- Magellan Health Services (Albuquerque, NM)
- …of care, clinical appeals regarding medical necessity, and the interaction with claims payment policies and processes. Also oversees the health plans 24/7 Nurse ... efficiency of Network strategy and vendor relationships with utilization management and claims processes. Works closely with network on the training and evaluation… more
- Target (Riverside, CA)
- …balance proactive protection and real-time mitigation of risks. Our team, including Claims , Insurance, Finance, and Safety allows for a well-rounded approach to ... outcomes including vendor management of onsite (or other) medical representative in collaboration with onsite HR, Sedgwick and the...in collaboration with onsite HR, Sedgwick and the HQ Claims team. Lead and manage all regulatory visits, such… more
- Utilities Service, LLC (Columbia, SC)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... methods, operation of equipment, etc. + Furnishes General Foreperson and utility representative with reports of orders completed, units of work completed, crew time,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals. Their work goes beyond extraction; it ... as Network and Pharmacy, ensuring data is pulled using the most representative methods. They also support high-risk regulatory reporting, where precision and speed… more
- Robert Half Office Team (West Des Moines, IA)
- …delivering top‑notch service? We're looking for a dedicated and enthusiastic Customer Service Representative to join our growing team in West Des Moines, IA! In this ... contact for our clients, ensuring their questions are answered and their claims are handled smoothly and accurately. This long‑term contract position offers… more
- Safran (Peachtree City, GA)
- …and AOG Upgrade order backlog in line with contractual requirements and manage claims with management support. * Coordinate request between the different BUs, CIW, ... relationships and trust with customer accounts. o Serve as backup Claims Analyst: Handle customer complaints; provide appropriate solutions and alternatives… more
- Target (Hampton, GA)
- …balance proactive protection and real-time mitigation of risks. Our team, including Claims , Insurance, Finance, and Safety allows for a well-rounded approach to ... outcomes including vendor management of onsite (or other) medical representative in collaboration with onsite HR, Sedgwick and the...in collaboration with onsite HR, Sedgwick and the HQ Claims team. Lead and manage all regulatory visits, such… more
- UIC Government Services and the Bowhead Family of Companies (Quantico, VA)
- …accurate training materials. + Serve as a designated On-Site Representative (OSR), overseeing project implementation, material handling, and stakeholder ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- The County of Los Angeles (Los Angeles, CA)
- …Please note, you will be contacted at a later time by a Sheriff's Department representative that will guide you through the process. You will be provided with an ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Parsons Corporation (Linthicum, MD)
- …to deliver successful project outcomes. The Resident Engineer acts as the client's representative in the field and provides leadership to the inspection and office ... + Review and respond to contractor submittals, RFIs, change orders, and claims . + Monitor contractor progress, schedules, and compliance with project requirements. +… more