- Elevance Health (GA)
- **Nurse Case Manager Senior - Field Nurse** **Work location:** This field-based role located in the Albany, GA area enables associates to primarily operate in the ... shift 11:00am to 7:30pm EST. The **Nurse Case Manager Senior - Field Nurse** is responsible for care management...as necessary. + Assists in problem solving with providers, claims or service issues. + Coordinate referrals to local… more
- Keurig Dr Pepper (Frisco, TX)
- …Oversight: Audit and approve transportation invoices and process freight claims . + Process Optimization: Maintain SOPs and partner with providers to drive ... including evenings, weekends, and holidays. Join Keurig Dr Pepper as a Senior Global Logistics Analyst, where you'll manage international import and export… more
- Elevance Health (Indianapolis, IN)
- …- 5:30pm (4 days) 11:30am - 8pm (1 day) EST** The **Nurse Case Manager Senior ** is responsible for care management within the scope of licensure for members with ... management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- AIG (Chicago, IL)
- …the way we help customers to manage risk. Join us as a Senior Regional Production Specialist, Lexington Healthcare to play your part in that transformation. ... + Produce, underwrite, manage and service a profitable book of miscellaneous medical facilities and allied healthcare business. + Utilize underwriter authority in… more
- RTX Corporation (Huntsville, AL)
- …that create a safer, more secure world. We have an exciting opportunity for a ** Senior Manager, Supply Chain (SC) Legal Advisor** , who will report to the Associate ... standard provisions. + Review and advise SC on performance issues such as claims and insolvency. + Assist the organization in writing business processes, policies… more
- Centene Corporation (Austin, TX)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... Monday - Friday; 2:00 pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and handles… more
- GuideOne Insurance (Denver, CO)
- …text from content management systems. + Apply OCR (Optical Character Recognition ) and speech -to-text models to extract meaningful data from ... As a Senior AI Engineer, you will be responsible for...Hugging Face to summarize, interpret, and flag anomalies in claims and underwriting documents. + Implement retrieval-augmented generation (RAG)… more
- Leonardo DRS, Inc. (Fitchburg, MA)
- …able to accurately interpret the results + Support of government compliance and audit activities + Understand contract design and structure to include: FFP; CPIF; ... EVM, cost and pricing, C/SSR); risk management; return on investment (ROI); audit preparation and management; and program review preparation + Maximize IT… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... in response to approved change requests; retain old and new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend… more
- Providence (Burbank, CA)
- …years of Experience in health care or pharmacy billing, collections or medical claims processing. **Preferred qualifications:** + Bachelor's Degree in Business, ... **Description** The Pharmacy Billing Specialist is responsible to proactively audit , monitor, and analyze complex dispensing and charging information, processes and… more