- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …compliance issues to appropriate resources for investigation and resolution of claims adjudication issues. + Ensures that activities are conducted according to ... at HealthDirect. + Responsible for the development, and management of the consultant pharmacists. + Responsible for completing all mandatory and regulatory training… more
- Ally (Lansing, MI)
- …of individual accounts and assigned territory. **The Work Itself** * Serves as a consultant to Producers, customer service, and claims personnel, as required. * ... Works closely with internal Producers to place insurance coverage within Ally's DOL program(s). * Submits complex or unusual risks or exposures, and risks exceeding one's underwriting authority level to appropriate parties for approval. * May be assigned… more
- Pearle Vision (Elmhurst, IL)
- …Friends Discounts * Full-time GENERAL FUNCTION: The role of the Client Service Consultant is to attract and retain clients by delivering an exceptional experience ... appropriate guidance on maximizing their insurance benefits and promotions. * Filing claims . * Assist with ensuring each store is effectively merchandised and… more
- Elevance Health (Dearborn, MI)
- …service as required. + Conduct business in a professional manner. + Troubleshoot claims issues. + Investigate and research to resolve customer complaint problems and ... psychiatric or substance abuse treatment. + Experience as a CEAP or EAP internal/external consultant to a work site area required (for the integrated unit only), or… more
- Weston & Sampson (Boston, MA)
- …a team of professional engineers. What you'll do: + Supervise subordinate consultant staff as appropriate. + Review contract documents and construction management ... coordination with engineers working in support. + Assist municipality to negotiate claims for extra work/change orders. + Maintain, liaison and attend regular site… more
- Amentum (Arlington, VA)
- …will be responsible for all phases of purchase order and Independent Consultant Agreement (ICA) administration, cradle to grave, to include acquisition planning, ... or team member. + Negotiates and settles with suppliers regarding damage claims , rejections, losses, return of materials, over shipments and cancellations. +… more
- Jacobs (Savannah, GA)
- …DB, JOC), and small business participation goals. *Lead risk, change, and claims management; ensure compliance with state procurement laws and district policies. ... contingencies, cash flows, and funding alignment. *Negotiate and administer consultant /contractor agreements; ensure robust invoice review, earned value, and audit… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …Delivery Model (CDM) VMMC * Provide clinical expertise related to medical necessity claims Job Title: Physician Advisor Job Code: Dept: * Collaborate on the ... when patterns of clinical outcomes demonstrate undesirable variation * Act as consultant and resource to medical staff regarding federal and state utilization and… more
- Guardian Life (New York, NY)
- …team to deliver AI-centered solutions directed at our largest processes (eg, claims processing, customer service bots, operations automation) to grow our business ... Have:** + 8+ years of experience as a product manager, management consultant , or other relevant role. + Strong analytical and problem-solving abilities (statistics… more
- Weston & Sampson (MA)
- …with engineers working in support. + With municipality involvement, negotiate claims for extra work/change orders. + Maintain, liaison and attend regular ... + Review and recommend Contractor's monthly payment estimates; supervise subordinate consultant staff and survey crew as appropriate. + Maintain positive… more