• Claims Advocate Attorney

    Robert Half Legal (Media, PA)
    Description We are seeking a Claims Advocate Attorney to join our team based in Media, Pennsylvania. In this role, you will serve as a key point of collaboration ... to inquiries from clients, broking department, and insurers on claims , coverages, and exposures. * Advocate for...client inquiries. * Coordinate, prepare for, and attend claim review meetings on selected accounts. * Monitor claims more
    Robert Half Legal (11/05/24)
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  • Senior Contract & Compliance Administrator

    MetroLink (Los Angeles, CA)
    …proposal protests. + Review for compliance against terms & conditions of contract invoices and payment to contractors. + Review and evaluate existing ... Senior Contract & Compliance Administrator Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4642379) Apply  Senior Contract & Compliance… more
    MetroLink (10/21/24)
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  • Supervisory Contract Specialist - Direct…

    Air Force Materiel Command (Arlington, VA)
    …organization with unlimited warrant authority. Serves as the Competition Advocate , Business/ Contract Clearance Authority, and/or Small Business Representative ... a Contracting Officer. Plans work to be accomplished by subordinates ( contract specialist), sets and adjusts short/long-term priorities, and prepares schedules for… more
    Air Force Materiel Command (09/13/24)
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  • Program Manager - HRC

    Interactive Government Holdings, Inc. (Fort Knox, KY)
    …regulations and guidelines set in the Performance Requirements Summary for this contract . Responsible for overseeing each section's claims , inquiries and/or RFIs ... our programs serve. IGH has a national and international contract staff as well as a HQ team in...trained and capable individual to serve the Program Manager, Claims and Benefits Processing, Army Human Resources Command (AHRC),… more
    Interactive Government Holdings, Inc. (10/22/24)
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  • Revenue Cycle Specialist II

    Priority Health Care (Marrero, LA)
    …companies, using contract summaries to verify balances due on disputed claims , and coordinating payor denial and appeal follow-up activities. This also involves ... outstanding claims . + Run pre-billing reports and claims for review . + Review ,...necessary knowledge with minimal assistance. + Demonstrate dependability. + Advocate for our patients/clients by continually improving our team's… more
    Priority Health Care (10/24/24)
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  • Coordinator, Managed Care I

    ManpowerGroup (Columbia, SC)
    …high-risk conditions, utilizing motivational interviewing techniques to support behavior change. ** Contract and Claims Knowledge (10%):** + Maintain knowledge of ... spreadsheets and databases (eg, Microsoft Excel, Access). + Knowledge of contract language, claims /coding analysis, and related processes. **Educational… more
    ManpowerGroup (10/30/24)
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  • Senior Management Analyst (Project Controls)

    MetroLink (Los Angeles, CA)
    …development, scheduling, cost forecasting, risk management, and project closeouts. + Review project authorizations, including contract task orders, work orders ... and meets goals. TO APPLY: This is a continuous recruitment, with the review of applications beginning October 11 , 2024 . Interested applicants are encouraged… more
    MetroLink (10/21/24)
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  • Temporary Provider Reimbursement Associate

    Corewell Health (Grand Rapids, MI)
    …issues that results from the entire PH eco system, ie, medical authorization, provider contract setup, claims payment, finance, etc. + Manages the repricing of ... for PH national provider network (Cigna) including overall review of claims , denying claims ,...health of our organization. As a health system, we advocate for equity as we care for our patients,… more
    Corewell Health (11/07/24)
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  • Registered Nurse Case Manager

    US Tech Solutions (Columbia, SC)
    …until 8:00 pm per month, 11:30 am - 8:00 pm, no late shifts on Fridays Contract only + Onsite training at our Percival Road office in Columbia SC for the first ... or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to… more
    US Tech Solutions (10/18/24)
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  • Middle Market Underwriter (Property & Casualty)

    Zurich NA (Parsippany, NJ)
    …Markets P&C Underwriter is responsible for: + Serving as a customer industry advocate with a focus on improving the customer experience by understanding their risk ... value proposition to offer a solution that provides the contract certainty the customer needs + Demonstrating strong analytical...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
    Zurich NA (10/26/24)
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  • Attorney-Adviser (General)

    Defense Logistics Agency (Richmond, VA)
    …will cover contract formation, including, but not limited to, contract review , source selection, socioeconomic issues, sourcing, commercial item contracting, ... FOIA, pricing and fiscal law. Acquisition: advice and representation on contract administration matters, such as changes, performance, delivery and quality,… more
    Defense Logistics Agency (10/23/24)
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  • Grievance and Appeals Specialist

    Robert Half Accountemps (Long Beach, CA)
    …appeals, and complaints in a timely, accurate and efficient manner. + Review and analyze documentation provided by members, physicians and other stakeholders for ... departments to identify trends and areas for improvement. + Advocate for members and work to resolve their issues...in handling Medical Grievances * Demonstrable knowledge in Medical Claims * Proven ability in managing Insurance Claims more
    Robert Half Accountemps (10/24/24)
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  • Paralegal Specialist

    Air National Guard Units (Springfield, OH)
    …position is for Paralegal support within the state/territory Staff Judge Advocate 's Office providing ancillary legal research and analysis. Responsibilities As a ... GS-0950-11, you will perform the following duties: 1. Advises the Staff Judge Advocate on all command issues on behalf of command staff, researching interpretation… more
    Air National Guard Units (10/20/24)
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  • Construction Scheduler

    Ardmore Roderick (Memphis, TN)
    …of contract change modifications and potential claim settlements. . Review and prepare written evaluations of contractor or consultant schedules. This includes ... Whether among our team or within the community, we advocate for inclusion and equality. . Innovation - We...cost control, ensuring projects stay within budget constraints. . Review specifications and calculate takeoffs from plans to determine… more
    Ardmore Roderick (10/16/24)
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  • Attorney/Lawyer

    Robert Half Legal (Hyattsville, MD)
    …and manage client information * Employ Adobe Acrobat for document management and review * Utilize skills in civil litigation and personal injury litigation to ... advocate for clients * Manage claim administration processes to ensure all client claims are handled in a timely manner. For immediate and confidential… more
    Robert Half Legal (10/04/24)
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  • Payment Processor

    City of New York (New York, NY)
    …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... financial health of provider agencies through financial review and audits; maintenance of the ACS bank accounts; centralized oversight of ACS Child Welfare financial… more
    City of New York (11/02/24)
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  • Customer Service Representative - Behavioral…

    CVS Health (Columbus, OH)
    …care more personal, convenient and affordable. **Position Summary** BH Customer Service Reps provides advocate care to assist the member with a clear path to care, ... claims understanding and resolution and educates the member with...caring relationship with the member. Anticipates customer needs. Performs review of member claim history to ensure accurate tracking… more
    CVS Health (11/03/24)
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  • Senior Construction Manager/Resident Engineer…

    CDM Smith (Irvine, CA)
    …proposed projects. You will also be required to define and advocate forward-thinking strategies that improve construction processes, efficiency, and outcomes; lead ... and control all construction management activities including CPM scheduling, claims management, project coordination, risk management, and quality management on… more
    CDM Smith (09/27/24)
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