- St. Luke's University Health Network (Allentown, PA)
- …for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure ... or their respective auditors JOB DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical record reviews for clinical validation of diagnosis and procedure code… more
- Gilead Sciences, Inc. (Foster City, CA)
- …ensuring compliance with government and commercial pricing programs that impact contract management and claims processing. + Proficiency with Model N, SAP, ... The Senior Manager, Contract Process Excellence, will report to the Senior Director , Contract Process Excellence within Market Access Operations, and be responsible… more
- The County of Los Angeles (Los Angeles, CA)
- …CLASSIFICATION STANDARDS Positions allocable to this class report to an Assistant Director , Bureau Operations, Sheriff and function as staff psychologists at the ... and their family members, providing 24-hour crisis intervention services to management and department personnel, and providing human relations consultation services… more
- Mass Markets (Wichita, KS)
- …Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, ... and possess a strong work ethic. A background in call center operations management is required, and customer service, technical support, or back-office experience is… more
- CSL Behring (King Of Prussia, PA)
- …Lead, Strategic Forecasting and Portfolio Analytics **Reporting to:** Director , Strategic Forecasting & Portfolio Analytics **Position Description Summary:** ... . Reporting to the Director of Strategic Forecasting & Portfolio Analytics, you will...**Main Responsibilities & Accountabilities:** * Lead the development and management of comprehensive long-term forecasting models for global therapeutic… more
- MyFlorida (Tallahassee, FL)
- …Estimator Tool (https://compcalculator.myflorida.com/) DIVISION OF PROFESSIONS (DIVISION DIRECTOR 'S OFFICE) Government Analyst I Position Number: 79001505 ... Commission. The Work You Will Do: This position assists the Senior Management Analyst Supervisor with managing contracts, preparing rule making packets, conducting… more
- Ace Hardware (Auburn, ME)
- …all POG changes related to retail execution with and to the Sales Director , Strategic Account Manager and the Customer(s). This position will be responsible to ... turns and sales results. + Maintain exemplary relations with store personnel and management that drives Emery Jensen's value proposition. + Walk floor, inspect Emery… more
- Boehringer Ingelheim (Ridgefield, CT)
- …To protect the assets of BIPIs and to provide support to the Director , Contract Compliance by: managing the administration of Administrative Fees (BIPI) Purchase ... goals. Within Contract Compliance, this individual will also provide support to the Director , Contract Compliance as it pertains to managing the terms and conditions… more
- University of Southern California (Los Angeles, CA)
- …testing is complete or when patients are non-compliant in completing medical services, coordinating collection of testing results and provider notes, coordinating ... Maintains files and records, including supporting documentation for insurance claims . Maintains master appointment/surgery calendar for physician(s). Oversees equipment… more
- MyFlorida (Tallahassee, FL)
- …the operations of the Medicaid fiscal agent, including Medicaid claims process, billing procedures, reimbursement methodologies, encounter submissions, and provider ... Medicare policies, national Medicaid/CHIP-related research and demonstration projects, Medicaid/CHIP medical assistance program innovations for general and special populations,… more