- Access Dubuque (Dubuque, IA)
- …& Butler/ SISCO Claims Coordinator Cottingham & Butler/ SISCO Entry Level Sales Executive - Risk Management Cottingham & Butler/ SISCO Experienced Sales ... data integrity by accurately interpreting the leave and disability claims data coding hierarchy and applying the correct leave...Executive - Risk Management Cottingham & Butler/ SISCO **Share… more
- Johns Hopkins University (Baltimore, MD)
- …such as claims processing, premium billing, encounter data, utilization management , risk adjustment, provider contracting, quality metrics, and related ... the assigned audit plan address appropriate risks identified and concludes on risk management strategies, considering industry best practices and cost benefit.… more
- Boston Mutual Life Insurance (Canton, MA)
- …in claims that may impact company practices and processes. **Compliance and Risk Management ** : + Ensure all Claim processing activities comply with ... experts to direct investigations and resolve complex and litigated claims . **Financial Management ** : + Develops and...in regulations affecting Claim services. + Develop and implement risk management strategies to minimize financial and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …calculations, reserve management , trend analysis, credibility theory for large risk pools + ** Claims analytics:** Advanced utilization analysis, predictive ... to EHP Governance Committee and semi-annually to University Board ** Risk Management & Actuarial Oversight** + Restructure...modeling, risk stratification across 20M+ annual claims + **VBC contracting:** Shared savings/ risk design,… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …suppliers, identify and implement sourcing and supplier process improvement initiatives. ** Risk Management :** Identify potential risks and develop mitigation ... **The R&D Strategic Sourcing Associate Director,** Supplier Relationship Management is a pivotal role responsible for ensuring compliance with procurement policies… more
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …while a visitor or patient at the WNCVAHCS. CCIC will work collaboratively with the Risk Manager and/or OGC on tort claims depending on the complexity of the ... Coordinator (CCIC) in the Corporate Compliance section (CCS), Office of the Executive Director. The incumbent works directly for the Chief, Corporate Compliance, who… more
- Elevance Health (St. Louis, MO)
- …of care initiatives, negotiates for human capital resources, and partners with care management , network, claims & operational teams, IT, and business partners. + ... an office._** The **Business Strategy Plan Director- MedEx (Medical Expense) Management ** is responsible for managing the development and implementation of medical… more
- Access Dubuque (Dubuque, IA)
- …Sales Executive - Employee Benefits Cottingham & Butler/ SISCO Entry Level Sales Executive - Risk Management Cottingham & Butler/ SISCO Entry Level Sales ... comprehensive nursing services, resource consulting, safety and loss control management , and claims management . At...- Employee Benefits Cottingham & Butler/ SISCO Experienced Sales Executive - Risk Management Cottingham… more
- Sedgwick (Dublin, OH)
- …information that meets both the internal and external customer's requirements accurately into the claims management system. + Assigns new claims to the ... the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- FirstBank PR (San Juan, PR)
- …Requirement Documents (BRDs) documentation to present in various committees to obtain management approval and executive buy-in for new initiatives. - Assist ... Product Programs (or Product MEMOs), BARA, IBRAs to receive internal regulatory/ risk /compliance approval. - Support development, project management , and… more