- HCA Healthcare (Sarasota, FL)
- …+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, ... From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers… more
- Amgen (IL)
- …with analytics focused on Patient Services and Market Access** , including claims analysis, hub data tracking, affordability program utilization, and payer trend ... , ensuring data accuracy from sources such as specialty pharmacies, claims aggregators, and market research providers. + Participate in the **development… more
- TEKsystems (Austin, TX)
- …to determine next steps. 2. Rebilling & Appeals Submission + Focus on claims ready for appeal-already vetted and prioritized. + Write appeal letters, make calls ... + Determine reasons for denials and appropriate appeal pathways. + Escalate claims when necessary and recommend strategic actions. + Collaborate with analysts to… more
- Actalent (Des Moines, IA)
- …Post Review Nurse to perform timely utilization management reviews and claims assessments. This role involves applying InterQual criteria and medical policy ... our healthcare services. Responsibilities + Conduct utilization management reviews and claims assessments using InterQual criteria and medical policy. + Review… more
- HCA Healthcare (Kaysville, UT)
- …+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, ... From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers… more
- J&J Family of Companies (Irvine, CA)
- …for executing product positioning, product management, and utilizing clinical data and claims to support marketing efforts for all US Surgical Vision product ... with Med Affairs, R&D and Professional Engagement to implement clinical data and claims to support product positioning and marketing efforts, ensuring that claims… more
- Bowman (Manassas, VA)
- …purchases, permit rights, encroachments resolutions and settlements of damage claims of company's client. **Responsibilities** **Leadership and Direction** + Perform ... on the client's behalf. + Negotiate property damage settlements and loss claims associated with client's capital projects. + Regularly and persuasively communicate… more
- Southern Glazer's Wine and Spirits (Dallas, TX)
- …prescription drug coverage, dental and vision plans, tax-saving Flexible Spending Accounts, disability coverage, life insurance plans, and a 401(k) plan. We also ... and sample withdrawals + Electronic imaging + Research shortage and miss-shipped claims + Process/enter orders and pick-ups + Handle calls from customer service… more
- Sharecare (Boston, MA)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... vision plans + Support for spending accounts, pharmacy, and disability . + Assistance with incentives and rewards + Aid...resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization… more
- Harbor Group Management (Norfolk, VA)
- …data including schedule of values, property information and data, insurance policies, claims , incidents, certificates of insurance, and exposure data. + Serve as ... integrity through routine audits and process improvements. + Support claims management by maintaining up-to-date claim files, generating loss...& Holidays + Flexible Spending Accounts + Free Long-Term Disability + Free Life Insurance + Short Term … more