• Sr. Consultant , Data Analyst & Commercial…

    Cardinal Health (Hagatna, GU)
    …data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that ... gaps + Ensure HIPAA/privacy safeguards and appropriate minimum necessary use of PHI/ claims . + Define and operationalize Reach (# of targeted HCPs/accounts touched)… more
    Cardinal Health (12/05/25)
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  • Principal Network Management Consultant

    Health Care Service Corporation (Chicago, IL)
    …regarding the delegated entity reporting requirements to include claims delegation, utilization management delegation and credentialing delegation.8.Respond to ... provider inquiries in an effective and timely manner and assist in claims resolution and payment problems. Must work closely with the Pricing, Full Service Units,… more
    Health Care Service Corporation (12/03/25)
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  • Loss Consultant III - HPR Field

    Philadelphia Insurance Companies (Chicago, IL)
    …control technical support to Tokio Marine departments such as underwriting, claims and coordination. Coordinate loss control activities on select accounts ensuring ... and completed, responding to customer requests and needs and supporting underwriting and claims at renewal and during the policy period. Essential Job Functions: +… more
    Philadelphia Insurance Companies (12/05/25)
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  • Heavy Duty Truck Mechanical/Electrical Service…

    DXC Technology (Troy, MI)
    …Customer personnel involving customer products, and processing product warranty claims . Representatives provide technical support and warranty adjudication on heavy ... (US and Canada). The position also includes the processing and verification of warranty claims . Training would be provided on all products and software used in daily… more
    DXC Technology (12/03/25)
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  • Senior Consultant

    Turner & Townsend (Houston, TX)
    …and client expectations. + Manage post-contract processes including change control, claims evaluation, and final account settlements. + Prepare clear, commercially ... client expectations. + Managing post-contract processes including change control, claims evaluation, and final account settlements. + Preparing clear, commercially… more
    Turner & Townsend (12/02/25)
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  • Healthcare Analytics Business Consultant

    CVS Health (Columbus, OH)
    …analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid regulatory & ... in healthcare fraud, waste and abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data visualization tools… more
    CVS Health (11/27/25)
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  • Healthcare Analytics Senior Consultant

    Guidehouse (Chicago, IL)
    …Power BI, Tableau, TIBCO Spotfire or others + Strong understanding of healthcare claims (facility or payer) data and/or HIT applications including those used to ... manage patient, financial, clinical, claims and/or operational data, is a strong advantage + Highly motivated, driven, and dynamic attitude towards work and career.… more
    Guidehouse (11/21/25)
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  • Lead Consultant III UW-RM HPR

    Philadelphia Insurance Companies (Jersey City, NJ)
    …Respond to customer requests and needs on assigned accounts. Support underwriting and claims at renewal and during the policy period. Coordinate with producers and ... loss control technical support to Tokio Marine departments such as underwriting, claims and coordination. Essential Job Functions + Coordinates loss control service… more
    Philadelphia Insurance Companies (11/21/25)
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  • Sr. Provider Relations Consultant

    WellSense (MA)
    …liaison between provider and internal Plan departments such as Provider Enrollment, Claims , Audit, Marketing, Customer Care and Care Management. **Our Investment in ... visit servicing standards** + **Acts as liaison for all reimbursement, credentialing, claims , EDI web site procedures and issues of key providers** + **Facilitates… more
    WellSense (11/20/25)
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  • Senior Manager - Value Based Commercial…

    CVS Health (Columbus, OH)
    …care, and end of life. + 2+ years experienced working with clinical and claims data + Ability to manage multiple customers and competing priorities that drive ... positive outcomes + Experience in the following: + 5+ years experience introducing and implementing programs + Outstanding verbal and written communication skills, including formal presentations for all levels of management combined with strong… more
    CVS Health (12/12/25)
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