• Senior Medical Coding Specialist (Remote)

    CareFirst (Baltimore, MD)
    …policy models are developed and implemented. Provides expert knowledge to support effective partnership with provider entities and guidance on the appropriate ... capture and proper use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting… more
    CareFirst (09/27/25)
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  • Psychological Services Specialist, Corrections…

    Commonwealth of Pennsylvania (PA)
    …and Training Requirements: + Two years as a Psychological Services Associate Corrections (Commonwealth job title or equivalent Federal Government job title, ... of determining your eligibility for the position. Information to support your eligibility for the position must be provided...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
    Commonwealth of Pennsylvania (10/17/25)
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  • Assoc. PM/Project Leader/Project Manager

    PPL Corporation (Allentown, PA)
    …its service territory through volunteerism and investments in organizations that support education, sustainability, and wellbeing. Overview The ** Associate ... assigned project portfolio. Responsible for supporting for individual program projects or support roles for project managers. Assignment may also include support … more
    PPL Corporation (10/16/25)
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  • Payment Policy Sr. Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …team, is critical to BCBSMA's goal of affordability. Key Functions: + Support implementation of identified opportunities to improve the effectiveness of the facility ... strategy, + Assist managing provider reimbursement strategic planning process + Support the facility reimbursement strategic planning process and strategy execution,… more
    Blue Cross Blue Shield of Massachusetts (10/09/25)
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  • Billing Rep, Physician Support Services

    Ascension Health (Indianapolis, IN)
    **Details** + **Department:** Physician Support Services + **Schedule:** Monday-Friday, Flex Hours + **Hospital:** Ascension Medical Group, clinic + **Location:** ... record of all billing activities. + Maintain documentation of claims processed as part of the daily claims...and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make… more
    Ascension Health (10/17/25)
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  • Stop Loss Analyst I/II/III/IV

    Excellus BlueCross BlueShield (Dewitt, NY)
    …The Stop Loss Analyst develops new business rate proposals utilizing available claim information provided from prospect accounts through Sales. The Stop Loss Analyst ... also develops renewal rates for existing group accounts utilizing claim , premium and enrollment information extracted from Excellus Health Plan, Inc.'s systems. This… more
    Excellus BlueCross BlueShield (10/14/25)
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  • Senior Safety/Risk Management Consultant (Las…

    ICW Group (Las Vegas, NV)
    …present large account service proposals. + Performs accident investigations as needed in support of claims and underwriting. Delivers risk management services to ... stakeholders in conducting research or accident investigations to sustain claims and underwriting initiatives. + Identifies and quantifies Workers' Compensation… more
    ICW Group (10/15/25)
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  • Vendor Funds Analyst

    Ferguson Enterprises, LLC. (Newport News, VA)
    …Funds Analyst** **Job objective:** Finance role responsible for analyzing rebate claims on vendor contracts and promotions, calculating monies due from vendors ... and M, F Remote** **Essential duties and responsibilities:** + Create vendor rebate claims in accordance with vendor agreements + Prepare and submit timely and… more
    Ferguson Enterprises, LLC. (08/29/25)
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  • Workers Compensation Specialist

    Insight Global (Irving, TX)
    …Excellent communication, negotiation, and analytical skills. Certified Workers' Compensation Professional (CWCP) Associate in Claims (AIC) SHRM-CP or PHR ... is responsible for managing the end-to-end lifecycle of workers' compensation claims -from initial incident reporting through resolution and closure. This role… more
    Insight Global (10/08/25)
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  • Pharmacy Insurance Specialist

    CVS Health (Woonsocket, RI)
    …Pharmacy Application Development teams in Information Systems (IS) to provide prescription claims processing support for all system related issues or ... will perform extensive testing and documentation to ensure accurate prescription claims processing while remaining in compliance with pharmacy standards and payer… more
    CVS Health (10/17/25)
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