- 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
- MultiPlan (Atlanta, GA)
- …Coding Specialist provides analysis of the highest dollar and most complex claims by applying research, coding standards, industry knowledge and federal ... accuracy and compliance. JOB ROLES AND RESPONSIBILITIES: Review and analyze complex inpatient, outpatient, and practitioner billing for medical appropriateness of… more
- Medline Industries - Transportation & Operations (Northfield, IL)
- Job SummaryJob DescriptionUnder limited supervision, the Senior Regulatory Specialist is responsible for planning and executing critical and complex global ... commitments, and agreements. Responsible for developing solutions to re-solve complex regulatory issues and for leading multifunctional teams in high-priority… more
- MultiPlan (Atlanta, GA)
- …Coding Specialist provides analysis of the highest dollar and most complex claims by applying research, coding standards, industry knowledge and federal ... accuracy and compliance. JOB ROLES AND RESPONSIBILITIES: Review and analyze complex inpatient, outpatient, and practitioner billing for medical appropriateness of… more
- Zurich NA (Sacramento, CA)
- Workman's Compensation Sr . Claims Specialist 115802 Zurich is seeking an experienced Workman's Compensation Claims Specialist to join our team! We ... are currently licensed in the state of California. The Senior Workers Compensation Claims Specialist ...applies the component parts of an insurance policy for complex claims + Ability to follow reserving… more
- Team Car Care/Jiffy Lube (Irving, TX)
- …to ensure we are the first choice of every consumer. POSITION SUMMARY: The Senior Employee Relations Specialist will partner with the HR Manager in leading ... lead interface with employees, government agencies on all ER matters. The Senior Employee Relations will drive employee relations initiatives within TCC'S field and… more
- HNTB (Indianapolis, IN)
- …the technical aspect of project development and delivery in their function areas. The Sr Project Controls Specialist applies advanced techniques and serves in a ... been delivering solutions for some of the largest, most complex infrastructure projects across the country. With our historic...with the project team or client/owner related to potential claims , claims avoidance, and claims … more
- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting._ **Title** : Sr . Billing Specialist **Location:** Candidates must reside within 50 miles or ... the state of Texas. **Build the Possibilities. Make an Extraordinary Impact.** The ** Sr . Billing Specialist ** is responsible for assembling and maintaining all… more
- Gilead Sciences, Inc. (Bakersfield, CA)
- …Join Gilead and help create possible, together. **Job Description** As a ** Sr ** **Therapeutic Specialist - HCV** you are responsible for representing ... geography. This territory includes Thousand Oaks, Bakersfield, and San Luis Obispo. As the ** Sr ** **Therapeutic Specialist - HCV** you will be responsible for: +… more
- Sedgwick (Memphis, TN)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Software Development Specialist Sr . PRIMARY PURPOSE: To develop, maintain, test and debug ... and fact-finding for the purpose of developing or modifying moderately complex information systems; to prepare detailed specification from which programs will… more
- Sedgwick (Columbus, OH)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Software Developoment Specialist Sr **PRIMARY PURPOSE** : To develop, maintain, test, debug, ... and fact-finding for the purpose of developing or modifying moderately complex information systems; to prepare detailed specification from which programs will… more
- Republic Finance, LLC (Groveport, OH)
- …like the right opportunity in the financial services industry for you, apply today! As a Sr . Consumer Loan Specialist , you will be a key team member in the ... or exceeds loan goals. Responsible for day-to-day servicing of an ever-growing, complex consumer loan portfolio. Applies analytical skills to quickly and efficiently… more
- ManpowerGroup (Richmond, VA)
- ** Sr . IT Production Specialist (Remote/Contract)** **Contract: 1+yrs** **Duration:** 1 year **Primary Purpose:** To lead the flow of production system and ... as designed. **Essential Functions and Responsibilities:** + Researches and resolves complex technical problems or data discrepancies reported by clients. +… more
- Travelers Insurance Company (Tampa, FL)
- …Extensive claim and/or legal experience and technical expertise to evaluate severe and + complex claims preferred. + Able to make independent decisions on most ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (New York, NY)
- …+ Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims preferred. + Able to make independent decisions on most ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Alpharetta, GA)
- …Compensation claims including catastrophic loss, specified serious injury and other complex claims . Attempt to resolve through innovative and expert claim ... involve one or multiple back, shoulder or knee surgeries, knee replacements, claims involving complex offsets, permanent restrictions and/or fatalities. … more
- Precise Systems, Inc. (Lexington Park, MD)
- …exceptional service and the Precise solution. We are currently seeking a Senior Benefits Specialist . This individual will be responsible for coordinating, ... implementing, and administering the Wellness program. Distinguishing Characteristics Further, the Senior Benefits Specialist will serve as a resource for… more
- Gilead Sciences, Inc. (Richmond, VA)
- …improve the lives of patients with life-threatening illnesses worldwide. As a Senior Therapeutic Specialist , Oncology, you are responsible for representing ... information, clinical updates on education, and healthcare changes. They synthesize complex clinical concepts to appropriate literacy and conceptual levels for… 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 ... staff by completing and/or providing training and assistance with complex claims . Travel required at least 50%...work outdoors in varying temperatures/weather conditions OR Crop CAT Senior Claims Specialist Basic Qualifications:… more
- Axis (Red Bank, NJ)
- …claims of his/her direct reports. + Close collaboration with the Specialty Complex Claims team with regard tocoverage disputes, including litigation and ... the candidate should possess the ability to handle Large Complex Builder's Risk claims in the short...as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,… more
