- Elevance Health (San Antonio, TX)
- …contracts and claims preferred. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong ... party representatives, and other Blue Cross Plans) to provide claims , customer service, and/or membership support. + Responds to...several times per week. Specific requirements and expectations for time onsite will be discussed as part … more
- HNTB (Charlotte, NC)
- …designated HNTB recruiter to be eligible for placement fees._ **Job Type:** Regular **Full/ Part Time :** Full time **Job Category:** Project Controls Group ... country. With our historic growth, it is an exciting time to join our team of employee-owners. This opportunity...with the project team or client/owner related to potential claims , claims avoidance, and claims … more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join ... investigations into allegations of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud… more
- Zelis (St. Petersburg, FL)
- …clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your ... DRG validation. They will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and… more
- The County of Los Angeles (Los Angeles, CA)
- …- $117,356.88 Annually Location Los Angeles County, CA Job Type Full time Job Number R2591V-R Department HUMAN RESOURCES COUNTYWIDE EXAMS Opening Date 01/13/2026 ... rejuvenate in order to reach your fullest personal and professional potential. The Opportunity We are pursuing qualified candidates...a closely related field** and one (1) year of full- time experience within the past three (3) years in… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …a trusted subject matter expert on facility payments. Excelling at this work as part of a small but mighty team, is critical to BCBSMA's goal of affordability. ... drug fee schedules, including assessing and pricing new codes + Analyze claims data in conjunction with provider reimbursement methodologies and external benchmarks… more
- AECOM (Arlington, VA)
- …and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are ... bring your bold ideas and big dreams and become part of a global team of over 50,000 planners,...Resolve disputes and contractual issues by working with legal, claims , and project control teams. + Review the payment… more
- Zurich NA (Fresno, CA)
- …+ Work to have a timely resolution to matters by collaborating with the claims adjuster, developing a case strategy and escalating issues as appropriate. + Ensure ... mediation and negotiation skills within authority limit. + Maintain professional and technical knowledge by participating in educational opportunities, staying… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …**There are 2 positions available** **Key Activities and Responsibilities** + As part of the ecosystem team contributes a clinical and scientific perspective to ... training and evaluation of promotional and disease state speakers. + Serve as part of Otsuka's internal speaker bureau in support of product educational needs across… more
- Marriott (Washington, DC)
- …**Schedule** Full Time **Located Remotely?** ... 4 years experience in the security/loss prevention or related professional area. OR * 2-year degree from an accredited...Resources Activities** * Assists in minimizing cost of accident claims through aggressive claims management. * Brings… more