- MyFlorida (Bradenton, FL)
- …properly, preparing monthly estimates, reviewing construction plans, and managing Consultant Construction Engineering and Inspection contracts. The Difference You ... related activities. Reviews and makes recommendations on construction related claims . Provides technical assistance and related coordination activities to utility… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …The analyst begins by navigating complex data requests-balancing urgent consultant inquiries with ongoing regulatory and annual reporting deliverables. This ... synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals. Their work goes beyond extraction; it… more
- WMCHealth (Poughkeepsie, NY)
- …Improvement (PI) Plan. Serves as a resource, an educator and a consultant . Ensures accurate data collection, analysis, and reporting to establish and maintain ... and alerts the department director, medical staff leadership, and claims manager. + Conducts special studies in collaboration with...support of their QI efforts. Serves as leader or consultant to a QI team. + Analyzes data from… more
- BlueCross BlueShield of North Carolina (NC)
- …delivery and inquiries from internal Blue Cross NC teams, group administrators and consultant partners. **What You'll Do** + Manage, mentor and lead a team of ... that is responsible for working with our New Business Consultant on RFP related activities to provide support in...able to obtain a North Carolina Health and Life Insurance license within the 60 days of employment in… more
- AECOM (Dallas, TX)
- …projects on schedule and minimize client exposure. + Proactively work to avoid claims and resolve claims expeditiously to minimize client exposure. + Prepare ... the project. + Review and concur in the proposed settlement of change orders, claims , and revisions to the design and/or construction scope, schedule and budget. +… more
- Baylor Scott & White Health (College Station, TX)
- …other); d) the 'lessons learned' from studying the event. + Assists the Manager of Insurance in managing claims related to property loss and visitor injury. + ... patient harm. If organizational risk is found, the Corporate claims manager will review the event further. The CRM...adverse events to patients and families. Serves as a consultant and educator to those responsible for disclosure. +… more
- CareFirst (Baltimore, MD)
- …**ESSENTIAL FUNCTIONS:** **Contract Development and Negotiation** + Serves as a consultant and subject matter expert (SME) in contracting and reimbursement, offering ... contract development and negotiations with smaller provider practices based on claims and market analysis. + Supports negotiations, development of strategy, market… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Reporting to the Payment Integrity Program Manager, the Payment Integrity Consultant uses industry knowledge, research skills, payment policy and business operations ... drug fee schedules, including assessing and pricing new codes + Analyze claims data in conjunction with provider reimbursement methodologies and external benchmarks… more
- HUB International (West Fargo, ND)
- …on your career journey. As an **Account Manager,** you will act as a trusted ** insurance consultant ** to personal lines clients. You will focus on marketing ... insurance coverages, making recommendations for **coverage enhancements** , and...**client advocacy** . This role includes negotiating pricing, resolving claims issues, identifying cross-sell opportunities, and maintaining updated client… more
- NetApp (Morrisville, NC)
- …strategy, including property, casualty, workers' compensation, and management liability insurance programs. As a director, you will collaborate with banks, ... insurance brokers, and other internal departments like Finance, Legal,...+ Partner with the business, acting as an internal consultant to advise on shareholder value creation for various… more