- Walmart (Wilkes Barre, PA)
- …and merchandised according to company policies, including proper handling of claims , returns, shrink, and damages. Presents and maintains merchandise presentation by ... stocking merchandise, setting up, cleaning, and organizing product displays, removing damaged goods, signing and pricing merchandise appropriately, and securing fragile and high-shrink merchandise. Monitors the status of tire and battery orders daily and… more
- Pacific Air Forces (GU)
- …most complex, often precedential, installation level cases in administrative law, claims , environmental law, contract law, labor law, international law, and ... operations law to the 36 Wing and tenant units. Responsibilities As a senior attorney, advises the 36 WG Commander, as well as subordinate and tenant unit commanders and managers, on a host of general law matters. For the most complex installation legal… more
- Centene Corporation (Springfield, IL)
- …improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Identifies specific practice needs where Centene can ... provide support. + Develops, enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. + Ability to travel up to 75% of time… more
- Compass Group, North America (NC)
- …avoid litigation. + Manages the associates appeal process for all denied leave claims . + Keeps unit managers, Human Resources, and Benefit Team abreast of associates ... leave approval status. + Educate employees and managers on complicated aspects of the return to work, leave accommodation, and complex case processes. + Escalate Complex issues including inability to accommodate, transitional work programs for guidance. +… more
- CARMAX (Norwood, MA)
- …♦ Obtain accurate estimates and approvals for Extended Service Policy (ESP) claims . ♦ Consult with customers regarding needed repairs. ♦ Review repair orders ... for work performed and accuracy of all labor, parts and sublet documentation for billing. . ♦ Close and invoice repair orders. ♦ Clearly explain and communicate all recommendations/repairs/service/maintenance performed to ensure customer understanding. ♦… more
- Centene Corporation (Surfside Beach, SC)
- …improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Identifies specific practice needs where Centene can ... provide support. + Develops, enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. + Ability to travel up to 75% of time… more
- Hackensack Meridian Health (Neptune City, NJ)
- …Enter the required information into appropriate system accurately and assure clean claims for timely reimbursement. + Answer incoming telephone calls. Monitor all ... referral management systems for new and referral updates on a continuous basis. Answer calls and questions utilizing excelling customer service skills. Assist with outside referrals if organization is unable to accommodate referral request. Network and build… more
- The Cigna Group (Bloomfield, CT)
- …IFP programs. + Conduct both statistical and qualitative analyses utilizing claims , pharmacy, laboratory, and demographic data sources. + Facilitate the transition ... to digital quality measurement by adapting data workflows, analytical tools, and reporting methodologies. **Clinical Integration** + Connect clinical practice with data analytics to inform evidence-based care enhancements. + Partner with nursing and clinical… more
- CARMAX (Columbus, OH)
- …♦ Obtain accurate estimates and approvals for Extended Service Policy (ESP) claims . ♦ Consult with customers regarding needed repairs. ♦ Review repair orders ... for work performed and accuracy of all labor, parts and sublet documentation for billing. . ♦ Close and invoice repair orders. ♦ Clearly explain and communicate all recommendations/repairs/service/maintenance performed to ensure customer understanding. ♦… more
- Centene Corporation (Indianapolis, IN)
- …improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Identifies specific practice needs where Centene can ... provide support. + Develops, enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. + Ability to travel up to 75% of time… more