- The Hartford (Scottsdale, AZ)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... Global Specialty - Financial Lines Employment Practices Liability ("EPL") Claims Group currently has an open Claim Consultant... Claims Group currently has an open Claim Consultant . As an EPL Claims Professional, you… more
- The Hartford (Scottsdale, AZ)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... shape the future. The Hartford Global Financial Lines Directors and Officers (D&O) Claims Group currently has an open claim professional position. As aD&O claims… more
- Sedgwick (Phoenix, AZ)
- …including but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant , Associate in Claims (AIC), Chartered Property and Casualty Underwriter ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Advisor, Professional Liability To analyze complex or technically difficult… more
- The Hartford (Scottsdale, AZ)
- Sr Representative Claims - CH08BEConsultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond ... the future. The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering superior customer service and successfully… more
- Sedgwick (Phoenix, AZ)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Consultant Sr, Professional Liability (Part Time) **PRIMARY PURPOSE** **:** Investigates, ... analyzes, and evaluates medical malpractice claims requiring a high degree of technical complexity and...FUNCTIONS and RESPONSIBILITIES** + **Evaluates complex and/or high exposure claims , including birth injury claims through the… more
- Guardian Life (Phoenix, AZ)
- …Rehabilitation Consultant provides assessment of LTD, STD and Life claims , to determine claimants' level of functionality and provide evaluation of work ... The Vocational Rehabilitation Consultant (VRC) will develop cost effective strategies to...Serve as educational resource on vocational rehab aspect of claims . Educate parties involved in claim management regarding the… more
- Zurich NA (Phoenix, AZ)
- Crop Product Development Consultant 116424 This **Crop Product Development Consultant ** has been created to support the RCIS Growth Strategy. This role is ... Anoka, MN are preferred locations. As the **Crop Product Development Consultant ** , primary accountabilities will include: + Facilitating communicationand partnering… more
- Prime Therapeutics (Phoenix, AZ)
- …passion and drives every decision we make. **Job Posting Title** Financial Consultant Principal **Job Description** The Principal Financial Consultant provides ... and develops others + Serves as a subject matter consultant in multiple areas within the industry (pharmacy trend,...complex analysis on enterprise level data sets of pharmacy, claims , medical, and/or financial data + Extensive experience with… more
- Moss Adams LLP (Phoenix, AZ)
- **Healthcare Senior Consultant - Revenue Cycle** **Description** At Moss Adams, we champion authenticity. For us, that means fostering a culture of talented people ... team** We are currently seeking a Revenue Cycle Senior Consultant for our Health Care Consulting practice. The Senior...revenue-related code sets \(ICD-10, CPT, HCPCS, DRG, etc.\) and claims payment methodologies. + General Knowledge of the Health… more
- Norstella (Phoenix, AZ)
- Senior Analytic Consultant Company: Panalgo Location: Remote, United States Date Posted: Sep 5, 2024 Employment Type: Full Time Job ID: R-475 **Description** ... grow to the next level with the help of an outstanding Senior Analytic Consultant . The Analytic Services team is at the forefront of engaging IHD's customers,… more
- Lincoln Financial Group (Phoenix, AZ)
- …Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for reviewing, ... analyzing, and interpreting medical information available for disability claims . In this role you will act as a...this role you will provide coaching and guidance to claims regarding medical management **What you'll be doing** *… more
- HealthEdge Software Inc (Phoenix, AZ)
- **Overview** **Overview:** The Business Consultant leads and mentors the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more
- Prime Therapeutics (Phoenix, AZ)
- …every decision we make. **Job Posting Title** Network Economic Financial Consultant **Job Description** The Principal Pricing Analyst leads complex analyses, ... analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field + 3 years of experience using… more
- Banner Health (Phoenix, AZ)
- …remote and hybrid opportunities. In the role of Senior Managed Care Consultant , you will be responsible for negotiating agreements and amendments with health ... writing skills as well as a general understanding of health care claims . PREFERRED QUALIFICATIONS For assignments in Managed Care, specific managed care contract… more
- CVS Health (Chandler, AZ)
- …including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility. ... - Assessments include the member's level of work capacity and related restrictions/limitations. - Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. - Consults with supervisor and others… more
- Cardinal Health (Phoenix, AZ)
- …and guidelines (Federal Physician Payment Sunshine Act, Federal Anti-Kickback, False Claims , Stark Law) preferred + Understanding of Federal PPSA Provisions and ... state transparency regulations is a plus + Experience with global commercial operations and healthcare regulations is a plus **_What is expected of you and others at this level_** + Applies comprehensive knowledge and a thorough understanding of concepts,… more
- Zurich NA (Phoenix, AZ)
- …Engineering and our Zurich Resilience Solutions Team. In this role, this consultant will be responsible for the day-to-day relationships with client companies and ... their teams. This advanced senior design/construction management consultant will be responsible for driving revenue byleveraging existing customer relationships (eg,… more
- HonorHealth (Phoenix, AZ)
- …payment rejections Resolves third party rejection problems promptly, and resubmits rejected claims for payment on a timely basis Manages and controls specialty ... collaboratively, along with the specialty pharmacy staff. Acts as a consultant to healthcare professionals and patients regarding utilization of pharmaceutical… more
- Sedgwick (Phoenix, AZ)
- …and experience required. Experience with an insurance company, broker or consultant preferred. **Skills & Knowledge** + Excellent oral and written communication, ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more