- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under minimal direction, the Quality/Risk Specialist (QRS) II supports the effective surveillance, analysis, and prevention of events which may ... injure patients, lead to malpractice claims , and cause loss to the health care system....and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual… more
- Trinity Health (Columbus, OH)
- …**Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the ... analysis, audit, provider relations and more. **About the job:** Provider Service Specialist responds in a timely and accurate manner to provider inquiries made… more
- Regions Bank (Hoover, AL)
- …section of the system. **Job Description:** At Regions, the Bank Operations Levy/Garnishment Specialist processes claims from third parties on customer funds to ... Benefits + Health Savings Account + Flexible Spending Account + Life Insurance + Parental Leave + Employee Assistance Program + Associate Volunteer Program… more
- Regions Bank (Montgomery, AL)
- …Description:** At Regions, the Commercial Banking Solutions Relationship Support Specialist supports Commercial Banking Solutions Relationship Managers and their ... needed + Serves as point of contact for fraud claims and research requests which require escalation and investigation...Health Savings Account + Flexible Spending Account + Life Insurance + Parental Leave + Employee Assistance Program +… more
- Insight Global (Robinson, PA)
- …Description A closed door pharmacy is looking to hire a Pharmacy Prior Authorization Specialist . This role will include assisting in the initiation of new prior auth ... requests, identifying correct forms required for patients insurance , coordinating information for forms, and following up with...work shifts ranging from 8 am - 8 pm Bachelors Pharmacy Tech License Knowledge of Pharmacy Benefits and Claims… more
- McLaren Health Care (Flint, MI)
- We are looking for a Intake Specialist , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren ... to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ . **Position… more
- GSI Service Group Inc. (Boulder, CO)
- **JOB DESCRIPTION/SUMMARY** The Contracts and Procurement Specialist plays a central role in both subcontracting and prime contract administration functions across ... all phases of project lifecycle + Monitor subcontractor compliance with insurance , bonding, safety, licensing, flowdown clauses, and other contractual requirements +… more
- Regions Bank (Hoover, AL)
- …of the system. **Job Description:** At Regions, the Financial Crimes Fraud Specialist monitors fraud prevention reports and/or reviews and resolves claims ... Benefits + Health Savings Account + Flexible Spending Account + Life Insurance + Parental Leave + Employee Assistance Program + Associate Volunteer Program… more
- CareFirst (Baltimore, MD)
- … insurance /managed care operations experience in a customer service, claims , billing and enrollment, or call center environment. **Preferred Qualifications:** ... verification and/or appropriate actions. **Licenses/Certifications** : Certified Provider Credentialing Specialist (CPCS) Preferred Salary Range: $38,520 - $70,620 **Salary… more
- Immigration and Customs Enforcement (Washington, DC)
- …These are non-bargaining unit positions. Responsibilities As an Information Technology Specialist (InfoSec), at the full performance level, you will perform the ... must be met by the closing date of this announcement. Qualification claims will be subject to verification. National Service Experience (ie, volunteer experience):… more