- Sedgwick (Columbus, OH)
- …reviews through the pharmacy benefit manager or vendor. + Communicates effectively with claims examiner , client, vendor, supervisor and other parties as needed. ... plan with providers. + Acts as a resource in consulting with the client, nursing staff and claims examiners regarding pharmacy issues. + Performs drug utilization… more
- Centene Corporation (Frankfort, KY)
- …and understanding of managed care claims processing systems and medical claims coding preferred **Licenses and Certifications:** A license in one of ... teams as needed. + Supports the provider escalation project team to resolve claims and payment issues. + Identifies root-cause issues to ensure enterprise solutions… more
- Commonwealth of Pennsylvania (PA)
- …positions may require possession of a valid Class C Pennsylvania's Driver's License . Equipment Operator/CDL Operator: As a CDL Operator, you will perform a ... of Administration) ;or + Graduation from a Commercial Driver's License Training School;or + An equivalent combination of experience...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- The City of Rochester, MN (Rochester, MN)
- …in the preparation of financial and regulatory reports, statements, and claims for reimbursement according to prescribed guidelines; performs related duties as ... accordance with state reporting and regulatory requirements. + Review documents and claims for accuracy, completeness, and uniformity to rules, regulations and laws;… more
- Magellan Health Services (Boise, ID)
- …vulnerability, reimbursement methodologies, and relevant laws to find suspicious patterns in claims data, provider enrollment data, and other sources + Remain up to ... investigations, related behavioral or medical healthcare insurance experience in claims , clinical, auditing, compliance, provider networks, management, or project… more
- ASRC Industrial Services (Wellton, AZ)
- …bases._ + _High school diploma or equivalent, preferred_ + _Valid commercial driver's license (Class A CDL) and driving record with MVR policy guidelines_ + _Must ... DOT permitting restrictions and guidelines._ + _Required to carry a current medical examiner 's certification (FMCSR part 391.41)_ + _Ability to safely drive a water… more
- Johns Hopkins University (Austin, IN)
- …health and wellness events and initiatives. + To manage workers' compensation claims . + To expand clinic services and reach. + Provide crisis ... information systems. **Minimum Qualifications** + Master's Degree in Nursing; Registered Nurse license and Certified as a Nurse Practitioner + Must be licensed in… more
- Johns Hopkins University (Piscataway, NJ)
- …health and wellness events and initiatives. + To manage workers' compensation claims . + To expand clinic services and reach. + Provide crisis ... information systems. **Minimum Qualifications** + Master's Degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner + Must be licensed in… more