- Chenega Corporation (Rockville, MD)
- …Business Unit** company, is looking for a Physician to support the Department of Health and Human Services (HHS), within the Health Systems Bureau (HSB) and ... project team as directed. + Support the CSCS Program Manager and Project Manager 's efforts to provide...Rockville, MD location. + Professional Background: Relevant experience in claims review, healthcare administration, or related fields. + A… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Auditor is responsible for post-pay review to verify the accuracy of claims reimbursement, clinical significance, coding, and billing in accordance with the Plans' ... regarding coding and billing. The Professional Auditor, under the direction of Audit manager , will collaborate with a variety of business units including Fraud and… more
- Haleon (Warren, NJ)
- Hello. We're Haleon. A new world-leading consumer health company. Shaped by all who join us. Together, we're improving everyday health for billions of people. By ... join us. It isn't a question. The **Content Review Manager ** is a strategic and executional leader responsible for...lead the review and approval of promotional copy and claims for Haleon's US brands. You'll drive the end-to-end… more
- New York State Civil Service (Rochester, NY)
- …No Telecommuting allowed? Yes County Monroe Street Address Office of Operations, Claims and Hearing Support Upstate 130 Main Street West City Rochester State ... of the Assistant WC Examiner within the Office of Operations/ Claims Operations/ Claims and Hearing Support US will...hybrid telecommuting schedule can be discussed with the hiring manager during the interview.We offer a work-life balance and… more
- Gentiva (Mooresville, NC)
- **Overview** **Streamline Claims . Ensure Accuracy. Support Quality Care.** We are seeking a detail-oriented and highly organized Revenue Cycle Specialist to support ... billing operations through timely processing of Government and Commercial claims . This role plays a vital part in maintaining...cycle. The ideal candidate will have experience in home health or hospice billing, with a strong understanding of… more
- Air National Guard Units (Columbus, OH)
- …guidelines for use of the program. In coordination with the NGB J1-Functional Manager ensures prompt submission of claims and medical documents. Works with ... Determines entitlement to retirement annuities, eligibility for continuation of life and health insurance. Provides technical advice to personnel on a variety of… more
- Walgreens (Indianapolis, IN)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Evolent (Boise, ID)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...The IQA reports to a associate director or a manager . One or many IQAs may be engaged in… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... special projects and performs other duties as delegated by the Program Manager and Supervisor. Qualifications - Experience working within childcare facility such as… more
- Sedgwick (Salem, OR)
- …line's processes, functions, technology and regulatory compliance. + Serves as a project manager and process owner for all components of a new client implementation. ... combination of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In… more