- Zurich NA (Columbia, SC)
- …1980. Today it's one of the nation's largest crop insurance providers, offering risk management protection in all 50 states through a national network of about 4,000 ... and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR *...area AND * Experience in Organizational Effectiveness or Change Management * Experience in the application of existing and/or… more
- Baylor Scott & White Health (College Station, TX)
- …+ When adverse events harm patients, the CRM, led by the Corporate Director of Risk Management , investigates to evaluate patient harm. If organizational ... Clinical Risk Manager (CRM) directs and coordinates clinical risk management for the hospital (Greater Austin Region and College...risk is found, the Corporate claims manager will review the event further. The CRM… more
- Beth Israel Lahey Health (Charlestown, MA)
- …job, you're making a difference in people's lives.** Reporting to the Executive Director of Epic Patient Financial Services - PB, the Senior Epic Operations Analyst ... back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication and… more
- Commonwealth Care Alliance (Boston, MA)
- …+ **Operational Excellence:** + Collaborate with cross-functional teams (eg, Claims , Credentialing, Clinical Care Management , Member Services, Provider ... recruitment opportunities + Coordinate with other CCA departments, including Clinical Management , Member Services, Claims , Regulatory Affairs, Outreach and… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …Senior Manager of Process, Policy & Governance reporting to the Senior Director , Procurement Operations; your primary focus will be the maintenance and enhancement ... Pay (S2P) process, including sourcing, contracting, purchasing and supplier management . + Partner with Sourcing and Vendor Management...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- BronxCare Health System (Bronx, NY)
- …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... Overview May Serve as personal/Confidential Secretary for the Director of department. Monitors and prepares confidential correspondence, handles all related matters.… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims ... from denying. + Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities. +… more
- AmeriHealth Caritas (Philadelphia, PA)
- …analysis of claims and appeals, and the review of medical management authorizations.; + Research and Investigate member and/or provider appeals and grievance ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- Goodwill of the Finger Lakes (Rochester, NY)
- SUMMARY: Collaborating closely with the Director of Vision Services and providers within the department, the Occupational Therapist (OT) provides comprehensive ... on smart phones, tablets and computers to allow for independence in the management of daily living activities and/or work activities. Have a working knowledge of… more
- Access Dubuque (Dubuque, IA)
- …innovative advantages to our clients, including resource consulting, safety and loss control management , claims management , and more. At Kunkel, we take ... our clients; including: comprehensive nursing services, resource consulting, safety and loss control management , and claims management . **Work with us, not… more