• Nurse Case Manager

    US Tech Solutions (Richmond, VA)
    …including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. + Utilizes case management processes in compliance with regulatory… more
    US Tech Solutions (10/17/25)
    - Related Jobs

  • Outpatient Coder 2 Certified / PB Coding

    Hartford HealthCare (Farmington, CT)
    …Performance Indicators (KPIs) and Productivity Standards). *Issue Resolution* 1. Reviews claim edits and revises coding/charging as appropriate for specific range of ... Reviews accounts returned from various departments and processes corrections for clean claim submission or posts claim denial review for appeal. *Communication*… more
    Hartford HealthCare (12/27/25)
    - Related Jobs

  • Outpatient Coder 2 Certified / HIM Coding

    Hartford HealthCare (Farmington, CT)
    …Performance Indicators (KPIs) and Productivity Standards). **Issue Resolution** 1. Reviews claim edits and revises coding/charging as appropriate for specific range ... Billing, Coding Quality, and Revenue Integrity) and processes corrections for clean claim submission or posts claim denial review for appeal. **Communication**… more
    Hartford HealthCare (12/24/25)
    - Related Jobs

  • Utilization Management Nurse

    US Tech Solutions (Columbia, SC)
    …of contract language and application. Thorough knowledge/understanding of claims /coding analysis/requirements/processes. Preferred Software and Other Tools: ... provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate,… more
    US Tech Solutions (12/24/25)
    - Related Jobs

  • Provider Engagement Professional

    Humana (Oklahoma City, OK)
    …issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate ... townhalls and/or trainings + Work with internal resources and systems (eg, claims , reimbursement, provider enrollment) to provide the Perfect Experience in all… more
    Humana (12/07/25)
    - Related Jobs

  • Assoc Underwriting Mgr or AVP, Underwriting Mgr-…

    Zurich NA (New York, NY)
    …relative to the qualifications listed for this position. **Basic Qualifications:** Associate Middle Markets Underwriting Manager: + High School Diploma or Equivalent ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 3 or more years of experience… more
    Zurich NA (01/02/26)
    - Related Jobs

  • Environment Health and Safety Leader

    Sysco (Warrendale, PA)
    …on injury trends, KPIs, and risk assessments. + Support the workers' compensation claims process by completing OSHA determinations, identifying gaps in claims ... related to general liability, motor vehicle, and property damage claims . + Partner and collaborate with all functional leaders...or a closely related field is _required_ . **Education Preferred :** Master's Degree with major course work in EHS,… more
    Sysco (01/10/26)
    - Related Jobs

  • Executive Underwriter - Middle Market

    Zurich NA (Atlanta, GA)
    …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... negotiation, and interpersonal skills to grow and develop relationships with preferred distribution partners in an assigned territory. Executive Underwriter Required… more
    Zurich NA (11/05/25)
    - Related Jobs

  • OB/GYN Coder / Provider Educator

    SUNY Upstate Medical University (Syracuse, NY)
    …charge reconciliation. Education, Training and Previous Experience Requirements Education: + Associate 's degree or a related healthcare discipline preferred . + ... CCS-P. + Specialty certification such as COBGC (Certified OB/GYN Coder) preferred . + CPMA (Certified Professional Medical Auditor) or CDEO (Certified Documentation… more
    SUNY Upstate Medical University (11/12/25)
    - Related Jobs

  • Pro Fee Coordinator (Dept. of Physical Medicine…

    Johns Hopkins University (Baltimore, MD)
    …+ Complete three days of training annually. **Minimum Qualifications** + HS/GED required, Associate Degree or higher level degree preferred . + Two years ... JHU/ PBS Billing Applications. + Utilize online resources to facilitate efficient claims processing. + Uses relevant functions of (IDX) and (EPIC) billing systems.… more
    Johns Hopkins University (11/22/25)
    - Related Jobs