- Commonwealth of Pennsylvania (PA)
- …in the IT system. You will have the opportunity to represent the department in claims and disputes, as well as ensure effective and efficient customer care to all ... Schedule and Additional Information: + Full-time employment + Work hours are 7:00 AM to 3:30 PM, Monday -...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Amgen (Hackensack, NJ)
- …access + Investigate access challenges pre and post-infusion to include support for denied claims and claim reviews + Partner with Safety and PV and report ... Liaisons and sales reps. + Ability to respond immediately when necessary (within 24 hours ) to prevent lapses in treatment. + Strong analytical skills and ability to… more
- TEKsystems (Richmond, VA)
- …and outbound deliveries as instructed by management. You will initiate warranty claims and process returns on failed equipment. This opportunity will allow you ... to work 12-hour shifts, including shift assignments during non-standard business hours that may include evening, nighttime, weekends and/or holidays. Additional or… more
- US Tech Solutions (Atchison, KS)
- …once COVID restrictions are lifted. Schedule is Monday-Friday, standard business hours . Develop, implement, support, and promote Health Services strategies, tactics, ... including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility.… more
- CVS Health (CT)
- …over 300,000 purpose-driven professionals. We are seeking a **Manager - Aetna Claim Adjudication System (ACAS) Provider Contract Testing** to join our Testing Center ... Preferred Qualifications + Familiarity with healthcare domain, provider contracts, and claims systems. + Experience with test management tools and automation… more
- CVS Health (Collinsville, 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 and… more
- CVS Health (TX)
- …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
- CVS Health (Charleston, WV)
- …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
- CVS Health (TX)
- …including co-morbid and multiple diagnosis the impact functionality.** **-Reviews prior claims to address potential impact on current case management and ... cases at case conferences for multidisciplinary focus to benefit overall claim management.** **-Utilizes case management processes in compliance with regulatory and… more
- New York State Civil Service (New York, NY)
- …Type Contingent Permanent Jurisdictional Class Competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To 5 PM Flextime ... attorneys and contact employers about potential resolution of callers' claims /complaints.* Assist in identifying inquiries/complaints received by the bureau in… more