- International (San Antonio, TX)
- …Supervisory Control and Data Acquisition (SCADA) systems help monitor and control operations and industrial processes within an integrated IT architecture. This role ... focusing on delivering high-quality solutions* Relies on evidence to back claims and maintains high standards* Thinks independently, makes clear decisions, and… more
- Naval Foundry and Propeller Center (Philadelphia, PA)
- …primarily pours non-ferrous alloys from induction furnaces. NFPC completes all machining operations in house and ships completed products to our internal Navy ... Scheduling Analyst in the Planning Branch (Code 1410.1), Program Management Operations Division, at the Naval Foundry and Propeller Center Detachment Philadelphia,… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …and experience makes ConnectiveRx better than the sum of its parts. The Operations Quality Assurance Associate I will evaluate work completed by Operations ... skills to determine whether audited work meets internal and external expectations. The Operations Quality Assurance Associate I will be a subject matter expert for… more
- EAC Network (Garden City, NY)
- …with program directors, develop plans to address variances. + Process and submit claims requests within 10 business days of the end of each reporting period. ... external funder systems and kept current for use in claims and projections. + Collect and verify key cost...documents. + Coordinate with program, finance, HR, and internal operations teams to confirm that contract terms and deliverables… more
- State of Minnesota (St. Paul, MN)
- …+ Working Knowledge of MN DHS Licensed providers + An understanding of claims processing operations , edits, and CPT coding practices sufficient to understand ... techniques to detect fraud, abuse, over-utilization, and error in health care claims . AND Experience must demonstrate the following: + Develop criteria and… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …platforms (eg, Tableau, Power BI, Cognos) + Strong knowledge of insurance operations , including underwriting, claims , and regulatory compliance + Familiarity ... and automation into core business functions, such as underwriting, pricing, and claims processing, while staying ahead of industry trends, regulatory changes, and… more
- City of New York (New York, NY)
- …is fully recorded, and that reimbursement received completely. The Office of Fiscal Operations is recruiting for one (1) Associate Staff Analysts to function as a ... Management System (FMS). - Analyze settlement of Federal and State claims filed for reimbursements for adjustments and offsetting funds. Perform reconciliation… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …institutions or integrated health systems. + Deep knowledge of health plan operations , claims analysis, actuarial principles and healthcare finance. + ... + The role is both strategic and hands-on, integrating financial planning, claims analysis, forecasting, risk management, and cost optimization. + The Senior… more
- ASM Global (New York, NY)
- …talent deals for appropriate indemnification, hold harmless, and insurance provisions. 4. Claims Oversight and Coordination + Lead the organization's claims ... process by establishing clear protocols for reporting, documenting, and tracking claims related to incidents, property damage, liability, and other risk exposures.… more
- Insight Global (Boston, MA)
- …Auto Insurance Manager to oversee a rental car client's insurance program and operations . This role will collaborate with the Legal, Risk, Product, Operations , ... journey, with crucial decisions around Auto Liability program selection and claims management upcoming. This is a high-impact, high-visibility role with the… more