- Wayne State University (Detroit, MI)
- …Self-Insurance Corporation (MUSIC) core contracts. This position reports to Senior Director of Enterprise Risk Management & Insurance Programs. Essential ... Risk Management Specialist Wayne State University is searching for...the self-insurance workers' compensation program and assist the Associate Director of ERM in the administration of the Certificate… more
- Ventura County (Ventura, CA)
- …the county's self-insured programs, managing aspects of commercial insurance procurement and claims management , and supporting Countywide agencies in disability ... five years of recent, progressively responsible management experience in risk management , including insurance and claims management for general… more
- AdventHealth (Maitland, FL)
- … for all provider types Managed Care, Patient Financial services, health insurance claims processing, contract management , or medical economics experience ... language as it relates to reimbursement methodologies Applies detailed understanding of medical coding systems affecting the adjudication of claims to include… more
- Festival Foods (WI)
- …Powered Industrial Truck trainers roles and responsibilities + Workplace Safety and Claims Management Strategy:Leads strategy and resource allocation of a ... dynamic team, supporting the areas of workplace safety and claims management . + Long-range planning and project...and conferences. + Oversee and review vocational reports and medical record reports related to various claims … more
- Carnival Cruise Line (Miami, FL)
- …team to assess fitness for duty per International Maritime Health standards. + **Crew Medical Claims Management ** + Escalate high-risk crew cases to risk ... legal and regulatory risks, and logistical constraints. + Coordinate and communicate with medical providers, legal, HR, and case management teams to ensure… more
- Cabinet Peaks Medical Center (Libby, MT)
- …HIM team! HIM Manager, working under the supervision of the Revenue Cycle Director , oversees the management , security, and integrity of patient health ... Cabinet Peaks Medical Center is looking for an experienced Health...increase patient/customer satisfaction. Planning: Aligns all work and resources management with CPMC mission, vision, values, goals and strategic… more
- Carnival Cruise Line (Miami, FL)
- …health team to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management ** + Review crew cases of high risk ... at domicile or regional centers of excellence. + Coordinate and communicate with medical providers, legal, HR, and case management teams to ensure appropriate,… more
- Mount Sinai Health System (New York, NY)
- …concerns. 7. Identifies trends, patterns and findings. 8. Fields issues of concurrent risk management concerns, and/or of a medical , legal and ethical nature. 9. ... of preliminary reports, and determination of priority of investigation given risk management assessment. 10. Collaborates with the Director /Senior Director … more
- City and County of San Francisco (San Francisco, CA)
- …Nurse Consultant, Nurse Manager, and/or Nurse Case Managers to review complex claims and establish medical protocols. 13. Advises the Occupational Nurse ... the Worker's Compensation Supervisor assists and provides first-line oversight of claims adjusting and processing teams for the Workers' Compensation Division.… more
- Community Health Systems (Fort Smith, AR)
- …Administration, or related field preferred_ + _0-1 years of experience in medical billing, reimbursement, claims processing, or accounts receivable required_ + ... Specialist is responsible for processing, reviewing, and verifying reimbursement claims to ensure accuracy, compliance, and timely resolution. This role… more