- Transdev (Phoenix, AZ)
- …Lead, mentor, and audit injury investigations, working closely with the TAS Claims Manager to reduce claims and oversee the return-to-work program. + Conduct ... statutes-manual and autonomous-across all operational markets. + Maintain and audit compliance with regulatory and contractual requirements, including AVT Permit… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …certifications, P4P outcomes, and actuarial analyses. + Respond to federal or state audit inquiries and support risk mitigation strategies. + Evaluate the ... analysis of Medical Loss Ratios (MLRs), Pay-for-Performance (P4P) evaluations, risk corridors, and reconciliation of financial reporting submitted by Managed… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …as needed. + Contribute to the continuous improvement of the end-to-end labeling process and support labeling inspection / audit readiness activities. + Provide ... Review Team: Ensure Core Data Sheet accurately reflects current understanding of benefit/ risk profile. + Ensure that deliverables are met, and labeling claims… more
- Maloney Properties, Inc. (Wellesley, MA)
- …Omission, Directors & Officers, General Liability and employment practices liability. + Process workers' compensation claims and reporting. + Collaborate with ... not on the company's master insurance program, including Executive Risk Coverages, Crime and Fiduciary, Cyber, Real Estate Errors...OSHA annual reporting. + Oversee annual 401 (k) census audit and follow up and process hardship… more
- Takeda Pharmaceuticals (Boston, MA)
- …nonclinical and clinical data on product labeling. + Knowledge of Health Authority audit process and ability to participate in partner / health authority ... the "Apply" button, I understand that my employment application process with Takeda will commence and that the information...to patients and Health Care Providers while minimizing the risk of write-offs. + Responsible for working with direct… more
- Sunrise Senior Living (Park Ridge, IL)
- …resolutions. + Complete payroll reconciliation per Sunrise internal business controls. + Process and manage unemployment and worker's compensation claims and ... such as, Payroll and Human Resources Administration, Recruitment Administration and Process , Information Monitoring/ Process and Systems, Financial Systems Close… more
- IQVIA (Wayne, PA)
- … claims processing** . + Identify and manage **payment data related to claims , rebill, and manage overrides.** + Audit readiness and fraud detection-including ... key growth drivers and trends. + Leads the monthly management forecast process for **pharmacy rebate manufacturers.** + Recommends and implements system solutions… more
- Fujifilm (Baton Rouge, LA)
- …assessment. Support development of new or updated polices to address new risk areas or to improve operations and/or internal controls. + Conduct healthcare, ... anti-corruption, antitrust, anti-corruption, and anti-money laundering compliance risk analysis. Identify potential areas of compliance vulnerability and risk .… more
- Sedgwick (Albuquerque, NM)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Participate in special projects and process improvement initiatives. + Assist with internal or external audit… more
- WM (Reserve, LA)
- …way. **Position Purpose:** This role mitigates Stericycle's exposure to risk by leading, planning, coordinating, and implementing safety management systems ... compliance. Also responsible for local coordination and management of claims -related activities, including working closely with third party administrators (TPA)… more
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