- Humana (Columbia, SC)
- …completion of required training , and to ensure prompt and accurate provider claims processing of original claims , resubmissions, and overall adjudication of ... and against the organization, and carry out Humana's proactive approach to minimize claims denials through education and training . The individual in this role… more
- Trinity Health (Rensselaer, NY)
- …for Senior Leadership, Clinicians and Administrators in support of Quality Improvement Initiatives. + Implements data collection and reporting strategies for ... **Employment Type:** Full time **Shift:** **Description:** ** Quality Healthcare Specialist** **Hybrid/remote options - local candidates needed due to onsite… more
- CenterWell (Tallahassee, FL)
- …caring community and help us put health first** The Market Executive of Clinical Quality will be responsible for driving clinical quality and regulatory metrics ... for the following: clinical and survey metrics, clinical operations metrics, claims denials, AO/state survey results, risk mitigation, clinical compliance, QAPI… more
- Ross Stores, Inc. (New York, NY)
- …practices to promote compliance and mitigate legal exposure, while effectively managing projects/ claims \. The position will report to the Sr \. Director, ... Our focus has always been bringing our customers a constant stream of high\- quality brands and on\-trend merchandise at extraordinary savings\. All while providing a… more
- Walmart (Bentonville, AR)
- …engine that brings Member's Mark packaging to shelf-on time, on brief, and at quality . You'll orchestrate a team of senior project managers and contracted PMs, ... portfolio. - Team Leadership & Capacity Planning: Lead, coach, and develop Sr . PMs and contractors; build scalable staffing models; manage vendor/agency throughput… more
- Horizon Services, Inc. (Hayward, CA)
- …is instrumental in taking assigned service lines to new heights by improving quality of service delivery, integrating other HSI subject matter experts such as ... staff members as 'extenders' in order to run a quality series of service lines which operate in alignment...Proactive improvement of program structure, including curriculum and staff training through the leveraging of subject matter experts such… more
- AIG (Atlanta, GA)
- …partners, develop and maintain Global Claim policies, standards, and controls ensuring Claims personnel have knowledge and receive training around AIG policies, ... Ensure appropriate support is provided to Legal, Vendor Services, Quality Assurance, and other support groups. + Support ongoing...plus. + Ability to influence and collaborate effectively with senior managers across claims . + Excellent written… more
- The County of Los Angeles (Los Angeles, CA)
- …factual and analytical data + Assists in conducting or conducts formal training sessions/oral presentations related to the Los Angeles County Self - Insured ... five (5) years, administering or adjusting California workers' compensation indemnity claims , -AND- possession of a valid California Self Insurance Certification of… more
- Entergy (Beaumont, TX)
- …and may be filled as a Right-of-Way (ROW) Agent I, II, III or Sr . depending on the qualifications and or the experience of the candidate.** **JOB SUMMARY/PURPOSE:** ... assessment. + Develop initial compensation offers. + Oversee and provide quality assurance/ quality control for easements + Coordinate necessary information… more
- Access Dubuque (Dubuque, IA)
- …commercial insurance brokerage and consulting firm committed to providing quality service through unparalleled professionalism and personalized attention for almost ... services, resource consulting, safety and loss control management, and claims management. At Kunkel & Associates, we take pride...here at Kunkel & Associates will give you on-the-job training and one-on-one mentorship to ensure that you have… more