• HR Leave Specialist

    Post Holdings Inc. (St. Louis, MO)
    …administrators and disability carriers to ensure accurate and timely processing of claims . + **Leave operations ** : Perform weekly, biweekly, or monthly ... Handle complex, sensitive, or escalated leave cases. + **Employee, manager , and HR partner support** : Provide detailed guidance...managers, and business unit HR partners on leave eligibility, claims payments, and leave impacts on other health &… more
    Post Holdings Inc. (01/10/26)
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  • FEMA Disaster Management Accountant

    CDM Smith (Lakewood, CO)
    …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...of the disaster on the applicant's assets, inventory, and operations . * Expert Testimony and Litigation Support: In cases… more
    CDM Smith (12/11/25)
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  • Provider Engagement Professional

    Humana (Oklahoma City, OK)
    …role will require critical thinking/problem solving skills, understanding of health plan operations , and strong interpersonal skills. Key Role Objectives + Serve as ... primary relationship manager with physical and behavioral health providers to ensure...with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as… more
    Humana (12/07/25)
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  • Director of Revenue Cycle

    HCA Healthcare (Henderson, NV)
    …and Qualifications** Serves as the central point of contact for revenue cycle operations in the PHY Division for our Parallon business partners. Directs and ... company reimbursement analysis. The objective of this position is to streamline operations and improve revenue cycle metrics through detailed analysis and process… more
    HCA Healthcare (01/16/26)
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  • Assistant Director, Health Analytics

    32BJ Benefit Funds (New York, NY)
    …Health Fund leadership the financial and trend analysis of both benefit invoices and claims . + Support the Senior Manager , Health Analytics in the communication ... team focuses on leveraging over 10 years of medical claims data, provider data and pricing data (internal and...and Responsibilities: + With the support of the Senior Manager , Health Analytics, assist in managing, developing, and supporting… more
    32BJ Benefit Funds (01/16/26)
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  • Pharmacy Services Revenue Analyst

    Fairview Health Services (Minneapolis, MN)
    …Administer revenue capture analysis and report by validating reimbursement and investigating claims . + Assist manager in third party payer reimbursement appeals. ... financial reporting, data analysis financial planning, contract proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison… more
    Fairview Health Services (11/15/25)
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  • AD Accounting Reinsurance

    The Hartford (Stamford, CT)
    …both internal and external partners including Brokers, Reinsurers, Cedents, Legal, Actuarial, Claims , Underwriting, Operations , Vendors and/or IT, to achieve the ... Reinsurance (NavRe) organization is looking to transform our treaty underwriting and operations activities both now and into the future. Reporting to the NavRe… more
    The Hartford (12/09/25)
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  • Director of Patient Safety

    HCA Healthcare (Denver, CO)
    …Risk Management with HCA HealthONE Presbyterian St. Luke's, you can be a manager in an organization that is devoted to giving! **Benefits** HCA HealthONE ... Committee and Board of Trustees. Include the patient's story of harm. Risk Management/ Claims Activities (if not otherwise assigned) . Work with defense legal counsel… more
    HCA Healthcare (11/23/25)
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  • Grievance Coordinator

    Corewell Health (Grand Rapids, MI)
    …Federal decisions are properly implemented. Assist the Lead, Supervisor and/or Manager in coordinating activities and in the development/collection of materials ... (external medical records, internal documentation from enterprise-wide systems including: claims payments, billing and enrollment, care management, medical, pharmacy… more
    Corewell Health (01/15/26)
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  • Nurse Auditor Senior - Payment Integrity Complex…

    Elevance Health (Richmond, VA)
    …of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. **How you ... fraud and over-utilization by performing medical reviews via prepayment claims review and post payment auditing + Correlates review...and educational materials + Acts as liaison with service operations as well as other areas of the company… more
    Elevance Health (01/14/26)
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