- Elevance Health (Dearborn, MI)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Business Consultant is responsible for translating moderately ... savings. + Consults with business partners concerning processes, procedures, contracts, processing rules and other system rules. + Collaborate on automation to… more
- UIC Government Services and the Bowhead Family of Companies (San Diego, CA)
- …management to support technical, ancillary, and clinical support to military medical treatment facilities in the pacific Region. This position will support ... + Develop Tines workflows to automate: + SCAP ingestion + RapidFort event processing + Elastic SIEM alert enrichment + Compliance notifications & ticketing +… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …activities for the UT Health RGV clinical enterprise. + Reviews and analyzes medical records to investigate patient concerns of care and grievances alongside patient ... clinical issues, device and equipment compliance, incident management, and claims /lawsuits. + Provides liaison support for quality review processes including… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …oversees the processes for determining eligibility for beneficiary travel, processing requests for reimbursement for travel, maintaining fund control points ... determining method of payment for authorized and unauthorized ambulance claims submitted for consideration; investigates authorizations, orders and/or utilizes… more
- Lions Clubs International (Oak Brook, IL)
- …technology projects and enhancements. This role will actively participate in the claims compliance processing for leadership and conduct internal audit testing. ... the annual internal audit plan. + Audit expense reimbursement claims submitted by Lions leadership. + Develop methods and...off + Flexible and hybrid work schedules + Comprehensive medical , dental, vision, and life insurance plans + Flex… more
- Guardian Life (New York, NY)
- …to process and interpret unstructured data such as contracts, underwriting notes, claims , medical records, and customer interactions. + Develop autonomous agents ... strong experience in Agentic AI, large language models (LLMs), and natural language processing (NLP) and a track record of turning advanced research into practical,… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …copay assistance programs. This includes call center services (inbound and outbound) and claims processing operations. They are part of a highly concierge 'white ... minimum of 3 years working in an inbound call center, handling medical benefits, claim adjudication, third-party billing, and/or provider issues. + Previous… more
- Citizens (Glen Allen, VA)
- …gain the customer's consent on a resolution. + Provide accurate complete claims processing , and records management using established procedures in moving/placing ... documents appropriately through software (eg, claims management system) or manual methods, to maintain claim records. + Experience leadership that's invested in… more
- Amentum (Washington, DC)
- …Senior Paralegal to assist with the Radiation Exposure Compensation Act (RECA/Downwinders) claims team. The Senior Paralegal role is crucial in ensuring the ... efficient and accurate handling of incoming materials supporting claims filed under RECA. This position is responsible for following specific guidance and standard… more
- Prime Healthcare (Kansas City, MO)
- …supports pharmacists by preparing and dispensing medications, assisting patients, processing insurance claims , managing inventory, and maintaining accurate ... Available: Days Employment Type: Full Time Hours: 8-hour shifts Location : St. Joseph Medical Center - Kansas City, MO Here are some of the benefits of working… more