- FM (Johnston, RI)
- Established nearly two centuries ago, FM is a leading mutual insurance company whose capital, scientific research capability and engineering expertise are solely ... cost-effective risk management decisions, combining property loss prevention with insurance protection. **Summary** The Corporate Affairs Contracts Specialist II… more
- Takeda Pharmaceuticals (Lexington, MA)
- …and/or operational resource, upon the request of internal and external business partners, health care professionals (HCPs) and consumers. As part of the US Medical ... approval of clinical data on file to support promotional claims . * Drive innovation by integrating AI technologies to...* You will have a doctoral degree in a health -sciences related field such as a PharmD, MD or… more
- Humana (San Juan, PR)
- **Become a part of our caring community and help us put health first** The Provider Group Medicare Inbound Contacts Representative 2 represents the company by ... calls daily from providers to check on members and claims in a fast-paced inbound call center environment.** +...to keep you informed. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Herbalife (Winston Salem, NC)
- …weekly shipping schedules to meet date sensitive events timing. + Manage the claims and the Resupply Order discrepancy resolution process with Herbalife DCs both ... to solve practical problems and carry out responsibilities under minimal remote supervision Experience: + Five years supply chain operations experience, preferably… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …readiness. * Expertise in analyzing large and disparate datasets, including, enrollment, payment, claims , financial and population health data and meta data. * ... Management teams to align risk adjustment initiatives with population health , care coordination, and quality improvement programs. * Oversees...package which may include: * Medical, dental, and vision insurance * Life insurance * 401k *… more
- Sargent & Lundy (Atlanta, GA)
- …management and/or commissioning management work plans. + Perform Home office or remote pre-construction planning work before field mobilization. + Lead and manage ... and suppliers to ensure terms and deliverables are met. + Handle disputes or claims arising from contract performance. + Adhere to estimated costs and ensure the… more
- UCHealth (Denver, CO)
- …and validating MS-DRG, APC, or RVU designations. This is a remote position; eligible out-of-state candidates may be considered. Responsibilities: + Conducts ... + Presents coding education to staff, leadership and others throughout the Health System. Provides training as necessary. Assists with developing and guiding SMEs… more
- Centene Corporation (New York, NY)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....+ Interpret and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess… more
- Centene Corporation (Jefferson City, MO)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national… more
- Centene Corporation (New York, NY)
- …per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more