- Sunrise System Inc (Atlanta, GA)
- …Qualifications: Project Management: 7 years (required) Data Warehouse: 5 years (desired) Healthcare Claims Processing: 5 years (desired) Medicaid System Design: ... Job Title: All-Payer Claims Database Product Manager Location: Atlanta,...5 years (desired) Technical Project Management experience Experience with Healthcare Claims data and CMS Funding Strong… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …free drug assistance. Position Summary: Under the general supervision of an Operations Manager , the Customer Access Specialist will be providing advanced ... skills and attention to detail. General knowledge of accounting principles, pharmacy operations , and medical claims . Acceptable use of medical industry… more
- Option Care Health (Chicago, IL)
- …Utilize advanced analytics techniques to analyze large datasets, such as related to healthcare operations , billing, claims , and patient information to ... and retaining a diverse workforce. COVID-19 Vaccine Requirements:As a leading healthcare provider, we have an undeniable responsibility to protect the health… more
- Valmont Industries, Inc. (Claxton, GA)
- …move the world forward? Apply now.A Brief Summary of This Position: The EHS Manager serves as the principal health and safety professional for the Claxton ... operations located in Claxton, GA. The incumbent will provide...and Safety Playbook). The position reports to the Plant Manager and requires collaboration with company employees at all… more
- Spectraforce Technologies Inc (Atlanta, GA)
- … healthcare provider. Position Summary: Under general supervision of an Operations Manager , the Benefits Verification Specialist will contact insurance ... expedite patient access. Could include documenting and initiating prior authorization process, claims appeals, etc. Completes quality review of work as part of… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …Maintains awareness of potentially compensable events and refers to the Patient Safety Manager and the NGHS claims staff in a timely manner.Conducts ... Assistant, LPN, or other similar clinical licensure or Certified Professional In Healthcare Risk Management (CPHRM), Certified Professional in Healthcare Quality… more
- Valmont Industries, Inc. (Claremore, OK)
- … Manager and has a direct working relationship with the site Operations Manager , Office Manager /Accountant, Outside Sales Rep, department supervisors, ... employee statistics for both internal and external compliance reporting.Assists the General Manager , Operations Manager and Supervisors in documenting… more
- Valmont Industries, Inc. (Lindon, UT)
- …policies and procedures. Essential Functions: EHS Coordinator Reports directly to the General Manager or Technical Operations Manager .Assist the creation of ... health and safety events such as injuries, workers compensation claims , near miss incidents and internal and external inspections.Manages...and duties as requested by the GM or Technical Operations Manager . Other Important Details about the… more
- Randstad US (Corvallis, OR)
- healthcare claims manager -...with robust management experience to oversee and enhance our claims operations . This hybrid role requires onsite ... team in Corvallis as a pivotal leader in our Healthcare Claims Department! We're seeking a talented...healthcare or a related field, OR equivalent direct claims experience required. + Minimum 3 years management experience… more
- Geisinger (Danville, PA)
- …Summary Our successful candidate will have managerial experience working with health insurance claims . Manages a Health Plan Claims - Customer Service Team. ... Bachelor's Degree = 4 years). #LI-REMOTE Position Details Health insurance claims experience required. Internet requirements: Employee required to have/supply:… more
- Providence (ID)
- …for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for media ... empower them.** **Providence is calling a Sr. Medical Malpractice Claims Manager - Professional Liability who will:**...roundtables + Assist in Regional CEO Conferences with Senior Manager Operations + Facilitate and participate in… more
- LA Care Health Plan (Los Angeles, CA)
- …concise and accurate. Applies Medi-Cal and/or Medicare policies and procedures within healthcare operations . Stays abreast of all regulatory and/or contractual ... Manager , Claims Integrity Provider Remediation (ALD)... Manager , Claims Integrity Provider Remediation (ALD) Job Category: ...and external teams. Oversees team in day to day operations to include timely and accurate response on all… more
- Motion Recruitment Partners (Atlanta, GA)
- …5 years Medicaid System Design + Technical Project management experience + Experience with Healthcare Claims data and CMS Funding + Strong Project and Budget ... All-Payer Claims Database Product Manager Atlanta, GA...Experience** + 5 years Data Warehouse + 5 years Healthcare Claims Processing **What You Will Be… more
- Guidehouse (Lewisville, TX)
- …+ Coordinate and conduct interviewing of potential new hires and bring recommendations to Operations Manager . + Training of new Team Members. + On-going training ... accuracy. + Identify and communicate trends and issues to Operations Manager & Client. + Works with...+ Minimum 1 year of supervisory experience with a healthcare provider or an outsourcing company. + 5 years… more
- United Site Services (Westborough, MA)
- …Manager , and ADJ + Communicate any significant changes, problems, or concerns to Claims Manager + Request and monitor settlement requests - provide claim ... etc.) in-house auto, general liability, or small internal injury claims to closure + Maintain communication with Operations...summaries to Risk Manager /Sr. Corporate Counsel + Work closely with TPA adjusters… more
- Guidehouse (Lewisville, TX)
- …+ High School Diploma or equivalent GED + 1-year experience in office, business, operations , customer service or healthcare field. **What Would Be Nice To Have** ... from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###._** The Patient Account Representative has an… more
- CareFirst (Washington, DC)
- …insurance environment, with focus on policy development and implementation; and/or claims operations /medical review experience. 3 years Supervisory experience or ... research, development, maintenance and implementation of corporate medical and claims adjudication policies. Collaborates with Medical Directors, Federal, State and… more
- Highmark Health (Harrisburg, PA)
- …Responsibilities include managing daily operational activities for enrollment and billing, claims , including foreign claims , and customer service telephone, ... staff productivity. + Plans, organizes, staffs, directs and controls the day-to-day operations of the department; develops and implements policies and programs as… more
- Centene Corporation (Jefferson City, MO)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Manager , Healthcare Analytics drives the execution of analytics strategy ... and implementation of leading-edge analytics that answer important business questions. The manager aligns talent and resources to support enterprise and health plan… more
- HCA Healthcare (Dulles, VA)
- …of Patient Safety Work Product (PSWP). **Risk Management** + Coordinate with the risk manager to review and evaluate an applicant's claims history and National ... **Introduction** Do you have the career opportunities as a Manager of Med Staff Services SSHC you want with...which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** StoneSprings Hospital… more
