- BrightSpring Health Services (Wilkes Barre, PA)
- …9:00am-5:30pm w/ every other weekend We offer: + Health, dental, vision and life insurance benefits + Company paid STD and LTD + Tuition Assistance + Employee ... Identifies and resolves issues of denials or follow-up of claims . + Maintains current knowledge of Medicaid claim regulations...+ Produces reports and keeps management informed of unpaid claims and claims pending follow-up. + Understands… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …requirements. . Support gap analysis for existing payer systems ( claims , clinical data, provider, member, authorization) to determine interoperability readiness. ... . Ensure solutions integrate effectively with enterprise systems such as claims adjudication, enrollment, provider management, UM/PA, care management, and data… more
- Pacific Seafood (Kodiak, AK)
- …Pacific Seafood's EHS Programs. This includes managing on-the-job injury claims and documentation, facilitating orientations and training, conducting facility ... Management and Emergency Response: + Perform on-site workers' compensation claims management, including investigation and medical follow-up. + Maintain regular… more
- Sedgwick (Lexington, KY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance IT Project Management Specialist Sr **PRIMARY PURPOSE OF THE ROLE** : Manages ... application development projects preferred. Skills & Knowledge + Knowledge of claims management business and technology + Excellent oral and written communication… more
- Trinity Health (Ann Arbor, MI)
- …Billing Assistance + Drug card billing for home infusion pharmacy patients, troubleshoot claims rejections, finalize and adjust drug claims for submission. + ... before they come on service. + Process any required third party billing claims in Towers Pharmacy program and coordinate with home infusion pharmacy program. +… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …and analyzing various data types (eg, patient longitudinal data, claims data, distribution, sales, demand, units, promotion, formulary) **Educational ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …**Data Integration & Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR systems. ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Carnival Cruise Line (Miami, FL)
- …reviewing care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also escalates ... planning in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return to duty. +… more
- Conifer Realty LLC (Rochester, NY)
- …business units and external stakeholders, and maintaining oversight of litigation and claims reporting for the organization. Position Details + Full-Time + Exempt + ... with the execution process in coordination with project management and legal teams. Claims , Litigation, and Risk Management + Track, monitor, and maintain records of… more
- Expeditors (Bensenville, IL)
- …collecting and analyzing necessary import and export data, filing accurate and timely claims , acting as primary liaison between customer and CBP and ensuring the ... verify all data to process accurate and complete drawback claims and maintenance of those documents Maintain clear and...Holiday, Sick Time + Health Plan: Medical + Life Insurance + Employee Stock Purchase Plan + Training and… more
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