- Houston Methodist (Sugar Land, TX)
- …to both operational and clinical stakeholders. The Senior Denials Management Specialist position collaborates with physicians, case managers, and payors ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical… more
- Waystar (Louisville, KY)
- …As an Operations Specialist , you will serve as a tier 2 support specialist , working from an active case queue to resolve technical issues, managing client ... THIS POSITION We're looking for a motivated, detail-oriented Print Services Operations Specialist to join our fast-paced and growing Payment Operations team. This… more
- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... as we help shape the future. This dynamic Claim Specialist role will be part of a team of...General Liability and Environmental policies from inception to final resolution . This team works closely with our underwriting, actuarial… more
- UPMC (Pittsburgh, PA)
- …claim disposition skills under limited direction of supervisor. Pro-actively manages the case resolution process. May participate in mediations within limit of ... UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected… more
- Rush University Medical Center (Chicago, IL)
- …for the position. Offers may vary depending on the circumstances of each case . Summary: The Admissions Registration Specialist I is responsible for reviewing ... is complete and current with each patient visit. The Admissions Registration Specialist I will assist patients with understanding their insurance options and… more
- Datavant (Boise, ID)
- …and prioritize multiple cases concurrently to ensure departmental workflow and prompt case resolution . Demonstrate versatility and exceptional work across a wide ... our bold vision for healthcare. As an ProFee Audit Specialist you will be instrumental in addressing consulting and...for the coding audit and actively participates in the resolution of audit findings. Provide coder education via email… more
- Genentech (Los Angeles, CA)
- …Validates the resolution proposals and performs the necessary test in case tests are required. Cooperates with 2nd level and/or Global Team support during ... Autoinjector Assembly, Packaging/Finished Products). The Opportunity A System Process Specialist is being hired to participate in Greenfield Project execution… more
- UCLA Health (Los Angeles, CA)
- …utilizing services. The Senior HIE Specialist will: Determine the degree of case urgency and create an appropriate resolution plan. Use their knowledge of ... the Health Insurance Program Manager, the Senior Health Insurance (HIE) Specialist will provide high quality screening/enrollment to patients and provide advocacy… more
- Travelers Insurance Company (Melville, NY)
- …coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution ) including maintaining full compliance with internal and external ... of policy information to facts or allegations of each case . Consults with Manager on use of Claim Coverage...Actively and enthusiastically shares experience and knowledge of creative resolution techniques to improve the claim results of others.… more
- Deloitte (Morristown, NJ)
- Salesforce MarTech Specialist Senior Our Deloitte Customer team empowers organizations to build deeper relationships with customers through innovative strategies, ... of innovation in this space. As a Salesforce MarTech Specialist Senior, you will bring considerable technical and product...IT, and data teams to define data models, identity resolution strategies, and activation use cases aligned to business… more
- CGI Technologies and Solutions, Inc. (Arlington, VA)
- Edge Operations Monitoring Specialist Category: Project Management Main location: United States, Virginia, Arlington Position ID: J0925-2104 Employment Type: Full ... CGI Federal has an exciting opportunity for an Edge Operations Monitoring Specialist within our Intel sector advancing the national security mission through cutting… more
- Datavant (Washington, DC)
- …Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution Provides coder education via the auditing process ... healthcare. What We're Looking For: As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Fiserv (Madison, WI)
- …logs to deliver clear, root-cause fixes. Success means ramping quickly to advanced case types within 3-6 months, balancing first-contact resolution , quality, and ... a difference at Fiserv. Job Title Clover Technical Support Specialist -Remote to Wisconsin Residents Only You will be the...deliver concise root cause analyses (RCAs) and proactively update case status until closure. Commit to deliver high quality… more
- ICF (Reston, VA)
- …a disaster. This is not health or social services. The Public Assistance Specialist will serve as professional support for the Public Assistance Division. Assisting ... Applying analytical and evaluative techniques to the identification, consideration, and resolution of a wide variety of grants administration issues and problems.… more
- USAA (Springfield, MA)
- …us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate, ... will recognize and empathize with members' life events, as appropriate. Property Adjuster Specialist focus on using technology and desk adjusting for a virtual first… more
- Zurich NA (Schaumburg, IL)
- …and determining whether the loss falls within the coverage. Work to have a timely resolution to claims by developing case strategy; developing a case ... Workers' Compensation Litigated Claims Specialist (IN/IL) 129136 Zurich North America is seeking...is seeking a sharp, solutions-driven Workers' Compensation Litigated Claims Specialist II to join our high-performing team. This is… more
- Elevance Health (Nashville, TN)
- Wellness & Recovery Specialist - Peer Support Certified Schedule: Monday-Friday, 8:00am-5:00pm CST *Candidates must be able to work Central Standard Time. ... improve the delivery of care. The Wellness & Recovery Specialist is responsible for for care coordination and/or care...Teams as a member advocate in discharge planning education, resolution of barriers, and service transitions. Acts as a… more
- Trustmark (Lake Forest, IL)
- …and present ideas for improvement implementation including semi-automated testing. Problem Resolution : Identify problems with case data, working on consultative ... clients and communities. About the role Trustmark is looking for a Testing Specialist to join our team. Responsible for Manual and Automated testing of multiple… more
- Amentum (Washington, DC)
- …training, instruction, guidance and advice to lower-level specialists; assists in the resolution of issues and other problems being encountered during processing of ... the GPM to provide continuing direction and assistance to other specialists for case (s) particularly sensitive and/or complex in nature; such cases may be reassigned… more
- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist , you will be responsible for handling a caseload of higher complexity,… more
