- Medtronic (Los Angeles, CA)
- …support to the Diabetes business unit in the areas of health economics and claims data analysis. + Maintains a comprehensive knowledge of the evidence needed to ... policy, epidemiology or health services research + Experience working with administrative claims data + Experience in medical device or pharmaceutical industries +… more
- CenterWell (Grandview, MO)
- …within the greater Kansas City metropolitan area.** Responsible for healthcare claims accounts receivable operations in accordance with Company policies and ... and divisional leadership, and external payers to effectively manage end-to-end claims processing activities. Performs all duties inherent in a managerial role… more
- Humana (Austin, TX)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- Ankura (Chicago, IL)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... . Be a key contributor to project delivery teams . Serve as project manager for client services, including large and complex engagements . Support expert witness… more
- Entergy (New Orleans, LA)
- …or purchases** + **Assist tactical groups** in negotiating Terms and Conditions, Claims and Dispute Resolution. + Leads negotiations and contract development for ... ensure consistency with market conditions. + Monitor and **help resolve contract claims ,** and administer the requirements of the contract + Drives Entergy's… more
- Mass Markets (IA)
- …departments to resolve complex inquiries + Accurately document customer interactions and claims + Follow scripts, policies, and procedures while using your training ... + Escalate unresolved issues to the appropriate team or manager + Attend training sessions and stay up to...your future with retirement savings programs, where available. + Disability Insurance:Short-term disability coverage is available to… more
- Mass Markets (Savannah, GA)
- …with other teams as needed + Accurately document and process customer claims and interactions + Follow scripts, policies, and procedures while using training ... + Escalate complex cases to the appropriate team or manager + Stay updated on products and processes by...your future with retirement savings programs, where available. + Disability Insurance:Short-term disability coverage is available to… more
- Mass Markets (Wichita, KS)
- …to resolve complex inquiries. + Accurately document customer interactions and claims . + Follow scripts, policies, and procedures while applying your training ... and care. + Escalate unresolved issues to the appropriate team or manager . + Stay current by attending training sessions and reviewing updated materials.… more
- Mass Markets (Killeen, TX)
- …departments as needed + Accurately document customer interactions and process claims + Follow all client-specific procedures, scripts, and compliance requirements + ... customer questions + Escalate complex issues to the appropriate team or manager + Ensure first-call resolution through effective problem-solving + Stay current on… more
- US Army, Pacific (Fort Richardson, AK)
- …for programming efforts concerning range facility modernization. Serves as resource manager for the installation range and training lands Requirements Conditions of ... Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability Retirement Priority Placement Program, DoD Retained Grade Preference Eligible Veterans… more