- Capgemini (El Paso, TX)
- …Role Specific Competencies: * Should have baseline skills in BPO Technology, Commercial Control and Analytics * Should have progressing in BPO Process **Job:** ... _Programmer/Analyst_ **Organization:** _BSv_ **Title:** _Claims PA2_ **Location:** _TX-El Paso_ **Requisition ID:** _071685_ more
- Aveanna Healthcare (Chandler, AZ)
- …including any and all guarantors for services provided. This is inclusive of claims to commercial , Medicare, Medicaid and private pay accounts. The starting ... and update EMR. * Works with Biller to ensure claims are refiled and/or billed to the second insurance...timely manner. * Understands payer specific requirements for submitting claims (ie includes CMN's, nursing notes, invoices, etc.). *… more
- NJM Insurance (Trenton, NJ)
- …analysis, and identify patterns and trends related to fraudulent Personal Lines and Commercial Lines policies and claims . + Conduct background research on ... + Triaging and analyzing scorecards and outputs from predictive models for General Claims , Personal Lines, Personal Injury Protection (PIP) claims and Medical… more
- Aveanna Healthcare (Atlanta, GA)
- …including any and all guarantors for services provided. This is inclusive of claims to commercial , Medicare, Medicaid and private pay accounts. Essential Job ... Requests Bridge Tickets to correct and update EMR. Works with Collector to ensure claims are refiled and/or billed to the second insurance in a timely manner.… more
- Zurich NA (Denver, CO)
- …III role) + Experience handling general liability claims , insurance industry claims and general commercial litigation, including but not limited to wrongful ... This Trial Attorney will be responsible for representing the commercial insureds of a prestigious and financially stable ...Lexis or Westlaw + Knowledge of the insurance industry, claims and the insurance defense litigation legal environment OR… more
- CSL Behring (King Of Prussia, PA)
- …including but not limited to IQVIA Claims , DDD, Symphony Non Retail, SP Claims + Prior commercial analytics experience in Rare diseases, oncology , novel ... As a leader in business analytics team proactively plan, manage and execute commercial data modeling and scenario analysis using a mix of competitive intelligence,… more
- Lockheed Martin (Fort Worth, TX)
- …to terms and conditions * Experience in Federal procurement law and the Uniform Commercial Code \(UCC\) * Claims , disputes, disclosures, or remedy experience * ... Experience with DFARS Sourcing Requirements and Compliance * Experience within a buying or compliance role with a detailed awareness of buyer needs * Experience in effectively managing multiple high priority assignments/demonstrated ability to quickly learn… more
- Humana (Raleigh, NC)
- …managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, hospitals/ Integrated ... management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R)… more
- Humana (Juneau, AK)
- …managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated ... management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R)… more
- Takeda Pharmaceuticals (Exton, PA)
- …360 (HCP Master) solution for Oncology brands by integrating pharma commercial datasets including IQVIA Claims , Customer (Healthcare Professionals, Healthcare ... deliver according with company's value creation framework; partner and engage with commercial stakeholders across all US business units (USBU) to understand customer… more