- CareFirst (Baltimore, MD)
- **Resp & Qualifications** _We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a ... complex negotiations for larger top-tier provider-specific institutional, ancillary, and professional contracts. Key responsibilities include negotiating contract terms in… more
- Sedgwick (Indianapolis, IN)
- By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the ... impactful job that offers an opportunity to develop a professional career? + A stable and consistent work environment...to change the duties of the position at any time . Sedgwick is an Equal Opportunity Employer and a… more
- Covenant Health Inc. (Crossville, TN)
- Overview Senior Risk Manager and Regulatory Specialist, Quality Managment Full Time , 80 Hours Per Pay Period, Day Shifts Cumberland Medical Center Overview: ... Cumberland Medical Centerin Crossville, Tennessee is part of Covenant Health, East Tennessee's largest nonprofit health...which include, but may not be limited to, managing claims against the facility, interfacing with defense legal counsel,… more
- Walgreens (Lawrenceville, GA)
- …Technician / Pharm Tech Apprenticeship **Company Indicator:** Walgreens **Employment Type:** Part - time **Job Function:** Retail **Full Store Address:** 631 ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- NetApp (Morrisville, NC)
- …management and insurance coverage. + Assist in resolving complex and challenging claims . Work closely with other functional groups to ensure accurate documentation ... Finance, Accounting, or Risk Management required; Masters or MBA preferred + Related professional certifications desirable (eg CFA, CTP, CRM, etc.) + 10 years of… more
- Health Care Service Corporation (Nashville, TN)
- …plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional ... products * Knowledge and/or experience with: + **. Medicare Part A/B/D** + . Provider workflows & Provider application...+ . Provider Credentialing - sCRED application + . Claims Intake process + . Claims Adjudication… more
- Geisinger (Danville, PA)
- …our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental ... form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between...above Requirements: One of the following certifications required at time of hire: Certified Professional Coder (CPC)… more
- University of Michigan (Ann Arbor, MI)
- …Michigan Medicine - Ann Arbor Ann Arbor, MI **Modes of Work** Onsite **Full/ Part Time ** Full- Time **Regular/Temporary** Regular **FLSA Status** Exempt ... leadership. These are essential to advance the practice of nursing and the professional development of nurses. The specialized knowledge and skills are used within… more
- AIG (Devon, PA)
- …we help customers to manage risk. Join us as a Program Manager to play your part in that transformation. It's an opportunity to grow your skills and experience as a ... to lead in other functional areas like operations, compliance, claims , etc. How you will create an impact ....At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask… more
- USAA (San Antonio, TX)
- …loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. **The Opportunity** As business process ... sets you apart:** + 3+ years of Third-party Injury claims experience. + Experience handling moderate to complex ...do not apply for this role if at any time (now or in the future) you will need… more