- Humana (Columbus, OH)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data changes on actuarial models, reporting tools, and financial results. Lead and manage data-related projects from scoping through post-production validation,… more
- The County of Los Angeles (Los Angeles, CA)
- …Benefits! Click Here (https://hr.lacounty.gov/benefits/) for more details on employee benefits. The team member we are searching for: Directs the operations of a ... so may result in an incomplete application and may lead to disqualification. We will send notifications to the...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Sharp HealthCare (San Diego, CA)
- …Care staff. + Data ValidationOversees the technical and administrative functions to lead the Benefit Administration team in organizational data validation ... is responsible for managing, coaching and developing the Benefits Administration team across multiple lines of business (Medicare Commercial, Government, etc.) to… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …processes and operations that connect to our culture and values. The Director will lead a small team of experienced employee relations experts who together solve ... investigator, both in conducting investigations and being able to lead a team of investigators in their...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- …stakeholder engagement activities (including those of the managed market liaison (MML) team ). This role will lead cross-functional planning efforts, develop ... **Job Description** **Key Responsibilities Include:** **Strategic Planning & Execution** + Lead the development and implementation of strategic plans for external… more
- BD (Becton, Dickinson and Company) (Sandy, UT)
- …actionable insights that guide product launches, adoption, and lifecycle management + Lead development and validation of differentiated product claims in ... with us.** **Key Responsibilities:** + **Product Marketing Deliverables:** + Lead development of product marketing plans and deliverables, including behavior-based… more
- TEKsystems (Denver, CO)
- …and driving high‑stakes follow‑ups to resolution. What you'll do 1) Research & Claims Audit You'll be assigned audits with varying volumes of accounts and will ... pivot priorities based on monthly team targets. + Conduct horizontal audits (underpayments across a...vertical audits (similar denial reasons across multiple payers). + Lead Zero Balance investigations: review EOBs/ERAs, identify denial reasons… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …methods of strategic and tactical planning and execution. **Operational Excellence and Team Management** + Lead and manage core operational pillars within ... address complex challenges within medical affairs + Ability to lead a team and influence organizational level...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Amcor (Madison, WI)
- …maximize customer satisfaction. This individual will be a key member of the Food Safety Team and will lead elements of the Food Safety program as assigned. This ... **Accelerate the possible by joining a winning Amcor team that's transforming the packaging industry and improving...**Job Description** This individual administers the customer complaint and claims process utilizing SAP. The support can be in… more
- HCA Healthcare (Denver, CO)
- …**_Note: Eligibility for benefits may vary by location._** Come join our team as a(an) Director Risk Management. We care for our communities and ... of safety survey results such that data-driven action plans lead to targeted outcomes. . Support and encourage harm...of Trustees. Include the patient's story of harm. Risk Management/ Claims Activities (if not otherwise assigned) . Work with… more