- Mount Sinai Health System (New York, NY)
- …outcomes, communicate impact, and support strategic decision-making (ie, financial, clinical, and claims analyses) * Perform research to inform project teams of ... reputation for quality of care (18th ranked academic medical center) and research /education (22nd ranked medical school). Our health system has ~40,000 employees… more
- Uniland Development Company (Amherst, NY)
- …responsibilities of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and litigation ... pertaining to Uniland's business activities. + Facilitates administration of insurance claims , including builder's risk, liability, and property insurance and other… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …requirements. Primary activities include substantiating referrals, case planning and research , conducting onsite or desk audits, clinical reviews of medical ... in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned,… more
- Lowe's (Greer, SC)
- …call with BDC Operations Managers. *Facilitate weekly calls with 3PL BDC General Manager and Operations Manager to review key areas of opportunity. If ... Distribution Center. The Supervisor is responsible for resolving store claims , reconciling weekly PAR billing, influencing a strong safety...feedback on all opportunities to 3PL BDC supervisor team, Operations Manager and General Manager .… more
- The City of Rochester, MN (Rochester, MN)
- …in the preparation of financial and regulatory reports, statements, and claims for reimbursement according to prescribed guidelines; performs related duties as ... flow and budgets. + Prepare and execute quarterly budget reviews with each manager ; monitor and evaluate budgets and cash flow for appropriateness to ensure fiscal… more
- Duquesne Light Company (Pittsburgh, PA)
- …eligibility for litigation and identify disqualifying factors. + Conduct preliminary legal research and summarize findings for attorneys and claims teams. + ... to manage the full litigation lifecycle including high-value and complex claims . This role requires advanced knowledge of Pennsylvania civil procedure, particularly… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …The individual is to provide support on clinical studies and RWE research with cross-functional teams including internal and external business stakeholders within ... and identification of secondary sources to support health economic claims . **Job Duties** + Serve as a primary analyst...as a primary analyst for clinical studies and RWE research using multiple clinical trial data and healthcare administrative… more
- USAA (San Antonio, TX)
- …collect and analyze data. **What sets you apart:** + P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager , Claims ... assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer… more
- Colorado State University (Fort Collins, CO)
- …Collins, CO Work LocationPosition is fully in-office/in-person Research Professional PositionNo Posting Number202501745AP Position TypeAdmin Professional/ ... transforming lives and improving the human condition through world-class teaching, research , and service. With a robust benefits package, collaborative atmosphere,… more
- Elevance Health (Cerritos, CA)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... + Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and...and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize… more