- CareFirst (Baltimore, MD)
- …arrangements to value-based care. This role will also oversee complex projects related to provider contracts, reimbursement methods, documentation and ... **ESSENTIAL FUNCTIONS:** **Contract Development and Negotiation** + Serves as a consultant and subject matter expert (SME) in contracting and reimbursement, offering… more
- North Carolina Central University (Durham, NC)
- …Project Coordinator, this position is tasked with managing multiple and complex capital improvement projects. Capital improvement projects for Informal and Formal ... Capital Improvements Projects may be valued up to $120M, are moderately complex and technical in nature and involve those modifications to the physical educational… more
- The County of Los Angeles (Los Angeles, CA)
- …loss, the applicant's record will be reviewed by the Occupational Health Service consultant in otolaryngology who will make a recommendation as to the applicant's ... J. Martin Park (https://parks.lacounty.gov/allen-j-martin-park/) Ryan M. Clinkunbroomer Castaic Sports Complex DateNovember 15, 2025NO DATEMarch 14, 2026January 17, 2026… more
- CVS Health (Sacramento, CA)
- …coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from standard processes to ... as a subject matter expert by providing training, coaching, or responding to complex issues. May have contact with outside plan sponsors or regulators. Research and… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and research. **Organization:** RIM CRM **Job Summary:** JOB SUMMARY Investigate claims for medical appropriateness; analyze and process incident reports; provide ... * Assist claim manager and attorney by analyzing and investigating insurance claims and incident reports submitted to risk management. Review medical record;… more
- NetApp (Morrisville, NC)
- …to ensure comprehensive risk management and insurance coverage. + Assist in resolving complex and challenging claims . Work closely with other functional groups ... and financial strategies. + Partner with the business, acting as an internal consultant to advise on shareholder value creation for various activities and analysis,… more
- Levi, Ray & Shoup, Inc. (Springfield, IL)
- …capabilities. Key Responsibilities + Act as a technical and system business consultant for key business systems, supporting teams and projects. + Collaborate with ... web design tools, scripting tools, and protocols. + Devise and modify complex procedures to solve technical and business challenges. + Analyze, troubleshoot, and… more
- Army National Guard Units (Santa Fe, NM)
- …make final determinations on acceptance and disposition of standardized and complex equipment and materiel using shipping documents, contracts, catalogs, drawings, ... full range of examining and identifying duties for the most complex categories of materiel and equipment, including electronic, mechanical, perishable, radioactive,… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …especially for those with known risk factors. + Serves as an expert consultant and/or supervisor to PACE providers (Program of All-Inclusive Care of the Elderly) ... for their psychiatrically complex patients, consistent with experience, if needed. + Demonstrates...in a timely fashion. + Serves as an expert consultant and provides ongoing psychopharmacologic care to SCO (Senior… more
- ChenMed (Miami, FL)
- …With deep knowledge and expertise in applying machine learning to solve complex , real-world problems, the incumbent in this role formulates, recommends, and ... and Machine Learning (ML) driven solutions based on a rich stream of clinical, claims , payer, and behavioral data. The Senior Data Scientist operates in a highly… more