- 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
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …(CCIC) in the Corporate Compliance section (CCS), Office of the Executive Director . The incumbent works directly for the Chief, Corporate Compliance, who reports ... to the Executive Director . Responsibilities Major Duties and Responsibilities of the Health...Employment Opportunity Office (EEO), Harassment Prevention Program (HPP), Tort Claims , and internal staff issues not resolved at the… more
- Cabinet Peaks Medical Center (Libby, MT)
- …HIM team! HIM Manager, working under the supervision of the Revenue Cycle Director , oversees the management , security, and integrity of patient health ... to increase patient/customer satisfaction. Planning: Aligns all work and resources management with CPMC mission, vision, values, goals and strategic initiatives.… more
- AON (TN)
- This role is outsourced to Tractor Supply Client Director , Risk Management Department Work Type Hybrid - in office 3 days per week - location Brentwood, TN ... client, this position is responsible to assist the client Director , Risk Management in all aspects of...create, maintain, and administer safety solutions that address hazards, claims , and trends in the organization. Responsibilities + Manage… more
- Cognizant (Annapolis, MD)
- …make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The ... accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and… more
- Beth Israel Lahey Health (Plymouth, MA)
- …Risk Management office for BID-P including all phases of actual and potential claims management . Identifies exposures to loss and analyzes the impact on the ... + Prior experience in direct responsibility for regulatory affairs and claims management strongly preferred **Registration/Certification:** + Certification in… more
- Marriott (Koloa, HI)
- …**Schedule** Full Time **Located Remotely?** N **Position Type** Management **Bonus Eligible:** Y **JOB SUMMARY** As a member ... * High school diploma or GED; 3 years experience in the human resources, management operations, or related professional area. OR * 2-year degree from an accredited… more
- Carnival Cruise Line (Miami, FL)
- The Analyst, Global Risk Management will provide essential support to the Risk Management team in delivering accurate data and effective solutions across Marine ... etc.) + Review and distribute post-renewal documentation. + Monitor marine insurance claims and maintain accurate records. + Reconcile broker invoices and allocate… more
- Integra Partners (Troy, MI)
- The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director ) with administrative and non-clinical tasks related to processing Utilization ... Management prior authorization sand appeals. JOB RESPONSIBILITIES + Monitor...codes + Verify eligibility and claim history in proprietary claims platform + Verify all necessary documentation has been… more
- Access Dubuque (Dubuque, IA)
- …liaison between patients and insurance companies. They ensure primary and secondary claims are submitted timely and received by insurance company. The PFS ... Representatives appeal claims appropriately, work to find root cause of denials,...be expanded to include other duties and responsibilities as management may deem necessary from time to time. 1.… more