• RN Utilization Review

    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
    Sedgwick (01/16/26)
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  • Lead SIU Investigator

    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
    Centene Corporation (01/06/26)
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  • Summer Employment Program - PennDOT (Non-Student)

    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
    Commonwealth of Pennsylvania (01/14/26)
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  • Senior Financial Analyst - RPU

    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
    The City of Rochester, MN (12/11/25)
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  • SIU Program Integrity Investigator - Remote (In…

    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
    Magellan Health Services (12/27/25)
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  • CDL Truck Driver with AIS Infrastructure

    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
    ASRC Industrial Services (01/16/26)
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  • Nurse Practitioner (DOM Occupational Health)…

    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 (11/27/25)
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  • Nurse Practitioner (DOM Occupational Health)…

    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
    Johns Hopkins University (11/12/25)
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