- Prime Therapeutics (Eagan, MN)
- …of request for proposal (RFP) responses. This position will work with the Senior Underwriters and other internal divisions to coordinate the collection of the ... Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims data +… more
- Insight Global (Los Angeles, CA)
- …regarding standard policies, benefits, and hiring processes; escalate complex inquiries to senior HR staff or management. -Perform periodic audits of HR files and ... management with specialized administrative tasks and projects. -Process forms and claims such as employment verifications, EDD forms/ claims , garnishments, and… more
- Wells Enterprises (Le Mars, IA)
- …and risk management program for Wells. This leader works collaboratively with senior leaders, legal, finance, and operations teams to safeguard the company's assets, ... adequate risk transfer and insurance requirements are met. 5. Oversee claims management process, including reporting, investigating, documenting and resolving … more
- 32BJ Benefit Funds (New York, NY)
- …their dependents. The team focuses on leveraging over 10 years of medical claims data, provider data and pricing data (internal and external) to inform improvements ... we provide to participants. + Perform other duties as assigned by senior leadership and executive team. Qualifications (Competencies): + 5+ years of experience… more
- MyFlorida (Gainesville, FL)
- …activities. Reviews and makes recommendations on construction related claims . Provides technical assistance and related coordination activities to ... customer complaints related to assigned projects under construction. Review's contract claims for time/monies and submits recommendations to the Resident Engineer… more
- BlueCross BlueShield of North Carolina (NC)
- …the development, oversight, and execution of all dental operations, including claims adjudication, customer service, appeals, and reporting. This role provides ... drive alignment, communication and accountability + Work closely with the Senior Eligibility Technician, providing support as needed to ensure operational accuracy… more
- MyFlorida (Milton, FL)
- …customer complaints related to assigned projects under construction. Reviews contract claims for time/monies and submits recommendations to the Resident Engineer ... + Conflict resolution + Reviewing, analyzing and negotiating contracts, claims or time extensions Ability to: + Monitor and...or appointment in the Selected Exempt Service (SES) or Senior Management Service (SMS), unless they are registered with… more
- Estes Express Lines (Pine Brook, NJ)
- …Corporate associates + Bring new business opportunities for review by Pricing and Senior Management. Work closely with the Pricing Department to ensure that they ... outstanding payables + Negotiate contract verbiage, operational issues, pricing issues, claims concessions, reweigh disputes, etc. + Establish new accounts in AS400… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- …Conducting program meetings, reviews, and coordinate briefings with customers and senior management. + Interview, hire and on-board personnel, providing team ... 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
- Fujifilm (Frankfort, KY)
- …Code of Conduct, Interactions with Healthcare Professionals Policy, Anti-Kickback, False Claims Act, HIPAA, Anti-Corruption Policy and Antitrust Policy among others, ... + Strong understanding of healthcare regulations (eg, Anti-Kickback Statute, False Claims Act) and global compliance frameworks (eg, FCPA, UK Bribery Act).… more
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