- Humana (Augusta, ME)
- …independent determination of the appropriate courses of action. **Where you Come In** As a Claims Process Organization Project Manager II you will manage ... caring community and help us put health first** The Project Manager II manages all aspects of a ... + Communicate with other operational areas in the organization to secure specialized resources and contributions for the… more
- Humana (Augusta, ME)
- …career to the next level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional, you will play a pivotal ... in resolving outstanding balances related to claim reversals, all while leading process improvements and influencing departmental strategies. This is your chance to… more
- Central Maine Medical Center (Lewiston, ME)
- …and accuracy of Patient Financial Services processes (such as claims processing, payment variances, payment posting, accounts receivable management, financial ... is specifically responsible for any of the following: + Claims Processing + Claims Edit Management (DNFB)...and work harmoniously with leaders and staff across the organization . Effectiveness will be measured in terms of measurable… more
- Guardian Life (Augusta, ME)
- **Job Posting Title** **Team Leader, Absence Claims Management** **Job Description** The **Team Leader, Absence Claims Management** is responsible for leading a ... Managers to get results within their team and the organization . The Team Leader will serve as a primary...action plans for improvement. + Review processes/reports regularly for process improvement opportunities. + Own relationship with client and… more
- Norstella (Augusta, ME)
- …Now, Citeline is proud to be a part of Norstella, an organization that consists of market-leading pharmaceutical solutions providers united under one goal: ... to improve patient access to life-saving therapies. Within this organization , Citeline plays a key role in helping clients connect the dots from pipeline to patient.… more
- Emerson (Augusta, ME)
- …Engineer to oversee and manage projects related to feeding systems in our organization . The successful candidate will coordinate and lead projects from conception to ... proposal with the sales team, making adjustments as necessary. Overall Project Responsibility: + Assume end-to-end project responsibility, ensuring consistency… more
- Walmart (Lewiston, ME)
- …of project activity and tasks assigned by others. Supports process updates and changes Solves simple business issues. Demonstrates functional knowledge of ... at assigned facility. Assists in integrating environmental considerations into process design. Interprets and evaluates compliance status reports and relevant… more
- Sunrun (Augusta, ME)
- …branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution of specific market and ... process issues + Work to pursue and achieve tactical...that require cross-functional engagement with key staff across the organization and external stakeholders + Launch initiatives that increase… more
- Takeda Pharmaceuticals (Augusta, ME)
- By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application ... **About the role:** At Takeda, we are a forward-looking, world-class R&D organization that unlocks innovation and delivers transformative therapies to patients. By… more
- Wolters Kluwer (Augusta, ME)
- … project life cycle; contributing to and executing department process improvement initiatives; managing time and resources effectively; maintaining performance ... increase operational efficiency and reduce costs. Corporate legal and insurance claims departments trust our innovative technology and end-to-end customer experience… more
- Wolters Kluwer (Augusta, ME)
- …and not afraid of the hunt. Someone that prefers to navigate the entire sales process , from start to finish, run their own demos, build a strong and lasting ... entity or claim management - Legisway covers end-to-end legal department needs (corporate, claims , IP, Data Privacy, and so much more!). Legisway is used by legal… more
- Humana (Augusta, ME)
- …projects and initiatives, partnering and collaborating with multiple areas across the organization . + Develops or has a deep understanding of physician networks, ... physician performance and rating metrics ( claims , measures, conditions, specialties, etc.), product offerings, and analytics-based approaches which produce… more
- Sunrun (Augusta, ME)
- …**ESSENTIAL DUTIES AND RESPONSIBILITIES** + **Represent the customer within the organization , collaborating with the technology team to align product developments ... + **Facilitate research and investigation into Sales ROE (Rules of Engagement) claims , working with customer care and compliance teams to ensure fair outcomes.**… more
- Sumitomo Pharma (Augusta, ME)
- …the Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid claims and dispute resolution with state agencies. This position requires a ... as it relates to Model N implementation and payment process . + Lead subject matter expert (SME) for shared...Proficient in MS Office (Word, Excel, Access, PowerPoint, MS Project , Visio, SharePoint). + Customer-focused ability to communicate across… more
- Grundfos (Augusta, ME)
- …time (warranty claims , working hours FAS etc); + Assists in project execution - installation support, commissioning etc; + Executes agreed maintenance services ... Type: Regular **_Would you like to work in an international, innovative organization , where we produce high-quality solutions and are constantly looking to enhance… more