- Excellus BlueCross BlueShield (Rochester, NY)
- …findings to law enforcement authorities in a comprehensive manner. + Excellent dispute resolution and negotiation skills in order to interface appropriately ... agencies. Essential Accountabilities: Level I + Functions as a clinical reviewer of medical records, researching and investigating complex medical cases. Interprets… more
- State of Colorado (CO)
- …of their manufactured home or tiny home to BCS for investigation through its dispute resolution process. Building Codes and Standards (BCS) Plans Examiner The ... when revisions, clarifications, questions and resubmittals are required and then "re- review " construction documents as necessary. Recommendations will be made to the… more
- New York State Civil Service (Albany, NY)
- …analysis, schedule analysis, estimating, bidding, contract formation, bonding, delay and dispute resolution . Experience in financial management systems, project ... participate as directed in the negotiation of fair and reasonable claim resolution .* Review and recommend approval of change orders, ensuring work is within the… more
- CVS Health (Tallahassee, FL)
- …**The Medicaid Senior Manager, Network Management:** + Negotiates, executes, conducts high level review and analysis of dispute resolution and/or settlement ... and processing of contracts and documentation and pre- and post-signature review of contracts and language modification according to Aetna's established policies.… more
- Deloitte (Nashville, TN)
- …for ongoing contracting requirements - SOWs, Change Orders, amendments, renewals, and issue/ dispute resolution . + Work actively with account leadership and other ... and contract structuring, drafting customized contractual provisions and risk review , negotiations, operations, and operational aspects of professional services… more
- Black & Veatch (Overland Park, KS)
- …requirements, statutory requirements, project specific definitions such as Force Majeure and dispute resolution . + Develops a project specific claims summary ... staff to identify back-chargeable events and quantify the costs. + Review documentation of back-chargeable costs to suppliers and construction Subcontractors.… more
- GSI Service Group Inc. (Boulder, CO)
- …have significant adverse legal implications and provide guidance on risk mitigation and dispute resolution proactively to reduce impact on the organization + ... their contract needs. Within 60 days identify the key issues needing resolution and define underlying problems. Within 60 days improve our contracts processes… more
- CVS Health (Springfield, IL)
- …vbc engagement, execution of contract activities, strategy development, relationship management, dispute resolution and other duties as related to network ... and processing of contracts and documentation. Conduct pre- and post-signature review of contracts and language modifications according to established policies. +… more
- AECOM (Tampa, FL)
- …schedule, etc.) + Proactively communicating risks to the DOO + Supporting dispute resolution , where required + Supporting timely and accurate ... mitigation measures, and being "root cause oriented" in the resolution of issues + Ensuring appropriate scheduling tools and...Estimate-at-Completion (EAC) preparation and review + Driving data quality index to 0% +… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …regulations that pertain to WC, especially NYS Workers' Compensation, NYS WC Alternate Dispute Resolution (ADR) Programs, and WC Certified PPO Programs. + ... oversees all Clinical Services (CS) functions (prior authorization, concurrent review , appeals, case management, disease management, population health) per defined… more