- Excellus BlueCross BlueShield (Rochester, NY)
- …set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management ... and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical knowledge,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management ... and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical knowledge,… more
- UNUM (Chattanooga, TN)
- …fair, objective, and timely adjudication of the most complex short-term disability claims in conjunction with providing technical expertise regarding FMLA and state ... Duties and Responsibilities:** + Timely and accurate adjudication of complex STD claims + Processing of leaves associated with an employee's own health condition… more
- Family Dollar (Chesapeake, VA)
- Responsible for optimizing the end-to-end workers' compensation claims process, leveraging our Third-Party Administrator (TPA) partnership to accelerate resolution ... external clients, vendors, and industry peers, ultimately establishing Family Dollar's claims program as "Best in Class" through continuous cost reduction, enhanced… more
- University of Miami (Miami, FL)
- …and documentation of potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct ... this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The department of Risk Management has an exciting opportunity for a full-time Sr.… more
- Billings Clinic (Billings, MT)
- …to fulfill the organization's strategic initiatives for risk prevention, risk and claims management , patient safety and process improvement. * Identifies and ... Plan that organizes both risk prevention measures and claims processing and management systems for the...meetings at the direction of leadership. * Assists the Director in the development and communication of department specific… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=7108) Job Brief The Incident Management Investigator assists with completing thorough investigations into situations… more
- Northrop Grumman (Mclean, VA)
- …part of history, they're making history. Northrop Grumman is seeking a motivated Risk Management Analyst to join our Corporate Risk Management team. Reporting to ... Property & Casualty Insurance Manager, this position serves as the primary risk management partner for the Defense Systems (DS) Sector. Key Responsibilities: - Serve… more
- Trinity Health (Davenport, IA)
- …and participates in Healthcare Failure Mode and Effect Analysis. + Actively supports data management , claims management , and the education components of the ... **POSITION PURPOSE** The purpose of the Specialist of Risk Management is, under the direction of the director...are not limited to, insurance coverage and risk financing, claims management , interfacing with defense legal counsel,… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …Committee (IRC) Sub-Committee, OPWDD, or Justice Center (JC) reviews. 10. Alerts Incident Management Investigator and/or Sr. Director of any new incident reports ... reviews. 11. Escalate any obstacles to completing investigations to the Incident Management Investigator and/or Sr. Director of Investigations. 12. Other duties… more