- ICW Group (San Diego, CA)
- …correctly stored and maintained. **ESSENTIAL DUTIES AND RESPONSIBILITIES** **Acts as a proactive case manager on current files handled by assigned attorneys.** + ... the paralegal is to provide paralegal assistance to the Claims or Legal Department and may assist in training...Maintains case lists and follows up with internal personnel and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …regulatory reporting requirements. This position works under the direction of the Manager , Operational Risk Management (SIU). This position ensures SIU ... presentations to other business areas and account customers; and conducting case reviews to ensure that processes are followed investigative activities are… more
- Genesis Healthcare (Elk Grove, CA)
- … management of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization, and ... is responsible for assisting the Director of Rehab in the efficient management of rehabilitation services in his/her assigned account(s). This position also assists… more
- Army National Guard Units (Carson City, NV)
- …access and use of the web-based US Air Force Inspector General Automatic Case Tracking System (ACTS III) for reporting and recording Inspector General contacts and ... would include such areas as Intelligence Oversight (IO), Internal Management Control Program (IMCP), Contracting, Environmental Quality Control (EQC), reprisals,… more
- NTT America, Inc. (Fargo, ND)
- …analytics, healthcare cloud hosting, integration and interoperability, clinical and claims application implementation, revenue cycle management , and policy ... productivity. + Ensure possession of a functional cell phone for manager communication and Two-Factor Authentication to maintain security and effective… more
- Rush University Medical Center (Oak Park, IL)
- …the position. Offers may vary depending on the circumstances of each case . **Summary:** The Admissions Registration Specialist Lead is responsible for reviewing ... any new staff. The Admissions Specialist Lead is responsible for assisting management with the daily operational duties and reports. The Admissions Registration… more
- UNUM (Portland, ME)
- …to ADA, integrated leave management procedures, FMLA process, and STD/LTD claims management . + Provides consultation and education to customer about ... management , workers compensation administration, clinical and/or vocational rehabilitation, disability case management , or human resources + Grounding in… more
- Highmark Health (Harrisburg, PA)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external audit findings and responds as… more
- Air National Guard Units (Kirtland AFB, NM)
- …ensure successful market research, acquisition planning, contract award, contract performance management , and interpretation of contract law in order to provide the ... practices and conditions. Serves as a contracting authority and advisor to management , customers, and contractors in assignment area relative to the market, the… more
- Elevance Health (Winston Salem, NC)
- …care management process through reviewing member profiles, recommending members for lock-in, case management or disease management . + Respond to and ... of the CarelonRx pharmacy program, including Prior Authorizations, Medication Therapy Management (MTM), Lock-in, and Drug Utilization Review (DUR) programs. **How… more