- IHG (Boston, MA)
- JOB OVERVIEW Assist in the management of day-to-day operations and assignments of People & Culture programs such as recruiting/employment, compensation, benefits, ... feel special. **Duties and Responsibilities** + Assist in the management of day-to-day operations and assignments of People & Culture staff, plan and organize work,… more
- Magellan Health Services (Albuquerque, NM)
- …of care, clinical appeals regarding medical necessity, and the interaction with claims payment policies and processes. Also oversees the health plans 24/7 Nurse ... efficiency of Network strategy and vendor relationships with utilization management and claims processes. Works closely with network on the training and evaluation… more
- Humana (Columbia, SC)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat...Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg… more
- Mass Markets (Killeen, TX)
- …companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business ... join our team in supporting inbound customer service, technical support, and back-office operations for both commercial and public sector clients. In this role, you… more
- UIC Government Services and the Bowhead Family of Companies (Alpine, AK)
- …drawings, and topographic maps to project specifications. + Assist the Survey Manager in planning, coordinating, and controlling field operations . + Conduct ... characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,...our Inupiat shareholders. The size and diversity of our operations means we have a broad variety of career… more
- Ankura (Lexington, NY)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... guidance; and international compliance standards governing pharmaceutical and medical device operations . You will be joining a team of industry experts with… more
- Truist (Orlando, FL)
- …review the following job description:** Under minimal supervision of the Operations Manager , responsible for handling electronic payment exceptions, escalations, ... guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to… more
- Elevance Health (Atlanta, GA)
- …5:00pm Eastern Time The **Senior Process Expert - Automation** supports multiple operations departments by participating in project and process work. **How you will ... make an impact:** + Researches operations workflow problems and system irregularities. + Develops, tests, presents process improvement solutions for new systems, new… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …audits at different venues to include but not limited to Food Service Operations , Retail Store Operations , Manufacturing Plants, and Food Distribution Ops. ... Boars Head Brand. Complete special projects as assigned by the Sr. QA Manager . Job Description: Essential Duties and Responsibilities + Provide advanced super user… more
- The County of Los Angeles (Los Angeles, CA)
- …for managing and conducting highly complex performance audits relating to law enforcement operations . This classification acts as a project manager and is ... DEFINITION Conducts highly complex professional audits of law enforcement operations which includes investigations, programs, procedures, records, and other related… more