overview** Cottingham & Butler ... Claims Services (CBCS) is adding several remote Sales Executives...pricing is competitive and transparent. Our average cost per claim is much lower than our competitors. Our clients… more
- Access Dubuque (Dubuque, IA)
- …not required. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage claims ; assesses damage, makes payments, and ensures claim files are ... Commercial Auto Claims Representative - Liability **Sedgwick** 1 Positions ID:...Manager Cottingham & Butler/ SISCO Employee Benefits Client Consultant Cottingham & Butler/ SISCO Entry Level Sales Executive… more
- Travelers Insurance Company (Wyomissing, PA)
- …collaboration. Imagine loving what you do and where you do it. **Job Category** Claim , Nurse - Medical Case Manager **Compensation Overview** The annual base ... developing claim medical resolution strategy. + Assist claim handler in projecting medical costs of claims... claim handler in projecting medical costs of claims . + Provide medical expertise by attending roundtables. GL… more
- Iron Mountain (Boston, MA)
- …captive at appropriate time** + **Work with captive consultant and captive manager ** + **Provide claims strategy and oversight** **M&A** + **Participate in ... **Responsible for the Return to Work program (TTWP).** + **Monitor and evolve claims litigation management program** + **Attend key claim depositions and… more
- Guardian Life (Columbus, OH)
- …Rehabilitation Consultant provides assessment of LTD, STD and Life claims , to determine claimants' level of functionality and provide evaluation of work ... The Vocational Rehabilitation Consultant (VRC) will develop cost effective strategies to...Serve as educational resource on vocational rehab aspect of claims . Educate parties involved in claim management… more
- Elevance Health (Topeka, KS)
- **Network Relations Consultant , LTSS Provider Representative** **Location:** Kansas. This position will work a hybrid model (remote and office). The ideal candidate ... our Kansas Elevance Health PulsePoint locations. The **Network Relations Consultant , LTSS Provider Representative** develops and maintains positive provider… more
- Elevance Health (Norfolk, VA)
- …our Elevance Health office locations.** The **Provider Reimbursement and Financial Analytics Consultant ** ( Provider Contract/Cost of Care Consultant **)** will ... will make an impact:** * Focuses efforts on lowering claims costs, improving the quality of care, and increasing...and specialty care procedures. * Recommends policy changes and claim 's system changes to pursue cost savings. * Reviews… more
- Travelers Insurance Company (Richmond, VA)
- …litigation. + Develop strategy for collection of accounts. Discuss issues with Manager / Consultant as appropriate. Identify problematic accounts and develop a ... invoicing, some manual invoicing and manual system charges, per claim charges and cash collateral. The assigned accounts are...paid in a timely fashion. Escalate account issues to Consultant in accordance with escalation guidelines. + Document all… more
- Elevance Health (Chicago, IL)
- …60631. Hours: Monday to Friday, 8:00 am to 5:00 pm The **Business Information Consultant ** will ingest, query, and model claims -based medical spending to help ... **Business Information Consultant ** **Location:** This position will work a hybrid...* Provide ad-hoc data analysis related to utilization management, claims adjudication, and other data as required by management.… more
- New York State Civil Service (Albany, NY)
- …schedule; report observations and make related recommendations to Project Manager .Review consultant and contractor progress payments.Prepare, evaluate, and ... Manager related to change order proposals.Assist in the evaluation of claims and make recommendations to Project Manager .Develop and maintain records for… more
- New York State Civil Service (Rochester, NY)
- …project schedule; report observations and make related recommendations to Project Manager .* Review consultant and contractor progress payments.* Prepare, ... Manager related to change order proposals.* Assist in the evaluation of claims and make recommendations to Project Manager .* Develop and maintain records for… more
- New York State Civil Service (Albany, NY)
- …project schedule; report observations and make related recommendations to Project Manager .* Review consultant and contractor progress payments.* Prepare, ... Manager related to change order proposals.* Assist in the evaluation of claims and make recommendations to Project Manager .* Develop and maintain records for… more
