- UIC Government Services and the Bowhead Family of Companies (Norfolk, VA)
- …and support functional enhancements. + Utilize the National Help Desk Service Manager (NHDSM) or similar ticketing system to log, track, and resolve customer ... of relevant experience with IT systems or relevant business operations in business, management, or a related field. Years...preferably with experience in the National Help Desk Service Manager (NHDSM) or a similar system + Ability to… more
- Albany Medical Center (Albany, NY)
- …is responsible for the day to day staff oversight and daily billing operations of the Billing Unit in the Hospital Patient Financial Services Department. This ... daily basis Validate timely follow up on all outstanding claims Validate timely submission of all payor appeals for...Ensures staff meetings are held monthly with assistance from Manager Cooperates and works with Manager and… more
- State of Massachusetts (Worcester, MA)
- …is looking for Customer Service Interns to support the goals of the Operations and Customer Service Departments. The intern will provide high level customer service ... skills while also developing knowledge of Lottery products and operations . *ESSENTIAL FUNCTIONS* * Answer telephone inquiries from the...from the general public and agents. * Process customer claims for winning tickets of all games and generate… more
- Medtronic (Northridge, CA)
- …Plan Solutions corporate account managers in overseeing assigned health plan operations . + Develop conclusions and recommendations, and present findings to Health ... contractual relationships. + Working knowledge of pharmacy adjudication and operations (eg, NDC coding, adjudication rejection handling, ship-to-soon edits). +… more
- CVS Health (MA)
- …use technology-enabled population identification based on multisource data integration - medical claims , pharmacy claims , lab data and member inputs- for ... Summary:** The Director will own the P&L, strategy, and operations of Healthspire's obesity management program. The clinical care...The Director will lead a team of four senior manager direct reports and be responsible for: + Delivering… more
- Amazon (New York, NY)
- Description The Food Safety Manager - Regulatory on the Upstream Food Safety Controls Team is responsible for ensuring all private brand products meet safety ... business enablement support and Food Safety/Regulatory subject matter expertise through claims , label, and marketing material reviews and approvals for new product… more
- Mass Markets (Wichita, KS)
- …companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business ... support across customer service, help desk, technical assistance, and back-office operations . You'll represent some of the world's most recognized brands, delivering… more
- IHG (Boston, MA)
- JOB OVERVIEW Assist in the management of day-to-day operations and assignments of People & Culture programs such as recruiting/employment, compensation, benefits, ... feel special. **Duties and Responsibilities** + Assist in the management of day-to-day operations and assignments of People & Culture staff, plan and organize work,… more
- Magellan Health Services (Albuquerque, NM)
- …of care, clinical appeals regarding medical necessity, and the interaction with claims payment policies and processes. Also oversees the health plans 24/7 Nurse ... efficiency of Network strategy and vendor relationships with utilization management and claims processes. Works closely with network on the training and evaluation… more
- Humana (Columbia, SC)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat...Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg… more