- Apex Health Solutions (Houston, TX)
- …(CPA) with proven experience in health plan finance, including premium revenue, claims reserves, medical loss ratio analysis, and regulatory reporting. The ... transition and evaluates results. Leadership - Exhibits confidence in self and others; inspires and motivates others to perform...software. Physical Demands The physical demands described here are representative of those that must be met by an… more
- Clark Construction Group, LLC (Mclean, VA)
- …contracts. Will also assist in managing task trackers. + Provide support for claims management. + Oversee and manage all elements of the Company's eDiscovery ... documents, merger and acquisition agreements and other contracts for litigation, claims , and investigations. + Identify, implement, and ensure best practices and… more
- Altium Packaging (Verona, PA)
- …Assists with investigations and reporting of site workers compensation claims . Point of contact with third-party administrator on documentation requests ... for workers compensation claims . Participates in quarterly calls with third-party administrator. Advocate:...platforms for maintaining employee records, documents, and training. + Self -starter with ability to make decisions. + Ability to… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals. Their work goes beyond extraction; it ... as Network and Pharmacy, ensuring data is pulled using the most representative methods. They also support high-risk regulatory reporting, where precision and speed… more
- Horizon Services, Inc. (Hayward, CA)
- …delivery, integrating other HSI subject matter experts such as Clinical & Medical specialists, and expanding services to serve new market segments and/or regions ... CCO. + Leverages the service line's Compliance Manager as the Safety Representative for assigned program location(s) and ensure attendance in monthly Safety… more
- Mass Markets (Wichita, KS)
- POSITION OVERVIEW CUSTOMER SERVICE REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS We are looking for Customer Service Representatives to support ... the job. POSITION RESPONSIBILITIES WHAT DOES A CUSTOMER SERVICE REPRESENTATIVE DO EVERY DAY? In this role, you will...and conscientious) + Ability to multi-task, stay focused and self manage + Strong team orientation and customer focus… more
- DriveTime (Mesa, AZ)
- …+ Ability to drive departmental compliance with all regulatory requirements + Self -motivated with strong decision-making capabilities; ability to self -start + ... + 2+ years of experience in financial services, insurance, claims and/or aftermarket products + Associate degree or bachelor's...for this job_ The Physical demands described within are representative of those that must be met by an… more
- J&J Family of Companies (New York, NY)
- …and a commitment to transforming patient lives, we are expanding our CAPLYTA(R) medical team to support our growing impact in psychiatry. The District Manager has ... product and brand strategy training targets - including approved product attribute/ claims understanding, awareness of competitive products, as well as related… more
- Legacy Treatment Services (Hainesport, NJ)
- …Percentage None Job Shift Day Job Category Insurance The Insurance Verification / Self -Pay Representative for Legacy Treatment Services will verify insurance ... coverage and determine patient responsibility for self -pay accounts. Key duties include verifying patient eligibility, explaining financial obligations to patients,… more
- State of Colorado (Pueblo, CO)
- …safe, secure, and therapeutic setting for patients with both psychiatric and medical issues. The services provided include evaluation and treatment for patients who ... II provides nursing care as assigned (ie activities of daily living, self -maintenance, and hygiene). Participates in implementation of the treatment plan and… more