- Travelers Insurance Company (Lake Oswego, OR)
- …$99,700.00 - $164,500.00 **Target Openings** 1 **What Is the Opportunity?** As a Manager , Compliance you will be responsible for oversight and implementation of ... compliance trends. + Advise and consult on compliance -related data and trends. + Regulatory Change...communication of new or revised laws, regulations, bulletins, and regulatory publications applicable to Property and Casualty Claim… more
- UMB Bank (Salem, OR)
- **Duties & Responsibilities** The Manager , Card Fraud Claims , will oversee and manage the UMB card fraud claims process, ensuring timely and accurate ... with the oversight and management of third-party card fraud claim vendors and ongoing card fraud claims ...UMB and vendor performance and adherence to the applicable regulatory requirements governing fraud claims for cards.… more
- Providence (OR)
- …we must empower them.** **Providence is calling a Sr. Medical Malpractice Claims Manager - Professional Liability who will:** **Investigate, Evaluate, and ... take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims ...with potential excess exposure to excess insurers + Ensure compliance with relevant claims reporting procedures and… more
- Takeda Pharmaceuticals (Salem, OR)
- …order to bring life-changing therapies to patients worldwide. Join Takeda as Senior Manager , Global Regulatory Labeling Strategy where you will be responsible ... CCDS, USPI and EU SmPC enabling the most up-to-date information and in compliance with labeling requirements to be provided to patients and Health Care Providers… more
- HUB International (Corvallis, OR)
- …guide and support our customer's needs and provide them with innovative solutions. The Compliance Manager will: + Attend client and prospect meetings to discuss ... provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make… more
- Prime Therapeutics (Salem, OR)
- …of claims , educating Prime's network pharmacies and driving contract compliance , and supporting downstream claim corrections to eliminate potential waste. ... potential pharmacies to include in onsite trips considering such information as claim analytic data, prior audit history, and/or referrals, and submit recommended… more
- Robert Half Finance & Accounting (Beaverton, OR)
- …and renew business licenses and permits required for operation. * Stay updated with regulatory changes and ensure compliance with local and state regulations. * ... search of a highly capable Lease Negotiator and Office Manager to become an integral part of our team...Excel for managing and analyzing data * Experience in Claim Administration to handle and process claims … more
- CareOregon (Portland, OR)
- …and operational oversight of the dental network; access management and network adequacy; regulatory and compliance functions; and participation in state or local ... Job Title Operations Manager - CareOregon Dental Exemption Status Exempt Management...related to referral and authorization, queue management, and related compliance and regulatory requirements. Analyze, recommend, and… more
- J&J Family of Companies (Salem, OR)
- …:** Adhere to data governance principles, best practices, ethical standards, and regulatory compliance requirements to maintain data integrity, privacy, and ... Strategic Intelligence Manager - 2406199376W **Description** Johnson & Johnson is...algorithms to analyze large-scale healthcare datasets, including HER/EMR and claims data. * **Predictive Modeling & Forecasting:** Design, implement,… more
- Republic Services (Wilsonville, OR)
- …Interact with local, state and federal government employees to resolve concerns; ensure regulatory compliance standards are met. + Oversee effective safety and ... effective loss control and safety program. + Lead operations to ensure compliance with all standards including environmental, operating, regulatory , safety,… more
- Sumitomo Pharma (Salem, OR)
- …employee encounters is considered confidential. ** Compliance ** :Achieve and maintain Compliance with all applicable regulatory , legal and operational rules ... dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid Contract… more
- Trinity Health (Baker City, OR)
- …routine issues and escalates to Supervisor, Patient Access. + Processes insurance claim forms. + Reviews claims /accounts for complete information, corrects and ... information and translates data into information acceptable to the claims processing system. + Prepares claims for...a point of contact for assigned payers. + Maintains compliance with HIPAA and other regulatory requirements… more
- Walgreens (Cornelius, OR)
- …others accountable for efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company ... the direction of the pharmacist, exercises independent judgment to ensure compliance and execution of all business administrative activities and pharmacy inventory… more
- Deloitte (Portland, OR)
- …with a well-respected team of proven innovators! Work you'll do: As a Manager , you will identify eligible federal C&I generating activities and manage and facilitate ... areas or complete the paperwork required to file a claim . You will work with an experienced and passionate...identify process improvements and opportunities for new services. The Manager will ensure accurate, timely completion of deliverables. The… more
- EMCOR Group (Portland, OR)
- …by ensuring that appropriate procedures and controls are in place to maintain compliance with GAAP, SEC, company and corporate reporting requirements. The Finance & ... financial controls, and records meet all federal, state, local and company regulatory requirements. + Partner with Estimating in the preparation of pre-qualification… more
- HealthEdge Software Inc (Salem, OR)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... enables our customers to react swiftly to the latest regulatory shifts and competitive pressures. It opens the door...to perform the essential functions of this position_ _in compliance with the Americans with Disabilities Act of 1990._… more
- CareOregon (Portland, OR)
- …Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department Finance Manager Title Risk Adjustment Manager Direct Reports n/a Requisition # ... Using SQL and SAS programs, monitor submissions of core claims and supplemental data and reconcile against CMS response...lead the updating of business rules in response to regulatory changes. + Lead and manage the standardization and… more
- CareOregon (Portland, OR)
- …appropriate GL support. + Review and analyze data to ensure accuracy and regulatory compliance ; make or coordinate corrections as needed. + Prepare advanced ... 3006 - Finance Exemption Status Exempt Requisition # 24296 Direct Reports n/a Manager Title Accounting Operations Manager Pay & Benefits Estimated hiring range… more
- CareOregon (Portland, OR)
- …Title Data Science Analyst III Exemption Status Exempt Department Business Intelligence Manager Title Healthcare Analyst Manager Direct Reports n/a Requisition # ... data products to facilitate production of insights from healthcare claims , enrollment, and other related data. The core function...in the development of reporting tools to comply with regulatory reporting requirements. + Lead in the review and… more
- CareOregon (Portland, OR)
- …Title Healthcare Analyst Exemption Status Exempt Department Informatics & Evaluation Manager Title Director, Data Science, and Informatics Direct Reports n/a ... position is responsible for performing complex research and analysis of healthcare claims , enrollment, and other related data to provide advanced analytics and… more