- Sedgwick (Austin, TX)
- … processes. + Identifies and provides training and improvement opportunities to the Team Lead to meet established operational and technical audit requirements. + ... **:** Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to approximately...local and/or SBU level. + Provides feedback to the Team Lead to contribute to the performance… more
- Providence (Portland, OR)
- …+ Lead all aspects of vendor relationships related to claims editing, including operationalizing new vendor solutions. + Negotiate and manage contracts, ... optimization of enterprise-wide payment integrity initiatives. You will ensure accurate claims payment and reduce financial leakage, playing a critical leadership… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and ... clinical staff. + Navigates and utilizes corporate applications; core claims and membership system, intranet and related links to...level staff and is a positive influence within a team unit structure + Serves as an intermediary between… more
- HCA Healthcare (Campbell, CA)
- …implemented and executed accurately + May do analysis in conjunction with Finance or the Claims team to ensure claims payments are accurate, and participate ... Healthcare difference where colleagues are trusted, valued members of our healthcare team . Grow your career with an organization committed to delivering respectful,… more
- South County Hospital (Wakefield, RI)
- …safety, transparency, and accountability throughout the organization. Core Duties: + Lead and oversee the hospital-wide risk management and patient safety program. ... new employees, and other staff to promote patient safety and minimize claims exposure. + Provide on-call support and timely consultation on risk-related issues… more
- Unilever (Hoboken, NJ)
- …closely with brand marketing. Consumer & Market insight (CMI) and the R&D- development team to define outstanding, compelling claims and KBS.- Manage or support ... own future.ABOUT FOOD SOLUTIONS (UFS):Act like a founder, be part of a winning team , accelerate your growth, stay ahead of the curve, enjoy the journey: JOIN… more
- MyFlorida (Tallahassee, FL)
- …matters involving multi-state antitrust litigation. III. INVESTIGATION AND LITIGATION OF FALSE CLAIMS ACT VIOLATIONS: Assists the Lead Attorney in planning, ... motivated attorney to join a collaborative and dynamic legal team that investigates and enforces cases under state and...cases under state and federal antitrust laws, Florida False Claims Act, Florida securities law, Civil Racketeering and as… more
- Point32Health (Boston, MA)
- …in curating and using electronic health system data including health insurance claims , medical records, and surveys. HPI areas of interest include public and ... Care Institute is currently seeking a Postdoctoral Fellow to help implement and lead health policy research. The Postdoctoral Fellow will participate in studies that… more
- USAA (Tampa, FL)
- …Auto Physical damage investigations, evaluations, settlements, and operations for auto claims and directs the development and implementation of functional policies, ... and executes operations strategy, plan, goals, and objectives in support of Claims strategy. + Provides guidance on technical matters and extends settlement… more
- Cognizant (St. Johns, FL)
- …expertise in FileNet P8 technologies and domain skills in Medicare and Medicaid Claims . The candidate will play a crucial role in designing and implementing ... solutions that enhance our claims processing systems. This hybrid role requires strong technical...gather requirements and translate them into technical specifications. + Lead efforts to troubleshoot and resolve complex technical issues… more