• Provider Contracts Manager

    Molina Healthcare (Seattle, WA)
    **_ Remote and must live in Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems… more
    Molina Healthcare (11/07/25)
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  • State Steward - Racing Events Division

    State of Colorado (CO)
    …primarily in office or at Arapahoe park but may have the option to work partially remote as determined by the needs of the Division. How To Apply Please submit an ... rules for all licensees. Approves horse ownerships, transfers, and claims . Works as the State Steward and in conjunction...Board or request a review by the State Personnel Director . APPEAL RIGHTS An applicant who has been removed… more
    State of Colorado (11/06/25)
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  • Business Intelligence Analyst - CDI

    University of Michigan (Ann Arbor, MI)
    …RESPONSIBILITES** + Gathering and integrating data from disparate sources (ie Cost and claims or clinical data in the electronic health record) in support of revenue ... and deadlines. **Modes of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the hiring department. Work agreements… more
    University of Michigan (12/07/25)
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  • Analyst, Global Risk Management

    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 ... minimal safety/health hazard potential. This position is classified as " remote ." As a remote role, it allows...bonus program, while sales roles have an incentive plan. Director and above roles may also be eligible to… more
    Carnival Cruise Line (10/16/25)
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  • Case Management Extender (Part Time Casual,…

    OhioHealth (Columbus, OH)
    …to include but not limited to: attachment of requested dictation to claims , addition of diagnosis allowances and authorization numbers 6. Refer utilization ... management/clinical decisions beyond level of authority to care coordination/UM team and Manager/ Director of UM team for review and decision. 7. Provides general… more
    OhioHealth (12/10/25)
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  • Senior Claim Operations Manager

    Alight (NJ)
    …you a successful leader who is experienced in leading a team of claims professionals? Seeking an experienced team leader skilled in delivering subject matter ... approvals and denials and respond to periodic audits. + Leading a remote and hybrid team, defining roles and responsibilities, and establishing direct accountability… more
    Alight (12/02/25)
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  • Construction Contract Administrator

    Central Arizona Project (Phoenix, AZ)
    …Annually Location Headquarters - Phoenix 85024, AZ Job Type Full-Time Remote Employment Flexible/Hybrid Job Number 1311 Department Project Management Opening Date ... insurance, LTD, Short-term disability + 4-10 (Mon-Thur) work schedule + Option for part-time remote work + Paid training & tuition reimbursement + 9 paid holidays +… more
    Central Arizona Project (12/01/25)
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  • Billing Assistant

    Buffalo Hearing & Speech Center (Buffalo, NY)
    Billing Assistant Job Details Job Location North Street - Buffalo, NY Remote Type Hybrid Salary Range $21.97 - $27.50 Hourly Description Buffalo Hearing & Speech is ... Assistant in our Finance department. This is a hybrid remote position where time can be spent both in...flow for organization. + Checks clearinghouse, Availity, for any claims in error edits, corrects, and submits to payer… more
    Buffalo Hearing & Speech Center (11/11/25)
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  • Technology Specialist, NYC

    JDA Partners Technical Services Group LLC (New York, NY)
    …City office. This is an onsite position reporting directly to the Director of Technology and supporting all local technology operations including hardware, software, ... + Coordinate with third-party vendors as needed for escalations or warranty claims . + Support both macOS and Windows devices, including imaging, updates,… more
    JDA Partners Technical Services Group LLC (12/04/25)
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  • Utilization Management Reviewer, RN (Multiple…

    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 to address ... and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and providers to obtain… more
    Excellus BlueCross BlueShield (10/07/25)
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