- The Cigna Group (Detroit, MI)
- …audits to address identified risks and present findings to the Sr Audit Manager . The Staff Auditor may participate in third-party audits and work collaboratively ... as needed. The Auditor role will support the Sr. Manager - Audit on some escalated issues and projects. **Location**...informed, objective assessment of the accuracy and legitimacy of claims audited. + Utilize personal knowledge of medications and… more
- Covenant Health Inc. (Sevierville, TN)
- …system, unit/department budgetary preparations with ongoing financial analysis of operations , and performance metric reporting, as outlined below. The position ... that must be brought to the attention of the manager or director for intervention and resolution. Finance Duties...budgets. + Develop staffing matrixes. + Assists with delayed claims and late charges as assigned. Project Management +… more
- Chart Industries (Buffalo, NY)
- …to purchase order receipts. + Support and work in conjunction with Supply Chain Manager and Operations Manager toensure timely shipment + Investigate and ... to manage vendor relationships, mitigate risk by handling freight claims , and ensure efficient, cost-effective movement of goods, we...resolve freight claims . + Approve freight invoices + Align with all… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- …of the program is the design, development, implementation, and management of the SIOP Operations Center (SOC). The SOC will serve as both a working and briefing ... but not mandatory) + Applicable certification (ie Certified Defense Financial Manager , Certified Construction Manager , PMP, or Professional Cost… more
- UIC Government Services and the Bowhead Family of Companies (Tyndall AFB, FL)
- …Base, FL., responsible for admin duties relating to work for all boat operations related to the contractor operation maintenance and Logistics of 120' Missile ... daily. + Performs duties as requested by the Program Manager and assistant Program Manager . Bowhead seeks...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- UIC Government Services and the Bowhead Family of Companies (Norfolk, VA)
- …and support functional enhancements. + Utilize the National Help Desk Service Manager (NHDSM) or similar ticketing system to log, track, and resolve customer ... of relevant experience with IT systems or relevant business operations in business, management, or a related field. Years...preferably with experience in the National Help Desk Service Manager (NHDSM) or a similar system + Ability to… more
- Albany Medical Center (Albany, NY)
- …is responsible for the day to day staff oversight and daily billing operations of the Billing Unit in the Hospital Patient Financial Services Department. This ... daily basis Validate timely follow up on all outstanding claims Validate timely submission of all payor appeals for...Ensures staff meetings are held monthly with assistance from Manager Cooperates and works with Manager and… more
- State of Massachusetts (Worcester, MA)
- …is looking for Customer Service Interns to support the goals of the Operations and Customer Service Departments. The intern will provide high level customer service ... skills while also developing knowledge of Lottery products and operations . *ESSENTIAL FUNCTIONS* * Answer telephone inquiries from the...from the general public and agents. * Process customer claims for winning tickets of all games and generate… more
- Medtronic (Northridge, CA)
- …Plan Solutions corporate account managers in overseeing assigned health plan operations . + Develop conclusions and recommendations, and present findings to Health ... contractual relationships. + Working knowledge of pharmacy adjudication and operations (eg, NDC coding, adjudication rejection handling, ship-to-soon edits). +… more
- CVS Health (MA)
- …use technology-enabled population identification based on multisource data integration - medical claims , pharmacy claims , lab data and member inputs- for ... Summary:** The Director will own the P&L, strategy, and operations of Healthspire's obesity management program. The clinical care...The Director will lead a team of four senior manager direct reports and be responsible for: + Delivering… more