- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** The Trade Operations Senior Specialist - US Market Access Operations is responsible for managing and optimizing the ... receivable, and maintaining strong relationships with customers and internal stakeholders. The Senior Specialist will also be tasked with analyzing and improving… more
- Wipfli LLP (Milwaukee, WI)
- …complex challenges and implement meaningful improvements. Under the direction of a Senior Consultant, the Specialist II provides business services independently ... improve through data-driven insights and collaborative problem solving? As a Specialist II in Wipfli's Healthcare Consulting Practice, you'll work independently with… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and ... to enhance provider satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account… more
- CRC Insurance Services, Inc. (TX)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage with insurance carriers to ... America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Manages and evaluates… more
- CVS Health (Hartford, CT)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist...initiatives. + Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy… more
- Swedish Health Services (Seattle, WA)
- **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers, and ensure accurate billing information is submitted. Answer ... all information requests from those payers, and trace all claims to those payers making sure they have been paid or denied appropriately in a timely manner.… more
- Zurich NA (New York, NY)
- Senior Claims Specialist , General Liability/Construction 126205 Zurich is seeking an individual interested in growing their claims career with our ... General Liability team. As a General Liability (GL) Senior Claims Specialist on our...- Maitland, AM - New York, AM - Parsippany Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
- The Hartford (Lake Mary, FL)
- 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. This dynamic Claim Specialist role will be part of...initiatives + Prepare comprehensive reports and deliver presentations to senior claim leadership on: case developments, policy… more
- Zurich NA (Dover, DE)
- …New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party ... Sr. Claims Specialist (Workers Compensation, NE Region)...from our Parsippany or Boston offices, or a fully remote setup based in one of the following states:… more
- Zurich NA (Maitland, FL)
- …Specialist (Workers Compensation) 128797 Zurich North America is looking for an exceptional Senior Workers' Compensation Claims Specialist to join our ... is an exciting opportunity to manage complex, multi-party commercial Workers' Compensation claims with moderate to high exposure and make a meaningful impact through… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information ... **Preferred Qualifications:** Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing … more
- Aflac (GA)
- …these results and partnering with IKS to develop an in-person training for all claims specialist to understand how we can improve quality for the department. ... 2026 Summer Intern-Individual Claims The Company: Aflac Columbus The Location: GA,...Intern Salary Range: $19.00 - $25.00 Company: Aflac Columbus Remote /Hybrid/On-Site: Hybrid/ Remote Recruiter: Alisha Hargrove Job Posting… more
- BD (Becton, Dickinson and Company) (Warwick, RI)
- **Job Description Summary** The Senior Regulatory Affairs (RA) Specialist within the BD Interventional Surgical Devices Business unit will work on regulatory ... required to market medical devices in the US The Senior RA Specialist will also support related...with the regulatory requirements and support the proposed product claims . + Review CMC changes and determine regulatory reporting… more
- ENFRA (Houston, TX)
- …**Job Locations** _US-TX-Houston_ **ID** _2025-8519_ **Category** _Engineering/Designers_ **Position Type** _Full-Time_ ** Remote ... are the pillars of our continued success. **Overview** The Senior Project Controls Specialist is responsible for...with the Contracts Manager) + Support the development of claims including back charges against subcontractors and vendors. +… more
- Centene Corporation (Austin, TX)
- …a Monday - Friday; 2:00 pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and ... perspective on workplace flexibility. Applicants for the job have the flexibility to work remote from home anywhere in the United States. Candidates must be able to… more
- Mass Markets (FL)
- …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... passion for building strategic partnerships and driving revenue? We're seeking a Senior Business Development Executive to lead new client acquisition, manage key… more
- Centene Corporation (Nashville, TN)
- …up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting ... and directories as well as claims payment resolution as it relates to provider set...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- CenterWell (Topeka, KS)
- …community and help us put health first** As a **Home Healthcare Accounts Receivable Specialist ** , you will: + Ensure the coordination of claim activities and ... agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate… more
- University of Utah (Salt Lake City, UT)
- …PRN43924B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track Level** S3 - Skilled **FLSA ... at any time)** **Job Summary** **University Medical Billing ( UMB )** is a fully remote department that is viewed as the premier billing office for the University of… more
