- AmeriHealth Caritas (Dublin, OH)
- …Oversee provider contract data submission for accurate system configuration and claims payment. + Manage internal operations and coordinate corporate functions ... supporting claims processing and encounter data submissions. + Maintain current...a matrixed organization is required. + Proven ability to lead teams, inspire collaboration, and translate complex strategies into… more
- Elevance Health (St. Louis, MO)
- …, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... human capital resources, and partners with care management, network, claims & operational teams, IT, and business partners. +...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Marriott (Denver, CO)
- …and monitoring performance. * Provides personal assistance, medical attention, emotional support , or other personal care to others such as coworkers, customers, ... "open door" policy. * Utilizes interpersonal and communication skills to lead , influence, and encourage others; advocates sound financial/business decision making;… more
- Elevance Health (San Juan, PR)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a… more
- Citi Trends (Savannah, GA)
- …as on-time delivery, freight cost per unit/carton, carrier performance, and delivery lead times. + Support the optimization of last-mile delivery operations. ... management systems (TMS) and route optimization tools. + Review and process claims for lost, damaged, or delayed packages. + Conduct root cause analysis… more
- Elevance Health (South Portland, ME)
- …conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing ... information. + Identify opportunities for improvement and any provide support and assistance to G&A Analyst I associates as...of 3 years experience working in grievances and appeals, claims , or customer service; or any combination of education… more
- Prime Therapeutics (Topeka, KS)
- …to scope, quality, efficiency, budget, schedule and benefit. **Responsibilities** + Lead the development of the department reporting strategy based on compliance ... and deployment plans, coordination of training, and other necessary support plans for client group + Other duties as...+ Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Prime Therapeutics (Annapolis, MD)
- …solutions that advance or achieve Prime's strategic priorities. This role will support operational readiness for new business and/or products, assist with driving ... presentations utilized to provide recommendations on product discovery and definition, lead estimation efforts and delivery at performance review sessions + Create,… more
- Elevance Health (Plano, TX)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... due health insurance premiums and/or past due health insurance claims . **How You Will Make an Impact** Primary duties...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Belcan (North Hollywood, CA)
- …customer claims and development of Parker assertions. * Provides support to assigned programs, conducts contract risk management reviews and makes ... are clear and conform to company policy. * Investigates and resolves claims or complaints by collecting and analyzing information. * Coordinates with relevant… more