- J&J Family of Companies (Horsham, PA)
- …Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less ... Janssen NA. This position will serve as an internal consultant to marketing and sales, and broader business partners:...Expertise in domain specific data sets for Immunology (medical claims , pharmacy claims , and sales data --… more
- New York Racing Association (NY)
- …Human Rights fact-finding/hearings, Equal Employment Opportunity Board hearings and small claims court proceedings. + Provides strategic legal counsel and guidance ... + Manages the work of outside counsel with respect to unemployment insurance claims , all other labor and employment litigation matters and simple litigation matters… more
- CVS Health (Northbrook, IL)
- …to detail, excellent communication, and time-management skills are essential. A Senior Consultant will handle complex adjustments and cases tied to clients ... day. **Position Summary** The Senior Analyst, Financial Operations role performs claims reverse and reprocessing (R&R) to address benefit coding errors, eligibility… more
- New Jersey Resources (Houston, TX)
- …Accountable for recommending sustainable solutions and deploying resources to address complex challenges, while ensuring that safe work practices are followed in ... Manages annual anomaly dig program and relationship with third party Integrity Consultant . * Perform technical and specialized duties to ensure compliance with… more
- The Cigna Group (Bloomfield, CT)
- …and external customers. Will serve as a clinical educator and consultant to utilization management, case management, network, contracting, pharmacy, and service ... operations ( claims ). Primarily regional with national level case work for...and problem solving skills. - Successful ability to assess complex issues, to determine and implement solutions, and resolve… more
- University of Miami (Miami, FL)
- …for appropriate corrective actions. + Provides and directs basic and complex preventive risk management assessment(s) of processes, procedures, and programs. ... Leadership on an Ad hoc basis. + Develop a consultant relationship with departments and units to build and...events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct additional investigation… more
- The County of Los Angeles (Los Angeles, CA)
- …PW or a higher-level manager in the coordination of larger and more complex projects. + Identifies potential problem areas in advance and takes corrective action ... authority as necessary. + Coordinates and manages the procurement of professional consultant proposals. + Reviews change in program plans requested by client… more
- City and County of San Francisco (San Francisco, CA)
- …ethics, lobbying, and public disclosure laws. The Division's audits are extensive and complex and are carried out within defined deadlines and in accordance with ... Commission. Auditors also play a key role in reviewing claims for public financing to ensure that City funds...a lead role in planning, conducting, and completing large, complex audits, or portions thereof. + Prepares and maintains… more
- City of Stockton, CA (Stockton, CA)
- …planning, priorities, and work schedules for area of responsibility; documents complex procedures; prepares and maintains records of section projects and activities. ... work orders, related bills, and purchase orders; prepares and monitors consultant agreements; directs the preparation, administration, and monitoring of professional… more
- Comerica (Dallas, TX)
- …with business objectives across various lines of business. Acting as a consultant to senior leaders, this role drives strategic workforce planning, organizational ... aid in the completion and resolution of the most complex HR assignments and issues. The HR environment is...from problem resolution and employee grievance complaints and agency claims . Ensures compliance with federal, state and local employment… more
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