- CareFirst (Baltimore, MD)
- …analyst with deep experience in risk adjustment. This person will support the Director of Risk Adjustment by monitoring and reporting on risk adjustment KPIs, ... ability to manage multiple and diverse stakeholders andleadership roles. + Knowledge of claims data as found in back-end data warehouses. + Experience with Fabric… more
- NHS Management, LLC (Northport, AL)
- …orders and patient informationAssist in resolution of denied third party insurance claims , eg PDPs, Medicaid, etc.Locate medication from pharmacy supply area, count ... plan(s) of improvement as indicated, recommended and/or required by Supervisor, Director , or any other corporate or regulatory compliance consultant. Communicates… more
- Zurich NA (Parsippany, NJ)
- …School Diploma or Equivalent and 14 or more years of experience in the claims or Under Support area.OR + Zurich Certified Insurance Apprentice including an Associate ... Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-AK1 #LI- DIRECTOR #LI-HYBRID EOE Disability / Veterans more
- Access Dubuque (Dubuque, IA)
- …as applications are received. Posted 8/13/2025 Primary Contact 13199 Stacy Martin Director of HR, ### Phone Phone Phone Fax ###@grantregional.com Email True False ... SISCO Surgical Services RN - Registered Nurse MercyOne Workers Compensation Claims Adjuster (Southeast Ex Cottingham & Butler/ SISCO Client Service Representative… more
- City of New York (New York, NY)
- …construction and design divisions 5) Perform litigation support activities and commercial claims analysis for matters pending with the NYC Law Department and the ... decisions to the Agency Chief Contracting Officer and agency staff 11) Assist Director of Labor Relations, Human Resources, and others on issues pertaining to agency… more
- St. Luke's University Health Network (Easton, PA)
- …practices. Communicate with insurance carriers to obtain payment for prescription claims ;. At point of sale, verify that customer receives correct prescription(s);. ... chemo spill kit. SUPERVISION (RECEIVED BY AND/OR GIVEN TO): Received: Director of Pharmacy, Staff Pharmacist COMMUNICATIONS: Communicates with co-workers, nurses,… more
- Veolia North America (Laurel, MS)
- …Projects, under direction of the Project Leader and Central Region EHS Director , to ensure compliance with all Veolia EHS&S policies, Internally established business ... and follow-up on the preventive/corrective actions. + Support workers' compensation claims management and interacts with corporate WC resources to reduce case… more
- Sutter Health (San Francisco, CA)
- …care. The RN Case Manager reports to either the Supervisor or Manager or Director of Care Coordination in each facility. The RN Case Manager has frequent contact ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Novant Health (Charlotte, NC)
- …in healthcare revenue cycle management, preferably in mid cycle services including director level responsibility in a complex, healthcare organization. + 10 years ... practices, minimizing denials and maximizing revenue capture.Monitor billing processes, claims , and reimbursement patterns to identify and prevent underpayments or… more
- Takeda Pharmaceuticals (Lexington, MA)
- …and consumers. As part of the US Medical team, you will report to the Director , US Medical Information and Review. This is a hybrid role based in Lexington, MA. ... and review and approval of clinical data on file to support promotional claims + Apply clinical expertise and knowledge to craft medical responses and… more