- Northern Light Health (Portland, ME)
- …for the development and ongoing review of hospital-wide clinical risk and claims management. The incumbent will assist the Director in coordinating in-depth risk ... hospital and medical personnel related to risk prevention and claims management. The Risk Management Specialist will participate in...and is able to connect the day to day operations to longer-term objectives, shifts in the industry, and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota Career Area: Customer Service/ Operations About Blue Cross and Blue Shield of Minnesota At Blue Cross ... our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built...are implemented and integrated in all systems for accurate claims adjudication. This includes analysis of changes to medical… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- **Job Summary** Under the direction of the Director/ Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and ... communication of any variances in budget forecast to the Director/ Associate Director. * Establish communication flow with CRO and...oversight of ESP in its conduct of the day-to-day operations of assigned trial(s), as assigned. * Participates in… more
- Republic Airways (Tuskegee, AL)
- …and general administrative support to the LIFT Maintenance Department processing warranty claims and work orders. Assists in both material planning and scheduled ... may be assigned to this position as needed._ + Reviews and processes warranty claims with Diamond Aircraft, Austro Engines, MT Propeller and Garmin + Files all… more
- WM (Reserve, LA)
- …compliance. Also responsible for local coordination and management of claims -related activities, including working closely with third party administrators (TPA) ... and management to resolve claims at the least possible cost and effectively deploy...conditions and practices. Being highly visible and interactive with operations teams. Perform regular facility inspections and audits per… more
- Carleton College (Northfield, MN)
- …and compliance of insurance policies. * Manage and process insurance claims through to resolution, working with campus leadership, relevant departments and ... and the Human Resources Office. * Maintain insurance, premium, legal, loss, claims , and related risk management records. Risk Mitigation and Compliance: * Lead,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses… more
- Walmart (Plainfield, IN)
- …promotion coaching teaching and evaluation of associates and leaders Facilitate carrier operations by processing and monitoring carrier claims working with ... trained on Logistics and company policies standards and procedures monitoring associate compliance to policies and procedures distributing and maintaining procedures… more
- PPL Corporation (Allentown, PA)
- …helping to build and maintain strong, diverse communities today. Overview The ** Associate Project Manager** position is the single point of accountability for small ... cycle including planning, detailed design, construction, close out and turnover to operations on assigned project portfolio. Team player capable of working with… more
- Hartford HealthCare (Farmington, CT)
- …for assisting the Accounts Receivable (AR) Follow Up/Denials Supervisor, in the day-to-day operations of the AR Follow Up & Denials Specialist Level 1, Level 2 ... and Level 3. Daily Operations consist of monitoring timely and accurate collection of...and accurate collection of third-party payers, resolving outstanding insurance claims across all Hartford HealthCare hospitals, medical group and… more