• Process Expert II - Coordination…

    Elevance Health (Indianapolis, IN)
    …** Process Expert II - Coordination of Benefits (COB)** supports a single operations department by participating in project and process work. **How you will ... is determined to recover, eliminate and prevent unnecessary medical-expense spending._ ** Process Expert II - Coordination of Benefits (COB)** **Hybrid:** This role… more
    Elevance Health (12/18/25)
    - Related Jobs

  • Process Expert II

    Elevance Health (New Hyde Park, NY)
    …for employment, unless an accommodation is granted as required by law. The ** Process Expert II** supports a single operations department by participating in ... ** Process Expert II** _This role will focus on...work. **How you will make an impact:** + Researches operations workflow problems and system irregularities. + Develops tests,… more
    Elevance Health (12/12/25)
    - Related Jobs

  • Director, Provider Relations

    Commonwealth Care Alliance (Boston, MA)
    …systems (eg, Salesforce) and provider relationship management tools. * Understanding of claims operations , utilization management, and quality programs as they ... medical management, and analytics teams to advance provider network operations , education, and performance improvement. The Provider Relations Director reports… more
    Commonwealth Care Alliance (10/18/25)
    - Related Jobs

  • Healthcare Process Risk Senior Associate…

    Grant Thornton (Newport Beach, CA)
    As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their ... risk, internal control, and the overall effectiveness and efficiency of the process . + Obtain an understanding of clients' business, objectives, strategy, … more
    Grant Thornton (11/21/25)
    - Related Jobs

  • Staff VP CX Solutions

    Elevance Health (Chicago, IL)
    …Drive the strategy and execution of key initiatives within Health Benefits Operations (HBO), ensuring alignment with enterprise priorities and market growth goals. ... quo + Bringing an externally informed, market-driven strategy to revenue cycle, claims integrity, and digital enablement + Serving as a senior-level thought partner… more
    Elevance Health (12/17/25)
    - Related Jobs

  • Associate Director, R&D HCP Engagement

    Otsuka America Pharmaceutical Inc. (Atlanta, GA)
    …protocols + Provide operational oversight for tracking the entire HCP engagement process , ensuring the Manager accurately monitors performance and proactively ... and contracting within R&D. This role will seek to transform an inconsistent process into an audit-ready, "white glove" service, providing necessary direction to a… more
    Otsuka America Pharmaceutical Inc. (12/16/25)
    - Related Jobs

  • Vice President, Risk Management

    ASM Global (New York, NY)
    …4. Claims Oversight and Coordination + Lead the organization's claims management process by establishing clear protocols for reporting, documenting, ... and tracking claims related to incidents, property damage, liability, and other...of evolving industry standards and legal developments impacting event operations . 6. Enterprise Risk & Financial Oversight + Implement… more
    ASM Global (10/09/25)
    - Related Jobs

  • Revenue Cycle Specialist for Specialty Pharmacy,…

    Trinity Health (Fort Wayne, IN)
    …contact made to the patient, provider, and insurance plan. Facilitates appeals process between the patient, physician, and insurance company by requesting denial ... copays at the time of scheduling. Submit Medicare B claims Submit Major Medical claims (primary and...Performs other duties as needed and assigned by the manager . Maintains a working knowledge of applicable Federal, State,… more
    Trinity Health (12/14/25)
    - Related Jobs

  • Enterprise Fraud Data Strategy Analyst

    UMB Bank (Kansas City, MO)
    …robust training to provide extensive UMB and financial knowledge, the Fraud Enterprise Operations team consists of 3 teams; Prevention, Claims and Data Strategy ... and internal partners to escalate, investigate, and resolve fraud claims multi payments channels and mitigate risks for our...manager to develop roadmaps for opportunity within Fraud Operations and beyond. **_How you'll spend your time:_** +… more
    UMB Bank (09/27/25)
    - Related Jobs

  • DOT Compliance Consultant

    AON (TN)
    …will identify, create, maintain, and administer safety solutions that address hazards, claims , and trends in the organization. Responsibilities + Manage DOT and ... FMCSA compliance ensuring full compliance across company operations . + Manage timely and accurate submission of all...+ Analyze claim data and develop programs to prevent claims from occurring. + Collaborate with legal teams during… more
    AON (11/01/25)
    - Related Jobs