- Integra Partners (Troy, MI)
- …UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director ) with administrative and non-clinical tasks related to processing Utilization ... codes + Verify eligibility and claim history in proprietary claims platform + Verify all necessary documentation has been...external sources + Other duties as assigned by UM Director + Strong organizational skills, ability to adapt quickly… more
- Center For Health Information And Analysis (Boston, MA)
- …full-time Research Assistant, Patient Safety & Maternal Health, who reports to the Center's Director of Research. The successful candidate will be able to work in a ... patient safety, such as reported adverse events in medical claims and survey data + Utilize appropriate software, including...STATA, R, or Access), as needed + Perform more complex multivariate analyses such as linear and logistic regression… more
- Centers for Independence (Milwaukee, WI)
- …and treatment plan addendums + Monitors client's Prior Authorization status submits new claims as necessary and responds to member's insurance providers as needed to ... and Families and Youngstar. + Assumes responsibility for the director in the absence of the director ....groups. + Partners with clients to identify and resolve complex or sensitive issues. + Helps create a work… more
- Carnival Cruise Line (Miami, FL)
- …etc.) + Review and distribute post-renewal documentation. + Monitor marine insurance claims and maintain accurate records. + Reconcile broker invoices and allocate ... Abilities:** + Strong analytical and problem-solving skills to interpret complex data sets. + High attention to detail for...bonus program, while sales roles have an incentive plan. Director and above roles may also be eligible to… more
- CVS Health (Columbus, OH)
- …comprehensive and highly coordinated behavioral health services for children with serious/ complex behavioral health needs involved in, or at risk for involvement ... Specialist** will provide support on a wide range of complex enrollment activities. This person is responsible for ensuring...Operating Officer and works in close partnership with the Director of the CME Alliance Hub, as well as… more
- HSBC (Buffalo, NY)
- …customers worldwide. Reporting to the GCIO (Group Chief Operating Operations) Operations Director , Functional Manager, and the US Head of Regulatory and Strategic ... and/or manage Purchase Orders + Post Execution - Validate benefit claims . Manage financial, workforce and recharging requirements (including forecasting, invoicing,… more
- JPMorgan Chase (Washington, DC)
- …and skill enhancement. **Job responsibilities** + Process invoices and T&E expense claims , ensuring all policies are followed and items are processed within provided ... staff coming through the executive's office. + Manage extensive and complex calendars. + Facilitate interactions with executive-level clients and internal… more
- Edwards Lifesciences (Chicago, IL)
- **Sr. Director , Global Professional Education, Training - IHFM** Many structural heart patients suffer from heart failure with limited options. Our Implantable Heart ... may include people managers + Ability to direct and communicate highly complex product launch strategies which includes ensuring alignment with internal and external… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …**Job Description** **About the role:** As Counsel, Market Access, at the senior director level, you will be responsible for providing day-to-day legal support to ... on relevant leadership committees. + Preparing, reviewing, and negotiating complex government, payer, pharmacy and distributor agreements, including agreements with:… more
- American Family Insurance - Corporate (Madison, WI)
- …teams to ensure cohesive and delivery. You will report to the Director , Data Science. \#LI-Hybrid. Position Compensation Range: $147,000.00 - $250,000.00 Pay Rate ... AI system integrated with primary business platform (policy administration, CRM, claims management) + Design and implement operational pattern for AI solution,… more
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