- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- **Job Summary** Under the direction of the Director/ Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and ... communication of any variances in budget forecast to the Director/ Associate Director. * Establish communication flow with CRO and...oversight of ESP in its conduct of the day-to-day operations of assigned trial(s), as assigned. * Participates in… more
- HUB International (Chicago, IL)
- …+ Ensure policies are communicated effectively across regional and departmental business operations , especially in the areas of underwriting, claims , insurance ... play a critical role in ensuring that HUB's insurance brokerage and wholesale operations function within the bounds of all applicable laws, regulations, and internal… more
- LA Care Health Plan (Los Angeles, CA)
- …teams to develop models and algorithms that power key functions such as claims accuracy, care coordination, quality improvement, and fraud detection. This ... on adoption opportunities. Apply subject matter expertise in evaluating business operations and processes. Identify areas where technical solutions would improve… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer Service/ Operations About Blue Cross and Blue Shield of Minnesota At Blue Cross ... our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built...the highest standards in documentation and coding practices-protecting against fraud , waste, and abuse. In this influential role, you'll… more
- City of New York (New York, NY)
- …and encourage compliance while providing exceptional customer service. DOF's Customer Operations Division has oversight of the Department of Finance business ... Office, and the Land Records, Adjudication, and Collections divisions. Customer Operations is charged with the processing of tax payments, parking violations… more
- City of Minneapolis (Minneapolis, MN)
- …04 Have you ever been convicted of any of the following offenses: a) Presenting false claims , b) Medical assistance fraud , or c) Theft? (MN POST Rqmt.) + Yes + ... Conduct surveillance of suspected criminal activity and provide undercover operations to identify and apprehend suspects. * Interview and/or...14 What is your highest level of education? + Associate 's Degree + Bachelor's Degree + Master's Degree +… more
- MVP Health Care (Rochester, NY)
- …in Health Administration, Business, Economics, Health Informatics, or related field. Associate 's degree with the equivalent combination of related experience may ... audit needs, and develop audit protocols for new audit types. + Report suspected fraud and abuse to the SIU for further investigation and identify providers in need… more