- Humana (West Point, NY)
- …provider, and Government inquiries regarding eligibility, enrollment, billing, claims , referrals/authorizations, network operations, access to care, Defense Health ... to process and correct uncomplicated general eligibility, enrollment, billing, claims , referral/ authorization, and network difficulties experienced by TRICARE… more
- Sedgwick (Bartlesville, OK)
- …+ Communicate modeling challenges, findings, and outcomes to stakeholders **QUALIFICATIONS** + Insurance claims knowledge preferred + Minimum one year of ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Scientist (REMOTE) Data Scientist (Remote) **PRIMARY PURPOSE OF THE ROLE:**… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …primary responsibility of this role is to review modifier 25 ophthalmology claims and associated documentation, providing feedback and guidance to clinical teams to ... home). Key Responsibilities: + Review and analyze modifier 25 claims and related documentation for accuracy and compliance. +...offers industry leading benefits including: + Medical & dental insurance (starts on the 1st day of employment!) +… more
- Sedgwick (Orlando, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance VB.Net Middleware Developer Join us in delivering cutting-edge technology solutions ... Gain deep familiarity with key application modules, including reports, parameters, claims management, intake services, IIS Servers, SQL Servers and Salesforce… more
- Idaho Division of Human Resources (Boise, ID)
- …(DOE). Benefits: State employee benefits which include low-cost health and dental insurance , paid vacation and sick leave, 11 paid holidays, multiple retirement ... in state and federal courts in high profile civil rights and constitutional claims , class actions, major tort claims , administrative law challenges, statutory… more
- The Boeing Company (Hazelwood, MO)
- …Administers site carrier accounts and shipping systems + Initiates loss and damage claims to carriers and supports claims investigations + Supports the ... + Certifies the shipment of dangerous goods + Investigates loss and damage claims to carriers + Designs transportation plans and solutions + Provides program… more
- NetApp (Bellevue, WA)
- …You will define the technical narrative, value proposition with accompanying claims , and competitive story for integrated solutions that solve customer challenges ... solutions narrative as defined by Product Marketing Managers, create claims and proof of value, and the competitive story...include a comprehensive benefits package. This may cover Health Insurance , Life Insurance , Retirement or Pension Plans,… more
- Humana (Oklahoma City, OK)
- …investigations into allegations of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud ... outcomes; work closely with internal and external auditors, financial investigators, and claims processing areas + Assist in developing FWA education to train staff,… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …$179,150 to $185,000 per year + benefits package (employer provided insurance , paid time off, 401(k), etc). **Apply to:** [email protected] . Otsuka ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Sedgwick (Nashville, TN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Development Director **PRIMARY PURPOSE OF THE ROLE:** To expand and ... years of relationship building in the recall, customer care, warranty support, claims management or risk management area in the Automotive industry. Skills:… more