- Prime Therapeutics (Montgomery, AL)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in… more
- HCA Healthcare (Austin, TX)
- …We want you to apply! **Job Summary and Qualifications** As the Collections Representative , you will contribute to the company's mission, vision, and values by ... work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims...our Insurance Collections Specialist - CBO opening. We promptly review all applications. Highly qualified candidates will be directly… more
- The County of Los Angeles (Los Angeles, CA)
- …Please note, you will be contacted at a later time by a Sheriff's Department representative that will guide you through the process. You will be provided with an ... will need a copy of your form DD214 to review , so please include that with your application or...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals. Their work goes beyond extraction; it ... as Network and Pharmacy, ensuring data is pulled using the most representative methods. They also support high-risk regulatory reporting, where precision and speed… more
- Parsons Corporation (Linthicum, MD)
- …to deliver successful project outcomes. The Resident Engineer acts as the client's representative in the field and provides leadership to the inspection and office ... primary liaison between the contractor, client (MAA), and project management team. + Review and respond to contractor submittals, RFIs, change orders, and claims… more
- UIC Government Services and the Bowhead Family of Companies (Albany, GA)
- …to each functional area to accomplish the daily assigned workload. + Review training and performance requirements for personnel to ensure training matches with ... + Ability to communicate effectively with all levels of employees, Government Representative , and outside contacts. + Strong interpersonal skills and good judgment… more
- State of Colorado (Denver, CO)
- …visits, reviewing of reports for contract compliance, and evaluating performance. + Review and approve/deny payment of claims for grant reimbursement of ... of this announcement will not be considered in the review of your application. In addition, part-time work will...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- State of Colorado (CO)
- …of laws and rules for all licensees. Approves horse ownerships, transfers, and claims . Works as the State Steward and in conjunction with other Stewards, (HISA) ... legislation and rules both in Colorado and federally. + Review , analyze and make recommendations related to amendments of...the official appeal form signed by you or your representative . This form must be completed and delivered to… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …required. Manages contractor requests for equitable adjustments and adjudication of contractor claims . Develops documents for legal review as required. - Senior ... Support: Provides comprehensive cradle-to-grave contracting support, starting with the review of procurement requests for clarity, adequacy, and completeness.… more
- Sunrise Senior Living (Hicksville, NY)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate and ... Monitoring, Process, and Systems** + Set up ongoing procedures to collect and review information needed to assist in billing and accounting support services to meet… more