- 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
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …verifying benefits, updating account information, correcting edits, performing follow-up on unpaid claims , billing or re billing claims to appropriate payer ... or via the Healthcare Link portal correspondence and paper claims . + Process weekly TX Medicaid Self pay eligibility...GERDS. + Other duties as assigned by Supervisor and/or Manager . + Remains current with all licensure, certifications and… more
- Dana-Farber Cancer Institute (Boston, MA)
- …with Business Strategy, the Senior Business Intelligence Analyst builds claims -based analytical models, integrates clinical and operational data, measures key ... and process improvement. Ongoing projects encompass market analyses from claims , referral tracking, and performance measurement for strategic initiatives, all… more
- Ventura County (Ventura, CA)
- …floating holiday. Description Under direction of assigned attorney or manager , provides specialized secretarial, complex clerical and advanced technical support ... while distinguishing between sensitive and public information. + Coordinates with Operations staff in the areas of divorces and community property issues,… more
- Walgreens (The Woodlands, TX)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (The Woodlands, TX)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more