- Penn Medicine (Philadelphia, PA)
- …life's work? **Summary:** + Under the general observation of the Associate Director of Pharmacy and the Outpatient Pharmacy Managers, the Ambulatory Regulatory ... technician will support the managers during in person audits, proactively audit claims for accuracy and support needed regulatory requirements. + The purpose of… more
- US Tech Solutions (Columbia, SC)
- …provides health management program interventions. + Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to ... determinations. Identifies and makes referrals to appropriate staff (Medical Director , Case Manager, Preventive Services, Subrogation, Quality of care Referrals,… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …based upon business needs. The R&D Paralegal will report to the Senior Director , Corporate Counsel in the Global Regulated Environments (GRE) Practice Group in the ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Zurich NA (Lansing, MI)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft Office OR AVP, Middle… more
- Beth Israel Lahey Health (Wakefield, MA)
- …improvement. Assures, by data testing, the quality and accuracy of BILHPN's claims and EMR data. Responsible for developing reports for upper-level management and ... including but not limited to:** + Understands the medical and pharmacy claims adjudication circle terminology, healthcare quality and EHR terminology and general… more
- Zurich NA (Queens County, NY)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft Office OR Level II: +… more
- Transdev (Lombard, IL)
- …staff position within North American headquarters responsible to support FP&A Manager and Director of Accounting on a variety key projects. We offer a competitive ... support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department...to support valuation of significant estimates related to insured claims + Create and maintain pricing model related to… more
- Bausch Health (Bridgewater, NJ)
- …management and collaboration abilities. This role reports directly to the Director of Market Access Analytics within Bausch Health's Commercial Insights, Analytics ... knowledge of the Market Access landscape, PlanTrak data, Patient Claims data, and Formulary data. + Conducts analytics in...various industry data sources such as: IQVIA Rx and Claims data (xPonent, PlanTrak, FIA/LAAD) or Symphony Rx and… more
- Elderwood (Waverly, NY)
- …position, the Rehabilitation Assistant willl be responsible for assisting the Director of Rehabilitation with clerical tasks to support daily departmental and ... of referrals d. Compiles conversion rates weekly and submits to Director (Clinical Development Worksheet) 3. Conducts Casamba reconciliations a. Discharges… more
- Access Dubuque (Dubuque, IA)
- …(TJC), state, and local codes. The Maintenance Coordinator supports the Director of Facility Operations in managing preventive maintenance, repair work, vendor ... maintenance of appropriate policies and procedures, in collaboration with (if under FO Director ) relative to State, local and TJC EOC and LS standards. 2.… more