- Emory Healthcare/Emory University (Atlanta, GA)
- …in includes Resolute Hospital and Professional Billing including SBO, as well as Claims and Remittance. This IT technologist role contributes as the highest level ... impact patient experience, clinical workflow, revenue, cash, &/or the business operations staff. + Deep understanding of Epic application design and configurations… more
- The County of Los Angeles (Los Angeles, CA)
- …May meet with community groups regarding Division functions and the regulation process . Requirements Meet one of the following experiences ANDlicense requirements at ... filing in order to move forward in the exam process . Option I:Two years of work experience* at the...view correspondence. + Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- The Cigna Group (Detroit, MI)
- …audits to address identified risks and present findings to the Sr Audit Manager . The Staff Auditor may participate in third-party audits and work collaboratively ... as needed. The Auditor role will support the Sr. Manager - Audit on some escalated issues and projects. **Location**...informed, objective assessment of the accuracy and legitimacy of claims audited. + Utilize personal knowledge of medications and… more
- UIC Government Services and the Bowhead Family of Companies (Norfolk, VA)
- …data entry, validation, and quality assurance within financial, logistics, or business process modules. + Coordinate with system administrators and senior SMEs to ... and support functional enhancements. + Utilize the National Help Desk Service Manager (NHDSM) or similar ticketing system to log, track, and resolve customer… more
- Elevance Health (Dearborn, MI)
- …and make recommendations on how to minimize the risk. + Project manages process improvement opportunities that result in increased savings. + Consults with business ... processing rules and other system rules. + Collaborate on automation to validate claims overpayment. + Performs analyses of structured and unstructured data to solve… more
- Insight Global (Kennesaw, GA)
- …managing large cross-functional teams/projects and influencing senior management. * Understands claims / underwriting process * Track record of delivering ... business unit to drive IT strategy and execution across underwriting, claims , digital transformation, analytics, and technical services. This leader delivers… more
- J&J Family of Companies (San Angelo, TX)
- …production planning process as required. + Communicates to Business Unit Manager volume strategies based on customer needs, any changes in production schedules. ... Just-in-Time (JIT) Manufacturing, Leadership, Manufacturing Flow Management, Performance Measurement, Process Improvements, Product Design, Product Development, Production Operations… more
- Humana (Albany, NY)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence...EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat… more
- Interior, Bureau of Indian Affairs (Albuquerque, NM)
- …carry out specialized assignments such as tree falling, backfire and burnout operations ; utilizes a variety of specialized tools, equipment and techniques while ... entity or crew; forest fire control, prevention, or suppression work; rescue operations ; detection, reduction, or elimination of potential fire hazards; operation of… more
- EMCOR Group (Camden County, GA)
- …representatives to ensure work complies with drawings and specifications + Supports the Project Manager in the negotiation of claims and changes + Provides input ... the construction operation + In conjunction with the Project Manager , creates and maintains project schedule; plans monitor, and...is contacted for services outside of EMCOR's normal application process - it is probably fraudulent. Email a Friend… more