- Merck & Co. (North Wales, PA)
- …the Director/Senior Director in the Office of Promotion and Advertising Review (OPAR)The Associate Director is responsible for the review and approval of all US ... regulatory team meetings to ensure support for anticipated promotional messages and claims (aligned with marketing strategy) in clinical trial design and product… more
- Sedgwick (Greensboro, NC)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Workers Compensation Med Only ( REMOTE ) **PRIMARY PURPOSE** : To ... Taking care of people is at the heart of...of everything we do, and we start by taking care of you, our valued colleague. A career at...analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing… more
- The Cigna Group (Bloomfield, CT)
- …of those we serve? EviCore, a division of The Cigna Group is hiring a Claims System Configuration Associate . For this essential fast-paced claims systems ... configuration within the claims adjudication engine. The Claims Systems Configuration Associate will ensure data...a computer related field, preferred + 2+ years of claims and health care data experience, required… more
- State of Colorado (Denver, CO)
- Claims Processor - Part time (50%) / remote...managing the people's monies with the same diligence and care as they do their own. Vision The Colorado ... Claims Processor - Part time (50%) / remote /hybrid Salary $20.71 - $23.82 Hourly Location Denver Metro,...are received until they are disbursed with diligence and care . Why work for the Colorado Department of State… more
- CareFirst (Baltimore, MD)
- …makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while ... and procedures. **ESSENTIAL FUNCTIONS:** + Audits assigned function (service, claims , enrollment) for accuracy, benefit payment, contract interpretation, and… more
- Zurich NA (Topeka, KS)
- …with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care Center calls and/or CCP Claims + RCIS Crop Adjuster ... and/or provide remote assistance for the CROP Claims Care Center calls and/or CCP ...Office Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LC1 #LI- ASSOCIATE … more
- Humana (Madison, WI)
- …a part of our caring community and help us put health first** The Claims Research & Resolution Representative 3 manages claims operations, assisting in ... processing of corrected claims . The Claims Research & Resolution Representative 3 performs advanced administrative / operational / customer support duties that… more
- Trustmark (Lake Forest, IL)
- …clients and communities. The Senior Applications Solution Engineer for Billing and Claims is responsible for leading the technical requirements gathering and design ... sessions with stakeholders as it relates to Billing and Claims software systems and/or applications (cloud and/or on-premises). The...our campus in Lake Forest, IL, and 2 days remote . The Senior Applications Solution Engineer for Billing and… more
- Zurich NA (Jefferson City, MO)
- …workload(s) , participate on CAT team and/or provide remote assistance for the CROP Claims Care Center calls and/or CCP Claims + RCIS Crop Adjuster ... RCIS Crop Claims Specialist, MO: Clark, Knox, Lewis, or Scotland...Office Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LC1 #LI- ASSOCIATE … more
- Ally (Springfield, IL)
- **General information** **Ref #** 19194 ** Remote ?** No **Ally and Your Career** Ally Financial only succeeds when its people do - and that's more than some cliche ... valuation, establishment of exposure, negotiation and settlement property and casualty claims within a predetermined settlement authority. Ensures that all assigned … more
- Humana (Columbus, OH)
- …and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized at the Inpatient ... communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient or… more
- CVS Health (Trenton, NJ)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... ability to innovate and deliver solutions to make health care more personal, convenient and affordable. This is a...advocate for themselves. The TOC team will review prior claims to address potential impact on current case management… more
- Liberty Healthcare Corporation (Bala Cynwyd, PA)
- …Corporation seeks to hire an experienced attorney for a new Senior Associate General Counsel position which will focus on litigation and employment matters. ... and presenting quarterly and annual reports related to litigation and claims . + Managing insurance coverage analysis, carrier communications and coordination related… more
- LifePoint Health (Denver, CO)
- …field* **Organization:** **Pacific Medical Data Solutions* **Title:** *Medical Billing Associate - Remote * **Location:** *Colorado-Denver* **Requisition ID:** ... a small company, employee-focused atmosphere. This is a fully remote position! You must live in the United States....and be part of a team driven to improve care , we may have your next opportunity. We are… more
- Takeda Pharmaceuticals (Columbus, OH)
- …in order to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the ... 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
- AbbVie (Chicago, IL)
- …lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For ... Instagram (https://www.instagram.com/abbvieireland/) , YouTube and LinkedIn. Job Description The Associate Director (AD) of Epidemiology in Pharmacovigilance & Patient… more
- University of Rochester (Rochester, NY)
- …open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits ... claims , submits appeals, and takes timely and routine action...lower-level staff. Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings… more
- Sedgwick Government Solutions (Addison, TX)
- …) 2025- 1394 Addison, TX, USA Medical Services Full Time Description Overview - Care Coordinator- Medical Services Remote Care Coordinator **Open to ... beneficiaries in obtaining diagnostic evaluations and/or medical review of conditions. Remote Care Coordinator Responsibilities + Collaborates as an integral… more
- McLaren Health Care (Indianapolis, IN)
- …**Equal Opportunity Employer of Minorities/Females/Disabled/Veterans** #LI-AK1 **Qualifications:** **Required:** + Associate Degree in business, health care or ... organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a… more
- The Cigna Group (Columbus, OH)
- …have a background in customer service or experience in healthcare, specifically benefits and claims processing, you might be the perfect fit to join our team as a ... Care Navigator Representative. As a Care Navigator,...driving a consistently accurate quality of service. **QUALIFICATIONS:** + Associate degree or higher required and/or 4+ years' work… more
