- Merck & Co. (North Wales, PA)
- …data leveraging advanced statistical techniques from disparate databases or sources ( claims data, EMR/EHR, lab, and other sources) to drive optimization and ... pharmaceutical landscape.Expertise in mining and analyzing secondary real-world evidence data ( claims data, EMR/EHR, lab, etc.) and proven record of being able… more
- Rose International (Atlanta, GA)
- Description:This is a 100% remote position. All necessary equipment and training to be successful in this position will be provided.Schedule: 8-hour shift (Overtime ... available); regular business hours. Monday -FridayClient seeks to grow our Senior Insurance Collections Team concentrating on Special Projects. This role's… more
- Insight Global (Downers Grove, IL)
- Job Description Insight Global is seeking 3 Senior Liability Claims Specialist . The Specialists will need about 3-5 years of experience. They must be ... states will be beneficial. This position can sit fully remote . They will need experience with bodily injury ...remote . They will need experience with bodily injury claims . They will deal with litigation and must be… more
- Zurich NA (Topeka, KS)
- RCIS Crop Claims Specialist or Crop Claims Senior Specialist 115218 Zurich is currently looking for a to join our Rural Community Insurance Services ... assist with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care...work outdoors in varying temperatures/weather conditions OR Crop CAT Senior Claims Specialist Basic Qualifications:… more
- BrightSpring Health Services (Taunton, MA)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need.… more
- Lithia & Driveway (Medford, OR)
- …regular updates to impacted store/department management. + Collaborate with the Senior Specialist and department leadership in conducting risk assessments, ... to effective claims processes and safeguarding the organization. As a Specialist , Risk Management, you will be an integral part of our risk management… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... team as we help shape the future. As a Claims Specialist , you will be responsible for...initiatives; + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry… more
- BrightSpring Health Services (Vancouver, WA)
- … processing and payer subject matter expert* Provide support to 3rd Party Claims Specialist I answering operational questions* Support supervisory team by ... from a retail to office environment for those who are willing to learn claims , billing and insurance processing. Remote position. Applicants can reside anywhere… more
- Axis (Red Bank, NJ)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim reserves and make referrals ... to senior members of the team where necessary * Obtain...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage… more
- Zelis (NJ)
- …St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture and all of our employee's work locations are based on the needs ... email activity from people who could be pretending to be recruiters or senior professionals at Zelis. Zelis is modernizing the healthcare financial experience by… more
- Tufts Medicine (Burlington, MA)
- …using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically ... responsibilities may be assigned. 1. Serves as an experienced business specialist and technology generalist responsible for aligning technology solutions with… more
- Zurich NA (Columbus, OH)
- Senior Design/Construction Management Consulting Specialist 113183 Zurich is looking for a highly skilled ** Senior Design/Construction Management Consulting ... relationships with client companies and their teams. This advanced senior design/construction management consultant will be responsible for driving revenue… more
- Duke Energy (Wilmington, NC)
- …highly qualified individual at any Duke Energy location. This position is the senior level of the Work Management Specialist classification hierarchy. Employees ... storm restoration, and cost management while providing exceptional customer service. The Senior Work Management Specialist (Invoicing) will work closely with… more
- City National Bank (Newark, DE)
- **CARD FRAUD/SERVICING SPECIALIST SENIOR ** **Hybrid Schedule 3 days in office- 2 days remote ** **Schedule Mon- Thurs & Sun 10am- 7pm EST** **WHAT IS THE ... OPPORTUNITY?** A Card Fraud /Servicing Specialist Senior will handle inbound and outbound...colleagues in this 24/7 environment to intake over 100,000 claims annually. Reviews daily reports to identify and verify… more
- Immigration and Customs Enforcement (IN)
- …application with others in DHS for similar positions. Responsibilities As a Contract Specialist ( Senior ), at the full performance level, you will perform the ... Office of Acquisition Management, in Anywhere in the US ( remote job). Note: One or more positions may be...D. Waiver: When filling a specific vacant position, the senior procurement executive of the selecting agency, at his… more
- Mission Support and Test Services, LLC (North Las Vegas, NV)
- …Jacobs Engineering Group Inc. (Jacobs), and HII Nuclear Inc. Responsibilities The Senior Procurement Specialist will provide technical guidance on preparation, ... act on, and/or recommend specific action involving subcontract terminations, claims , and disputes. + Conduct closeout review of the...Losee Road facility in North Las Vegas, Nevada, or remote . + Work schedule for this position will be… more
- CareFirst (Fairfax, VA)
- …Credentialing department. + Develop business cases and present findings to Senior Management to support reimbursement and contracting initiatives through statistical ... (eg, hospitalist, diabetes education, reduction of authorizations, reduction of claims appeals, etc.). Participate in internal and external committees and… more
- Merck (North Wales, PA)
- …data leveraging advanced statistical techniques from disparate databases or sources ( claims data, EMR/EHR, lab, and other sources) to drive optimization and ... pharmaceutical landscape. + Expertise in mining and analyzing secondary real-world evidence data ( claims data, EMR/EHR, lab, etc.) and proven record of being able to… more
- Medical Mutual of Ohio (OH)
- …the development of more junior staff. . Performs other duties as assigned. ** Senior Business Systems Specialist ** Works with management, external vendors, and ... skills. . Intermediate proficiency with Power BI, Tableau, SQL tools preferred. ** Senior Business Systems Specialist ** . Bachelor's Degree in Business… more
- UTMB Health (Galveston, TX)
- Senior Coder - Revenue Cycle Coding ( Remote ) **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2404088 ** ... Senior Coder** **Minimum Qualifications:** A high school diploma or...Health Information Management (AHIMA) Or CCS - Cert-Cert Coding Specialist American Health Information Management (AHIMA) Or CCS-P -… more
