- FM (Parsippany, NJ)
- …and organization skills to use. The successful candidate will work with an experienced claims professional to handle all aspects of property damage and business ... future - yours, your clients', and the company's? The Claims team within our New York Operations in Parsippany...summer 2026! When you join FM as a Property Claims intern, you can bring your talents to life… more
- FM (Reston, VA)
- …and organization skills to use. The successful candidate will work with an experienced claims professional to handle all aspects of property damage and business ... future - yours, your clients', and the company's? The Claims team within our DC Operations in Reston (VA)...summer 2026! When you join FM as a Property Claims intern, you can bring your talents to life… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …**Minimum Qualifications/Work Experience:** _Required:_ 5+ years' risk management, claims , professional liability and/or clinical experience including ... Director, Risk Management experience. Or, 7+ years' risk management, claims , professional liability and/or clinical experience. _Preferred:_… more
- Stanford Health Care (Palo Alto, CA)
- …**Locations** Stanford Health Care **What you will do** + Manages litigated claims , evaluates applicable insurance coverages such as professional and general ... Health Care job.** **A Brief Overview** Investigates, manages and resolves reported claims and adverse events defined by Risk Management. Requires coordination with… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …from all payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid ... JOB SUMMARY: Under the direction of the Manager Professional Billing & Coding, the Billing & Collections...claims by telephone, websites and/or any other means available… more
- Eisai, Inc (Nutley, NJ)
- …time management skillsExperience in the design and programming of claims analysis and observational studies is desirableEffective interpersonal skills; projection ... of professional image and credibility; teamwork oriented and inclusiveRecord of peer-reviewed publication of original work in HEOR is desirableEisai Salary… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is excited to announce that we are hiring **Work-From-Home Claims Processors!** In this role, you'll play a key part in ensuring the accurate ... entry, review, and resolution of simple to moderately complex Medicaid claims . You'll follow established guidelines, procedures, and client policies while helping… more
- Ally (Springfield, IL)
- …Title: Auto Mechanic, Service Manager or Service Technician Actual Job Title: Mechanical Claims Specialist (MCS) Set Pay Rate: $27.50/hr = $57,200 + 5% annual bonus ... love and passion for all things auto? The Mechanical Claims Specialist (MCS) role at Ally is perfect for...is designed to support and enrich your personal and professional life, including: * Time Away: competitive holiday and… more
- Eisai, Inc (Cincinnati, OH)
- …(eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state ... transparency and disclosure laws) preferred.Demonstrated skills at building and maintaining professional relationships with key customers and others in the customer… more
- Lyric (Newtown Square, PA)
- … edit/denial management + 3+ years of experience managing coding, billing or claims processing professionals + Active AAPC Certified Professional Coders (CPC) ... leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with...subject matter expert on CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid, MUEs,… more
- PedIM Healthcare (Crystal River, FL)
- …1 year of service. Paid time off. Opportunities for ongoing professional development and training. Supportive and collaborative work environment. Responsibilities: ... Review and process medical claims for accuracy and completeness. Verify patient billing data...data and resolve any discrepancies. Generate and submit insurance claims to payers promptly. Follow up on unpaid or… more
- Sul Lee Law Firm, PLLC (Dallas, TX)
- …Responsibilities: Lead litigation strategy for partnership/shareholder disputes, derivative claims , fiduciary duty litigation, and business divorce cases. Handle ... growth, manage risk, and achieve success, while cultivating a workplace that values professional excellence, diversity, and personal growth. Why Join Us? At Sul Lee… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …the two aspects of the business together to inform configuration that supports accurate claims processing. Act as a key resource and contact for clinical coding, the ... codes that accurately represent services. Collaboration with configuration teams (ie , Claims and Product) is vital to ensure codes are established in the… more
- Terumo Medical Corporation (Somerset, NJ)
- Professional Medical Education Manager Date: Nov 15, 2025 Req ID: 5242 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: TIS PACE ... we go next!** **_Advancing healthcare with heart_** **Job Summary** The Professional Medical Education Manager is responsible for managing Terumo sponsored external… more
- Prysmian (Marshall, TX)
- …specifications for customers. Manage the Internal Audit Process and the Customer Claims Process. Oversee calibration systems for all equipment needing internal or ... external calibration services. Review and compare all published General Cable Corporation design specifications, customer, UL, and CSA specifications and maintenance of quality levels for internal and customer review. Conducts audits for all test equipment,… more
- Towne Park (Indianapolis, IN)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates ... have been adequately trained in safety and loss prevention procedures + Ensures claims are reported timely and accurately and cooperates with the Risk Management… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more
- Alameda Health System (Oakland, CA)
- …Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role supports ... and external partners; networks with other hospitals, nursing organizations, and professional organizations to keep abreast of changes within the profession. MINIMUM… more
- Cardiovascular Institute of San Diego (San Diego, CA)
- …potential Full benefits package: medical, dental, vision, 401(k) Malpractice insurance ( claims made) CME allowance Relocation assistance available About Image One ... outpatient imaging provider delivering high-quality diagnostic care in a professional , patient-first environment. Our supportive, experienced team allows radiologists… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …and manages real-time escalations as needed + Works collaboratively with Claims , Eligibility, Provider Relations, Business Operations and other Health Plan teams ... Utilization Management experience + General understanding of health plan operations, claims and eligibility systems, claims processing, and health care… more
