- Humana (Oklahoma City, OK)
- …providers (eg, provider relations, claims education) + Understanding of claims systems , adjudication, submission processes, coding, and/or dispute resolution + ... and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance… more
- City of New York (New York, NY)
- …ensuring compliance with legal requirements, deadlines, family communications, and dispute -resolution protocols in accordance with NYS Public Health Law 4201. ... consistent, and legally compliant family assistance services, including disposition dispute management and guidance on viewing procedures or case inquiries.… more
- Comcast (Philadelphia, PA)
- …pre-employment background check, Motor Vehicle Record monitoring, and alternative dispute resolution programs. Counsels and advises business leaders and Human ... on investigation strategy and recommended outcomes; + Utilizes case management system to ensure proper management and oversight of investigations; + Provides… more
- Novo Nordisk (Plainsboro, NJ)
- …payment elements, and submission of required information such as audit, complaint, and dispute data + Proactively notify the MTF Data Module ("MTF DM") Contractor of ... any system changes that may impact connectivity + Update CMS...be resolved directly with dispensing entities outside the formal dispute or complaint process + Responsible for compiling, analyzing,… more
- City of Chicago (Chicago, IL)
- …unique opportunity for an attorney who is experienced in mediation and/or alternative dispute resolution, with interest in working on resolution for some of the ... + Three (3) years of experience in settlement negotiation, mediation or dispute resolution program management; preferably with experience with cases that have… more
- ERCOT (Austin, TX)
- …that face our industry today and in the future. JOB SUMMARY As the independent system operator (ISO) for the power system that serves the majority of Texas, ... regulatory, compliance (corporate and regulatory), the ERCOT Reliability Monitor function, litigation/ dispute resolution, and other areas as needed. **JOB DUTIES** +… more
- Humana (Springfield, IL)
- …**Preferred Qualifications** + Bachelor's Degree. + Understanding of claims systems , adjudication, submission processes, coding, and/or dispute resolution. ... grows positive, long-term relationships with physicians, providers and healthcare systems . The Provider Engagement Professional (LTSS) roles and responsibilities… more
- Trinity Health (Maywood, IL)
- …interpretation and compliance, manages and oversees the grievance and other dispute resolution processes, and leads other labor relations projects and assignments, ... to address union organization campaigns and activities, when necessary. + Supports system and RHM management during times of Mergers, Divestitures, and Acquisitions… more
- State of Minnesota (St. Paul, MN)
- …renders justice through fair, timely and impartial hearings and high-quality dispute resolution services. Administrative Law Judges preside over cases involving ... training in or subject matter expertise in administrative law, alternative dispute resolution, and intercultural competency. 8. Describes any teaching you have… more
- Cedars-Sinai (CA)
- …information to resolve outstanding or stale dated check issues. + Performs Provider Dispute Request (PDR) fulfillment process from the point of claim review through ... of medical claims processing for Medicare and Commercial products and provider dispute resolution processing in an IPA, HMO and Hospital related setting required.… more