• Director, Medical Information & Review

    Takeda Pharmaceuticals (Lexington, MA)
    …development and review and approval of clinical data on file to support promotional claims . + Leads the Medical Review process, procedures, and documentation of ... documents and enforcement action letters as applicable to promotional claims and shares implications with Medical Reviewers...US based employees may be eligible to participate in medical , dental, vision insurance , a 401(k) plan… more
    Takeda Pharmaceuticals (08/15/25)
    - Related Jobs
  • Dir Revenue Cycle

    Covenant Health Inc. (Knoxville, TN)
    …Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with ... , outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical Group (http://www.covenantmedicalgroup.org/) , our area's fastest-growing physician practice… more
    Covenant Health Inc. (08/11/25)
    - Related Jobs
  • Service Center Representative | Cincinnati, OH…

    Sedgwick (Blue Ash, OH)
    …Inbound call center experience preferred. **Skills & Knowledge** + Knowledge of medical terminology + Understanding of claims management + Excellent oral ... PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health more
    Sedgwick (09/20/25)
    - Related Jobs
  • Service Center Representative- Blue Ash|…

    Sedgwick (Cincinnati, OH)
    …Inbound call center experience preferred. **Skills & Knowledge** + Knowledge of medical terminology + Understanding of claims management + Excellent oral ... PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health more
    Sedgwick (09/02/25)
    - Related Jobs
  • Specialist, Workers Comp

    Tractor Supply Company (Brentwood, TN)
    …mitigate claims expense including, but not limited to consistent medical care, minimizes overutilization, litigation costs and all other vendors are effectively ... to all stakeholders as needed + Ensures confidentiality of Workers' Compensation claims records; including relevant health information related to the claim.… more
    Tractor Supply Company (08/14/25)
    - Related Jobs
  • MSO Healthcare Contract Specialist

    HCA Healthcare (Campbell, CA)
    …team. **Benefits** HCA Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... programs include: + Comprehensive medical coverage that covers many common services at no...a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and… more
    HCA Healthcare (07/26/25)
    - Related Jobs
  • State Veterans' Service Officer

    MyFlorida (Orlando, FL)
    …Paid Bi-weekly Excellent retirement package and optional deferred compensation plan. Health , vision, dental, disability, and other supplemental insurance ... center at the request of the veteran or health care provider within 48 hours of the request....all accredited organizations, state, county or others in obtaining medical information necessary to support claims for… more
    MyFlorida (09/22/25)
    - Related Jobs
  • Associate, Reimbursement Collections

    BAYADA Home Health Care (Pennsauken, NJ)
    …following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k with company match, direct ... BAYADA Home Health Care is seeking a Healthcare Medical...denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways… more
    BAYADA Home Health Care (08/14/25)
    - Related Jobs
  • Product Mgr II, Insurance (Hybrid)

    RELX INC (Alpharetta, GA)
    …agencies. + Familiarity with driving records, MVRs, or violation data used in insurance underwriting or claims . + Background in data-driven product environments ... essential partner in the assessment of risk. Within our Insurance vertical, we provide customers with solutions and decision...of the benefits we are delighted to offer: * Health Benefits: Comprehensive, multi-carrier program for medical ,… more
    RELX INC (07/10/25)
    - Related Jobs
  • Insurance Verification Specialist

    Robert Half Office Team (Long Beach, CA)
    … providers. + Obtain and validate pre-authorization and referral requirements for medical services. + Accurately input patient insurance information into the ... of HIPAA regulations and maintaining patient confidentiality. + Proficiency in insurance verification systems and electronic health records (EHR) systems.… more
    Robert Half Office Team (09/07/25)
    - Related Jobs