- BronxCare Health System (Bronx, NY)
- …families, visitors and/or hospital employees. Qualifications - Experience in Dental Sterile Processing in a health care/hospital setting preferred. Must be ... manner consistent with maintaining and furthering a positive public perception of BronxCare Health System and its employees. - Contributes to and participates in the… more
- Stanley Black and Decker (Shelby, OH)
- **Environmental Health and Safety Coordinator, Onsite-Shelby, OH** **Come make the world and accelerate your success.** It takes great people to achieve greatness. ... CRAFTSMAN(R), STANLEY(R), CUB CADET(R), and HUSTLER(R). **The Job:** The Environmental Health Coordinator will work with the EHS Manager to provide directions… more
- US Tech Solutions (Columbia, SC)
- …policies, and established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency, claims ... (remote). + NICE TO HAVE skill sets/qualities: Knowledge of social determinates of health . + Experience locating resources outside of their home state. + Good… more
- CareFirst (Baltimore, MD)
- …support, client services, client administration, customer service, enrollment and eligibility, claims processing , and call center operations. Reviews and ... + Maintains provider reimbursement objectives by monitoring daily operations; resolving claims that require manual review or technical support, provider payment… more
- Molina Healthcare (Warren, MI)
- …appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing . + Identifies and reports quality of care issues. + ... work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience,… more
- HUB International (Chicago, IL)
- …audits of Pharmacy Benefit Managers (PBMs) to ensure contractual compliance, accurate claims processing , and proper financial management. This role involves ... Audits: Plan, execute, and manage all aspects of PBM audits, including claims data analysis, financial reviews, and compliance checks against contract terms.… more
- ADP (El Paso, TX)
- …serve as the single point of contact for a book of business of Group Health Insurance clients. You will own, manage, and service the entire relationship with your ... + Maintain a comprehensive understanding of your dedicated client's group health portfolio and other ADP services and coordinate communication among various… more
- US Tech Solutions (Columbia, SC)
- … health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, ... compliance, options, and services required to support members in managing their health , chronic illness, or acute illness. Utilizes available resources to promote… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …+ Intermediate familiarity with federal and state regulatory requirements related to claims processing . + Proficiency with auditing software and/or processes ... investigation. This role requires a deep understanding of medical claims adjudication, coding compliance, and regulatory guidelines. You will...perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of… more
- Orlando Utilities Commission (Orlando, FL)
- …be the go-to person for employee questions and ensure compliance and timely processing of a wide range of programs, from FMLA, ADA accommodations, and retirement. ... activities. + Collaborate with internal teams and vendors to ensure accurate processing , reporting, and compliance. + Support open enrollment, new hire orientations,… more