- Commonwealth Care Alliance (Boston, MA)
- …satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + ... the primary liaison to the provider community, researching, resolving, and escalating complex provider issues as needed. + Own provider relationships to drive… more
- Zurich NA (Lansing, MI)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft Office OR AVP, Underwriting… more
- BD (Becton, Dickinson and Company) (Sandy, UT)
- …healthcare audiences and regulatory environments, along with the ability to translate complex clinical concepts into clear and effective positioning to ensure that ... personas, insights, brand positioning statements, benefit ladders, and differentiated claims , to support launches, drive adoption, and accelerate growth across… more
- Transdev (Lombard, IL)
- …staff position within North American headquarters responsible to support FP&A Manager and Director of Accounting on a variety key projects. We offer a competitive ... support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department...and monthly financial reporting review package + Works on complex finance topics as needed to support internal team.… 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 ... skills, ability to speak to the business and simplify complex technical aspects into concepts business partners can understand,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Fluor (Greenville, SC)
- …management and execution of the Prime Contract in conjunction with the Project Director and Law Department. Complexity of projects and the associated risk will be ... less than typically managed by a Director I. Ensure compliance with government regulations, statutes, and...(EPC) contracting covering the entire life cycle of large complex projects. + The position will ensure compliance with… more
- Molina Healthcare (San Antonio, TX)
- …accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals, ... negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business rules as… more
- State of Colorado (Lakewood, CO)
- …translate criminal investigation methods to an automated environment and conduct complex computer crime investigations. These duties are conducted throughout the ... document findings accurately. + Applies Lottery laws, rules, and claims procedures by serving as a subject matter expert...Board or request a review by the State Personnel Director . APPEAL RIGHTS An appeal or review must be… more
- Prime Therapeutics (Pierre, SD)
- …department and other key client functions as determined by the Sr. Director / Director . **Responsibilities** + Perform business analysis work for client-facing ... functions such as but not limited to customer service, claims , benefits, prior authorizations, rebates, and networks. + Build...create input to the business cases. + Support Sr. Director / Director and other key leaders in communication… more
- Patent and Trademark Office (Alexandria, VA)
- …for you if you look foward to: Providing legal counsel to the USPTO Director on intellectual property matters. Defending decisions of the Director , the Patent ... Preparing and filing amicus briefs on behalf of the Director on issues of importance to the development of...independently conducting legal research and preparing written analyses of complex and difficult legal, factual, or policy issues in… more