- Zurich NA (Pasadena, CA)
- …challenging and varied caseload. Responsibilities will include working directly with claims professionals providing legal analysis and advice, preparing and filing ... Experience working with Lexis or Westlaw + Knowledge of the insurance industry, claims and the insurance defense litigation legal environment + Knowledge of the law… more
- LA Care Health Plan (Los Angeles, CA)
- …or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member information, document ... stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data… more
- BAE Systems (Aiken, SC)
- …treatment, follow-up protocols, outside clinic relationship building & management, promoting worker safety, managing injuries and illnesses, and returning workers to ... Coordinate with contracted on-site medical teams on the filing of workers' compensation claims to include obtaining all required documents to be provided to the… more
- YAI (Manhattan, NY)
- …ensuring cost-effectiveness, performance results and appropriate service levels; reviews vendor market and assesses new products and/or vendors. + Serves as primary ... retirement, leaves, wellness and employee assistance-related inquiries, implementations, escalated claim issues and requests; maintains regular contact to monitor… more
- Elevance Health (Waukesha, WI)
- …authorized duties in the processing of overpayments allocated to the assigned market consistent with all applicable company and departmental policies. **How you will ... who are providing information on, or seeking information about third party/ worker 's compensation subrogation files. + Identifies, reviews, sets up or closes… more
- Takeda Pharmaceuticals (Exton, PA)
- …management, government reporting and interfaced systems, pharmacy and medical claims payor, product, and plan management, product launch analytics, gross-to-net ... (MBA or advanced degree preferred). + 7+ years of experience in market access, payer strategy, contracting & pricing, and/or reimbursement in the… more
- University of Rochester (Rochester, NY)
- …Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: ... be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal… more
- University of Rochester (Rochester, NY)
- …Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: ... be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal… more
- Montana State University (Bozeman, MT)
- …kitchen, several retail operations including 4 coffee shops, Chick-fil-A, the Union Market and Bobcat Grill, Brick Breeden Fieldhouse and Bobcat Stadium Concessions, ... If you are a student of MSU and seek a student worker position, please go to: http://www.montana.edu/comeworkwithus/. Everyone is welcome to apply/interview for… more
- ChenMed (Miami, FL)
- …**ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Analyzes and interpret enrollment, revenue, and claims (utilization and unit cost) data to identify and solve business ... and execution of actions to improve those results). + Prepares ad-hoc analysis for claims and KPIs of medical costs for executive leadership + Develops a deep… more
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