• Utilization Management Admissions Liaison RN II

    LA Care Health Plan (Los Angeles, CA)
    …referrals (5%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, independent analysis, ... Performs other duties as assigned. (10%) Duties Continued Education Required Associate 's Degree in Nursing Education Preferred Bachelor's Degree in Nursing… more
    LA Care Health Plan (10/03/25)
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  • Denials Specialist 2 / HIM Coding

    Hartford HealthCare (Farmington, CT)
    …Title):*HIM Manager Coding Quality and Education *Education* . Minimum: Associate degree or equivalent . Preferred: Bachelor's degree or equivalent *Experience* ... and challenge inappropriate denials. . Respond to department inquiries regarding claim denials, explaining the resolution process and providing updates as needed.… more
    Hartford HealthCare (09/30/25)
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  • Compliance Officer II - Program Integrity

    State of Massachusetts (Boston, MA)
    …integrity. *What you'd do:* ** The Compliance Officer II,who reports to the Senior Manager of Benefit Operations & Program Integrity is based in Boston, MA, and is ... rules, procedures, and regulations. * Conducts research and audits into claim overpayments and initiates collections activities through resolution * Communicates… more
    State of Massachusetts (09/19/25)
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  • HIS Denials Specialist (Inpatient)

    Saratoga Hospital (Saratoga Springs, NY)
    Summary of Position: Under general supervision of the Manager , Health Information Services, the Denials Specialist performs activities to ensure appropriate ... accounts to determine appropriate appeal/response to the denial notification to resolve claim . + Tracks denied and overturned accounts, compiling routine and ad hoc… more
    Saratoga Hospital (09/10/25)
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  • Supervising Mammography Technologist

    The County of Los Angeles (Los Angeles, CA)
    …quarterly basis and reports any malfunction or variation to the mammography manager , maintenance, or service provider. Oversees and inspects quality control per MQSA ... Branch.** -AND- - A current certification in accordance with the American Heart Associate 's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.**… more
    The County of Los Angeles (09/03/25)
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  • Mammography Technologist, Special Procedures

    The County of Los Angeles (Los Angeles, CA)
    …quarterly basis and reports any malfunction or variation to the mammography manager , maintenance, or service provider. + Audits processing sensitometry records and ... Branch.** -AND- A current certification in accordance with the American Heart Associate 's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.**… more
    The County of Los Angeles (09/03/25)
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  • Denials Prevention Analyst, CPC or COC Certified

    Children's Mercy Kansas City (Kansas City, MO)
    …be further discussed with Human Resources. Responsibilities + Analyze and research claim denial trends utilizing denial reporting tools to identify root cause issues ... CPC or COC as the qualifying certification OR + Associate 's Degree and 1-2 years' experience, plus experience in...the person hired will work with his or her manager to determine a schedule that includes both at… more
    Children's Mercy Kansas City (08/29/25)
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  • Director, Actuarial & Analytics - BSI Pricing

    Travelers Insurance Company (Hartford, CT)
    …awareness of enterprise Actuarial & Analytics community. This role may act as a manager of a small team. **What Will You Do?** Strategy: + Assess, prioritize, ... Our Ideal Candidate Have?** + College degree in STEM related field. + Associate Actuarial Credential preferred. + 7+ years of quantitative analysis experience. +… more
    Travelers Insurance Company (08/23/25)
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  • Radiology Tech (RT) - Occupational Health…

    Bon Secours Mercy Health (Newport News, VA)
    …+ Gets employees back to work quickly and safely + Helps complete worker's compensation claims + Reduces the risk of future issues + Take advantage of a wider ... to meet patient care needs as directed by the manager may also be required. + Directs and practices...source prior to direct patient care) (required) **Education** + Associate 's from an ARRT (American Registry of Radiologic Technologists)… more
    Bon Secours Mercy Health (10/30/25)
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  • Service Consultant

    CARMAX (Costa Mesa, CA)
    …a liaison between the customer and retail technician (Traditional), or mechanical associate (Flow) on the phone before, during, and after the service/repair ... ♦ Obtain accurate estimates and approvals for Extended Service Policy (ESP) claims . ♦ Consult with customers regarding needed repairs. ♦ Review repair orders… more
    CARMAX (10/31/25)
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