- Walmart (Spring, TX)
- …* _Schedules are subject to change to meet business need and due to associate availability._ _*Must have flexibility to work any day during the week between shift ... customer queries and forward complex queries to the pharmacist. + Process insurance claims and manage payments. + Comply with all security measures and quality… more
- Firefly Health (Watertown, MA)
- …mission, we would love to hear from you. The Role The Member Guide Associate serves as Firefly Health's frontline, playing a critical role in supporting members ... internal team and answers, and also investigating and resolving billing and claims inquiries all within established service level agreements (SLAs). This role… more
- Lactalis American Group Inc. (Buffalo, NY)
- …Lactalis USA, part of the Lactalis family of companies, is currently hiring an Associate Supply Chain Optimization Analyst based in Buffalo, NY. As an Assoc. Supply ... overall process management and end-to-end transacting of the freight claims work stream. The freight claims scope...guidance of Supply Chain Optimization Manager to further improve operations . + Use data analysis tools such as Access,… more
- City of Lakeland (Lakeland, FL)
- …the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements and ... initiatives/clinic. Responsibilities include directly supervising Safety, Health Benefits, and Claims Team Leaders; Risk Management support staff and Wellness… more
- CareFirst (Baltimore, MD)
- …with areas such as Medical Policy, Legal and Legislative Affairs, Claims Processing Areas, Customer Service Operations , Provider Representatives, Credentialing, ... of losses to CareFirst through the clinical review of medical records and claims , resulting in the savings and/or recovery of funds. Responsible for providing… more
- Molina Healthcare (Kearney, NE)
- …member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides ... and special initiatives as appropriate. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience… more
- Walmart (Plainfield, IN)
- …offered. *Schedules are subject to change to meet business need and due to associate availability. *Must have flexibility to work any day during the week between ... rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and… more
- Walmart (Plainfield, IN)
- …* _Schedules are subject to change to meet business need and due to associate availability._ _*Must have flexibility to work any day during the week between shift ... rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and… more
- LA Care Health Plan (Los Angeles, CA)
- …Continued Domain Specific Experience and Skills: Domain Focus: Authorization & Claims Operations Analytics Required: Experience with Utilization Management (UM) ... authorization workflows and prior authorization metrics. Knowledge of claims operations , including receiving, adjudication, and provider dispute resolution.… more
- LA Care Health Plan (Los Angeles, CA)
- …Continued Domain Specific Experience and Skills: Domain Focus: Authorization & Claims Operations Analytics Required: Experience with Utilization Management (UM) ... authorization workflows and prior authorization metrics. Knowledge of claims operations , including receiving, adjudication, and provider dispute resolution.… more