- CVS Health (Cumberland, RI)
- … audit . + Collaborate with CVS internal and external partners to resolve audit claims . + Audit Reporting/Communication- Solid meeting management and ... personal, convenient and affordable. **Position Summary** Reporting to the Senior Manager of the Internal Audit Recovery...and collaborate with internal & external partners to settle audit claims . + Ability to run data… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …state courts and in administrative hearings concerning a wide variety of legal claims . The attorney will also interact with other business areas to effectuate ... Fraud Investigation and Prevention (FIP) Unit including management of a team of senior managers, data analysts, fraud investigators, certified coders and medical … more
- Metropolitan Council (St. Paul, MN)
- Sr . Grant Administrator (Livable Communities) Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4669811) Apply Sr . Grant Administrator ... grant agreements, and ensure compliance with Council policies and procedures. The Senior Grants Administrator will be involved in all aspects of grant administration… more
- HomeSafe Alliance (Columbus, OH)
- **Title:** Deltek Time & Expense Sr Systems Analyst **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household ... are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of ...service. **About the Role** As the Time & Expense Sr Systems Analyst, you will be responsible for weekly… more
- Warner Music Group (TN)
- …insights from financial statements, perform reconciliations, update cash forecasts and budgets, investigate audit issues and claims , perform tasks as part of the ... the creative spirit of a nimble independent. **Job Title: Sr . Analyst, Financial** **A little bit about our team:**...maintain strong working relationships across the company (up to senior executives), follow up open work items, respond to… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …to formulary access and tier position for biosimilars and pharmacy drugs ( Medical Claims /Managed Care), and Pharmaceutical contract language. Ability to display ... Sr . Contract Compliance Analyst Date: Sep 25, 2024...other internal teams. + If applicable accounts are in post- audit schedule, help Manager/AD conduct analysis on post- audit… more
- Sumitomo Pharma (Columbus, OH)
- …a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager, Medicaid Contract Administration.** The Sr . Manager, Medicaid Contract ... the Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid claims and dispute resolution with state agencies. This position requires a… more
- WellSense (Boston, MA)
- …liaison between provider and internal Plan departments such as Provider Enrollment, Claims , Audit , Marketing, Customer Care and Care Management. Our Investment ... Sr . Provider Relations Consultant- (MA residents)-$5000 sign on...and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services… more
- Molina Healthcare (Richmond, KY)
- …line of businesses. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and related financial data like risk score, revenue ... **Job Description** **Job Summary** The Sr Analyst, Risk Adjustment - Predicitve Analytics role...Marketplace and Medicare/MMP. + 3-5 Years of experience in Prospective/Retrospective/ Audit targeting Analytics and Reporting. + 3-5 Years of… more
- University of Rochester (Rochester, NY)
- …the goals and expectations established for the Office of Counsel, the Senior Counsel identifies, analyzes and provides legal guidance and services on complex ... health care regulatory and corporate matters relevant to the University of Rochester Medical Center ( Medical Center) and its health care affiliates, including… more
- Robert Half Technology (Bellaire, TX)
- …for the development, implementation and ongoing maintenance of the HIPAA 837 ( claims ), 835(remittances), 276/277 ( claims status inquiry and response), 270/271 ... Developer on testing and implementation of new files and-or file changes. Monitor, audit , and report on the processing of newly implemented trading partners to… more
- Axis (Alpharetta, GA)
- …variety of loss scenarios as well as reporting and presenting about same to senior management + In-depth knowledge of claims , litigation, arbitration, and trial ... AXIS is seeking a _Senior Claim Specialist_ _-_ _Surety_ to join our North America Claims team. This role will report to the Head of TPA & Programs Claims… more
- Molina Healthcare (Georgetown, KY)
- …during EST hours **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... in response to approved change requests; retain old and new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend… more
- Axis (Red Bank, NJ)
- …variety of loss scenarios, as well as reporting and presenting about same to senior management + In-depth knowledge of claims , litigation, arbitration, and trial ... is available upon request for candidates taking part in the selection process. ** Claims Team Manager - Media/E&O/Cyber** **New York New Jersey Metro or Kansas City… more
- Amazon (Nashville, TN)
- Description Amazon's Global Risk Management and Claims team is seeking a Risk Analyst to assist with the development and management of Amazon's global insurance ... Assist in developing business proposals and case studies for presentation to senior leaders. * Manage insurance policies and forms, reinsurance contracts, and vendor… more
- Ventura County (Ventura, CA)
- Senior Accounting Assistant Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4454837) Apply Senior Accounting Assistant Salary $45,941.61 - ... up to $23,530 annually to offset the purchase of medical , dental, and/or vision insurance for you and your...Ventura County "home." THE POSITION Under general supervision a Sr . Accounting Assistant provides complex clerical support in the… more
- Micron Technology, Inc. (Boise, ID)
- …a dynamic and highly collaborative team environment? Then read on! As a Senior Contract Administrator for strategic construction projects, you will audit ... and risk requirements and performance is met. As a Sr , Contract Administrators you will work as a liaison...and make presentations at meetings + Support negotiations of claims , manage contractual changes and resolve disputes or conflict… more
- PruittHealth (Norcross, GA)
- …EXPERIENCE REQUIRED:** * Demonstrates experience and a proven track record in Insurance Claims in a medical setting of moderate size and complexity, information ... all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for… more
- GAF (Ennis, TX)
- …GAF. And under this roof, we protect what matters most. **Summary** The Senior Process Engineer will support the daily operations at the Shingle Production facility ... in Ennis, Texas **.** The Senior Process Engineer is responsible for engineering needs, demonstrating...of online testing, process data review, equipment inspections, and claims feedback. Submit and implement changes in procedures and… more
- Medical Mutual of Ohio (OH)
- …to adjudication system that are not working properly or need to be installed so claims can be processed. Works with more senior levels to implement changes.** + ... techniques. + Good written communication skills. + Intermediate Microsoft Office and claims adjudications systems skills. Medical Mutual is looking to grow… more
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