- Shaw Industries Inc (Ringgold, GA)
- …Certified Six Sigma Black Belt or Green Belt + Working knowledge of Glink, LIMS, Claims System , eQT, Onbase, HQMS + Excel, Word, and PowerPoint Competencies: + ... Job Title Quality Engineering Manager Position Overview Shaw Industries is looking for...improvement, and serving as the primary liaison for customer claims and corporate quality initiatives. This role oversees quality… more
- Sedgwick (Blue Ash, OH)
- …to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to ... world's most reputable brands + An assigned mentor and manager who will guide you on your career journey...the internal and external customer's requirements accurately into the claims management system . + Assigns new … more
- Elevance Health (Hanover, MD)
- …working with ICD-9/10CM, MS-DRG and APR-DRG. .Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... Manager of DRG Coding Audit-Program/Project Locations: _The selected...a critical part in identifying coding discrepancies and recoverable claim opportunities, and supporting regulatory integrity on behalf of… more
- Hatch (Pittsburgh, PA)
- …legislation. Nearest Major Market:Pittsburgh Job Segment: Procurement, Compliance, Contract Manager , Document Management, Claims , Operations, Legal, Technology, ... industry-leading efficiencies, our best-in-class team leverages methodologies, governance and systems that are unparalleled in the engineering (https://bit.ly/2QBlkjr) space.… more
- Deloitte (Austin, TX)
- …for this role ends on January 31, 2026. Work you'll do As a Manager , Industry Solutions, Healthcare - Revenue Cycle on the Healthcare Solutions team, you will ... regional health plans, 10 of the 10 largest healthcare systems and 8 of the 10 largest for-profit healthcare...reimbursement data. + Working knowledge of the UB-04, MA claim form, HCFA-1500, claim form and … more
- TORKLAW (Las Vegas, NV)
- …Damage Claim Resolution: Navigate the complexities of property damage claims , ensuring just and timely resolutions. + Lien Negotiation: Engage in strategic ... personal injury law firm, is seeking a Bilingual Case Manager to support our attorneys and clients. In this...+ Deadline Tracking: Implement and maintain a robust tracking system , ensuring no milestones or deadlines are missed. +… more
- HUB International (Wilmington, MA)
- …unique, regional culture. We currently have an opportunity for a Senior Account Manager - Large & Complex. **SUMMARY OF RESPONSIBILITIES** : Responsible to lead ... Review all applications, policies, endorsements and audits for accuracy + Complete loss/ claim analysis and summaries + Handle renewals, service requests, claims ,… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- **Overview** SENIOR TECHNICAL PROGRAM MANAGER (MODES): Bowhead seeks a Senior Technical Program Manager (O&E PM) to join our team in supporting the Military ... (MODES) located in Arlington, VA. The Senior Technical Program Manager will provide day-to-day oversight of all IT and...are aware of their cybersecurity responsibilities for DoD IS systems under their purview before being granted access to… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** Under the direction of the Manager of EDI Management, the Systems Analyst-EDI Mgmt will use technical and ... claims , provider, billing, capitation, financial and structural. The Systems Analyst-EDI Mgmt will work to streamline processes, create efficiencies and… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... Mount Sinai is one of the largest non-profit health systems in the US with a strong reputation for...center) and research/education (22nd ranked medical school). Our health system has ~40,000 employees working together to provide billions… more