- LA Care Health Plan (Los Angeles, CA)
- …culturally-appropriate manner. Coordinates multi-departmental (Member Services, Product Network Operations (PNO), Claims , Utilization Management (UM), Pharmacy, ... Sales and Quality Management (QM)) processes to ensure identification of member's claims of gaps in coverage and resolution of cases for members' satisfaction… more
- Community Health Systems (La Follette, TN)
- …experience in understanding the minimum requirements needed for Medicare billing, medical claims processing, or hospital revenue cycle operations required + ... for performing timely and accurate Medicare billing activities, including claims preparation, eligibility verification, census validation, and documentation review.… more
- Humana (Oklahoma City, OK)
- …role will require critical thinking/problem solving skills, understanding of health plan operations , and strong interpersonal skills. Key Role Objectives + Serve as ... issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate… more
- Zurich NA (New York, NY)
- …relative to the qualifications listed for this position. **Basic Qualifications:** Associate Middle Markets Underwriting Manager: + High School Diploma or Equivalent ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 3 or more years of experience… more
- Sysco (Chicago, IL)
- …delivery impacts. + Communicate daily with Director of Transportation, Claims Coordinator, and Transportation Supervisors, Transportation Leads, and Transportation ... Operations Associates (TOAs) concerning shipping activities. + Communicate daily...policies (ie attendance, Code of Business Conduct and Ethics, Associate Handbook, etc.). + Accept additional responsibilities or special… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- …Bureau, advisory boards, and congress logistics, through direct leadership of the Associate Director, HCP Program Operations . . Field Training and development: ... of field systems, training and development, logistics, and HCP engagement operations that support sales force effectiveness. This leader oversees four core… more
- PPL Corporation (Allentown, PA)
- …supply chain processes and systems designed to control costs and optimize operations for business lines throughout our service territories in Kentucky, Pennsylvania ... PA._** Responsibilities **_The Buyer position may be hired at the Associate , Intermediate, or Senior level. The position responsibilities listed below reflect… more
- Sysco (Stockton, CA)
- …and market levels including the Region President and leaders from Operations , Environmental Health & Safety (EHS), Merchandising, Finance (Compliance), Sales, and ... potential for food safety issues and to support the Claims Process with Sysco's 3rd party claims ... administrator. Frequently interacts with other functions (Sales, Merchandising, Operations to collect data for Sysco's legal team during… more
- Corewell Health (Grand Rapids, MI)
- …(external medical records, internal documentation from enterprise-wide systems including: claims payments, billing and enrollment, care management, medical, pharmacy ... and behavioral health authorizations, customer service interactions, prescription claims , medical policies, and plan documents).Evaluate information gathered to… more
- Corewell Health (Grand Rapids, MI)
- …(external medical records, internal documentation from enterprise-wide systems including: claims payments, billing and enrollment, care management, medical, pharmacy ... and behavioral health authorizations, customer service interactions, prescription claims , medical policies, and plan documents).Evaluate information gathered to… more