- Zurich NA (Salem, OR)
- Managed Care , Claims Vendor Management Sr Specialist 118916 Zurich North America is seeking a Managed Care , Claims Vendor Management ... United States. **About the Role** As a Senior Specialist in Managed Care and Claims Vendor Management, you will play a key role in administering… more
- Evolent (Salem, OR)
- …experience in claims -based healthcare analytics with a payer, provider, clinical vendor , managed care , or related healthcare consulting entity- ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Hoffman Construction Company (Portland, OR)
- …paid time off, a generous retirement program and highly competitive pay. We take care of each other by offering free primary healthcare to our employees and their ... for managing all aspects of the owner, subcontractor, and vendor contracts for large scale construction projects. This role...mitigate them. + Address and resolve any disputes or claims related to contracts in a timely manner. +… more
- Humana (Salem, OR)
- …7+ years of related compliance and/or special investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated ... Attend federal CMS and state fraud meetings with other managed care organizations, as well as state...exciting interviewing technology provided by Modern Hire, a third-party vendor . This technology provides our team of recruiters and… more
- HealthEdge Software Inc (Salem, OR)
- …Practical understanding of the healthcare system with regards to Medicare, Medicaid, managed care , and commercial payment methodologies, payment integrity, and ... and maintenance of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working knowledge… more
- CareOregon (Portland, OR)
- …operating systems and core services + ITIL concepts and practices + Concepts of Managed Care + Project management practices + Systems integration and data flow ... planning for and supporting disaster recovery and business continuity initiatives. Vendor Coordination and Relations + Establish and manage relations with external… more
- Takeda Pharmaceuticals (Salem, OR)
- … Vendor Management + Oversight and accountability for labeling activities managed by external vendor (s) for assigned products, ensuring seamless coordination, ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
- CareOregon (Portland, OR)
- …evaluation of program effectiveness + Knowledge and experience with delegation oversight of managed health care operations + Knowledge of database structure and ... Manage contracts, deliverables, timelines and expectations with partners and project vendor (s). + Oversee the process of tracking, completion, and timely submission… more