- SSM Health (St. Louis, MO)
- …support strategy and business development initiatives, including third-party vendors, claims data, state data, etc. + Works collaboratively withSystemData Analytics ... (SDA) to create dashboards needed to monitor strategic priorities. Partners with SDA in providing strategic direction for the ongoing maintenance of internal, system-wide rosters reflecting all providers and sites of care used in Master Data Management (MDM).… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …with cross-functional teams, including clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive risk management solutions. Contribute ... to the development and implementation of sales strategies, marketing campaigns, and product enhancements. Actively participate in team meetings, providing input to contribute to the team's overall success. Travel required. EDUCATION AND EXPERIENCE The… more
- US Tech Solutions (Chesapeake, VA)
- …including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. ... Assessments include the member's level of work capacity and related restrictions/limitations. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. + Consults with supervisor and others in… more
- US Tech Solutions (Atchison, KS)
- …including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. ... Assessments include the member's level of work capacity and related restrictions/limitations. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. + Consults with supervisor and others in… more
- US Tech Solutions (Atlanta, GA)
- …metrics (eg, Awareness, Consideration, CSAT, NPS) and integrate third-party insights and claims (eg, Ookla, JD Power, Sand Cherry) into marketing strategies.** + ... **Partners with cross-functional marketing teams translate research insights into go-to-market plans, brand messaging, and creative strategy.** + **Incorporate social listening and call center analytics into broader customer insights to optimize marketing… more
- Hensel Phelps (Amarillo, TX)
- …extensions, claims , etc. using schedule fragments. + Interact with scheduling consultant in schedule reviews, claims analysis, etc. Perform monthly cash flow ... schedules. + Communicate effectively with all field staff members, scheduling consultant and the client to ensure efficient and accurate schedule development… more
- City and County of San Francisco (San Francisco, CA)
- …the Worker's Compensation Supervisor assists and provides first-line oversight of claims adjusting and processing teams for the Workers' Compensation Division. ... supervising the review, analysis, investigation and disposition of workers' compensation claims and reports. Provides claims supervision of confidential complex… more
- AON (St. Peter, MN)
- …reinsurance recoveries, commissions and brokerage payments + Receive and review claims bordereaux and other loss information received from brokers. Preparation of ... claims authorisation forms + Consideration of current and existing...enabling you to progress from a graduate, to Associate Consultant , then Consultant and beyond!. How this… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in ... Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules,… more
- Huron Consulting Group (Chicago, IL)
- …in Facets Configuration/implementation to support one of our clients in optimizing claims editing and adjudication processes. The ideal candidate will have deep ... expertise in Optum CES (Optum Claims Edit System) and Facets Configuration, bringing at least...in a **consulting** or **healthcare IT** environment. **Position Level** Consultant **Country** United States of America At Huron, we're… more