- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- …**Core Content Development** + Under the guidance of the Associate Director , Medical Communications, draft and maintain high-priority, foundational scientific ... The Manager, Medical Core Content is a team-level operational role...external regulations. This position reports directly to the Associate Director , CNS Scientific Communications. **Job Description** **Key Responsibilities Include:**… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- THIS IS NOT A REMOTE POSITION We are hiring a Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, ... correspond with insurance companies to obtain accurate reimbursement for healthcare claims . This person will also be responsible for analyzing, abstracting,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case ... identifies and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and… more
- Boehringer Ingelheim (Ridgefield, CT)
- …data, claims data, data processing, modeling, visualizations. Sr. Associate Director Requirements: + Bachelors degree from an accredited institution and a ... US Brand (Oncology), Marketing, Sales, Patient Excellence, Market Access and Medical Affairs. Identify data needs, business requirements, translate to reporting… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case ... identifies and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and… more
- UNUM (Chattanooga, TN)
- …specifications of either the Leave or Disability Benefit Specialist roles + Medical background, Disability claim and/or leave management experience preferred + ... fair, objective, and timely adjudication of the most complex short-term disability claims in conjunction with providing technical expertise regarding FMLA and state… more
- Dollar Tree (Chesapeake, VA)
- …key changes in the legal and regulatory environment. + Special projects assigned by Director of Claims & Litigation. + Manage and mentor claim professional(s). ... insurance broker. At least 3 must be in a management role. + Litigated liability claims experience....handling multiple tasks and meeting deadlines. + Knowledge of medical terminology, medical treatment protocols, and legal… more
- Billings Clinic (Billings, MT)
- …to fulfill the organization's strategic initiatives for risk prevention, risk and claims management , patient safety and process improvement. * Identifies and ... required to meet the needs of the Risk * Management Committee, Medical Staff, or others requiring... Plan that organizes both risk prevention measures and claims processing and management systems for the… more
- Family Dollar (Chesapeake, VA)
- Responsible for optimizing the end-to-end workers' compensation claims process, leveraging our Third-Party Administrator (TPA) partnership to accelerate resolution ... external clients, vendors, and industry peers, ultimately establishing Family Dollar's claims program as "Best in Class" through continuous cost reduction, enhanced… more
- Trinity Health (Davenport, IA)
- …and participates in Healthcare Failure Mode and Effect Analysis. + Actively supports data management , claims management , and the education components of the ... **POSITION PURPOSE** The purpose of the Specialist of Risk Management is, under the direction of the director...are not limited to, insurance coverage and risk financing, claims management , interfacing with defense legal counsel,… more