- Kiewit (Lenexa, KS)
- …Type:** Full Time **Position Overview** The Lead Supply Chain Specialist provides negotiation, training, and high-risk/legal-related support for project procurement ... you will interface with the Project Supply Chain Managers, Supply Chain Specialist , Project Managers, Legal Counsel, Supply Chain Directors, and Sponsors for… more
- Terumo Medical Corporation (Orlando, FL)
- Field Clinical Specialist - EMBO Date: Oct 30, 2025 Req ID: 5127 Location: Orlando, FL, US Company: Terumo Medical Corporation Department: TIS Sales - North Florida ... (QA), and by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are… more
- LG Energy Solution (Holland, MI)
- …such items as physicians' reports on employee health, workers' compensation insurance claims , medical restrictions on employee work, and the policies and procedures ... investigate, and manage work-related injuries and illnesses, including Workers' Compensation claims + Manage return to work approval process + Provide support… more
- Queen's Health System (Honolulu, HI)
- …health plans and other third party payor requirements. * Ensures accurate claims submission to optimize revenue for the Medical Center. II. TYPICAL PHYSICAL ... desirable. B. EXPERIENCE: * One (1) year experience in medical insurance claims processing or billing. An Associate's or Bachelor's degree in business… more
- Amcor (Madison, WI)
- …I Facebook I YouTube **Job Description** This individual administers the customer complaint and claims process utilizing SAP. The support can be in the form of key ... in compiling and generating key monthly quality reports which reflect claims metrics such as claims as a percent of sales; frequency, severity and response time… more
- CareFirst (Baltimore, MD)
- …contract development and negotiations with smaller provider practices based on claims and market analysis. + Supports negotiations, development of strategy, market ... for institutional, ancillary and professional providers, including implementation oversight. Uses claims and code data to draft and negotiate fixed-price and cost… more
- Health Care Service Corporation (Tulsa, OK)
- …* Verbal and written communication skills. PREFERRED JOB REQUIREMENTS: * Blue Chip claims payment experience. * 2-year experience processing claims and utilizing ... a claims payment system. * Bilingual English/Spanish. \#INK-T \#INKT **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation,… more
- Molina Healthcare (Rio Rancho, NM)
- JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating ... information system and prepares documentation for further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness… more
- Guidehouse (St. Paul, MN)
- …plan when needed + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold ... coding modifiers. + Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse...of CCI, MUE and Medical Necessity edits applied to claims . + Proficiency in determining accurate medical codes for… more
- TEKsystems (Canoga Park, CA)
- …this role, you will conduct retrospective reviews of inpatient and outpatient claims to ensure medical necessity, compliance, and timely processing within a managed ... Key Responsibilities + Perform comprehensive utilization reviews for inpatient and outpatient claims . + Prepare medical records for review by medical directors and… more