• Insurance Denials Specialist

    Colorado State University (Fort Collins, CO)
    …provide excellent customer service and guidance to all CSU students in navigating their health insurance needs, regardless of their enrollment in the CSU ... GED ) Experience + Three years of experience working insurance claims denials and posting payments in...No + * Do you have experience with Electronic Health Record (EHR) systems and billing and insurance more
    Colorado State University (06/24/25)
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  • Priority Health Business Operations…

    Corewell Health (Grand Rapids, MI)
    …organization philosophy. Qualifications Required + Bachelor's Degree or equivalent in clinical, health administration or business related field + 3 years of relevant ... improvement + Proven experience forecasting back office operations; such as claims , enrollment and prior authorizations. + Proven experience using artificial… more
    Corewell Health (07/15/25)
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  • Manager Special Investigation Unit

    Corewell Health (Grand Rapids, MI)
    …Special Investigation Unit (SIU) with a focus on identifying, investigating, and resolving health insurance fraud, waste, and abuse (FWA). This role provides ... Job Summary - Manager Special Investigation Unit The SIU Manager...and audits related to FWA, including medical and pharmacy claims , as well as concerns involving members, agents, and… more
    Corewell Health (07/19/25)
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  • Manager Risk Management

    Covenant Health (Bangor, ME)
    Job Summary: Covenant Health is seeking a Risk Management Manager to lead risk management functions at St. Joseph Healthcare in Bangor and St. Mary's Hospital in ... files of all claims . + Assists the agents for the excess insurance carrier providing general and professional liability coverage in active case review. + Acts… more
    Covenant Health (05/16/25)
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  • Nurse Medical Case Manager - Workers…

    Travelers Insurance Company (Rancho Cordova, CA)
    …Nurse or Licensed Vocational Nurse required. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including spouses, ... do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided...to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as… more
    Travelers Insurance Company (07/19/25)
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  • Manager Benefit Administration - Sharp…

    Sharp HealthCare (San Diego, CA)
    …absence of the Director. **Required Qualifications** + 5 Years in HMO or Health Insurance Management. + 2 Years leadership experience working collaboratively ... prior experience in education and training. + 3 Years in a health insurance product implementation, benefit/coverage policy development, benefit configuration,… more
    Sharp HealthCare (05/11/25)
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  • Contract Administration & Claim Avoidance…

    Black & Veatch (Overland Park, KS)
    **Contract Administration & Claim Avoidance Manager ** Date: Jul 16, 2025 Location: Overland Park, KS, US Company: Black & Veatch Family of Companies **Together, we ... (greater than $50 million) and (sub)contracts as warranted. Provide contract claims support for Construction Management and EPC projects on large multiple/complex… more
    Black & Veatch (07/18/25)
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  • Ice Cream Regional Insurance & Risk…

    Unilever (Englewood Cliffs, NJ)
    …from a range of benefits to include, but is not limited to, health insurance (including prescription drug, dental, and vision coverage), retirement savings ... Ice Cream Company! Job Title : Ice Cream Regional Insurance & Risk Manager - Americas Location:...as access to numerous voluntary benefits. Any coverages for health insurance and retirement benefits will be… more
    Unilever (07/11/25)
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  • Risk Management Analyst (Non Clinical) - St Peters…

    Trinity Health (Albany, NY)
    …with that risk. **LIABILITY CLAIMS SUPPORT:** Works collaboratively with assigned Trinity Health Area Claims Manager and defense counsel to support ... records, identify witnesses, schedule interviews, depositions and other discovery). In litigated claims , assists Trinity Health Insurance and Risk Management… more
    Trinity Health (06/18/25)
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  • Carelon Payment Integrity Manager

    Elevance Health (Pittsburg, KS)
    …Payment Integrity Manager is responsible for ensuring the accuracy of claims payment through the management of a robust process for prevention, detection, and ... **Carelon Payment Integrity Manager ** _Hybrid 1: This role requires associates to...Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,… more
    Elevance Health (07/10/25)
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