- CDM Smith (Sacramento, CA)
- …program controls, processes, and tools. CDM Smith is seeking a strategic Senior Professional Engineer with substantial Construction Manager / Resident Engineer (RE) ... CM organizational hierarchy, providing strategic leadership and direction. As a strategic Senior Construction Manager / Resident Engineer (RE) and leader at the… more
- Air Combat Command (Langley AFB, VA)
- …determinations and resolution of mistakes in bids, protests, contract disputes, contract claims , and fraud remedies. Furnishes oral advice as to legal authority, ... determinations, approvals, and file documentation to buyers, contracting officers, and senior acquisition and program management personnel, as required during the… more
- Highmark Health (Jefferson City, MO)
- …resources available to transition to AHN or other community providers. + Advocate for the member by providing assistance with transferring medical records, making ... department (including but not limited to Product Management, membership, claims , eMarketing, etc.). Identify any opportunities for process improvements.Success will… more
- City of New York (New York, NY)
- …for independent judgment, action and decision-making, the General Counsel serves as the Senior Attorney of the Department and is a member of the Commissioner's ... in Family and Adult Court conferences. - Oversees the Office of The Advocate , which conducts investigations into allegations of employee misconduct (CS law section… more
- American Airlines (Dallas, TX)
- …procedures, and programs. **What you'll do** + Conducts investigations into claims of potential harassment, retaliation, and discrimination both domestically and ... internationally; escalates to senior personnel as needed + Provides investigations findings and...partner team on various projects/committees + Serves as an advocate for our employees **All you'll need for success**… more
- Government Publishing Office (Washington, DC)
- …and assists in developing new GPO policy and procedures for approval of senior GPO officials, typically relating to the implementation of changes resulting from ... You MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts which cites… more
- The Cigna Group (Toledo, OH)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... Experience in developing and managing key provider relationships including senior executives. + Knowledge of complex reimbursement methodologies, including incentive… more
- The Cigna Group (Independence, OH)
- …of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
- Humana (Helena, MT)
- …adhere to CMS mandates and NCQA standards. + **Technical debt management:** Advocate for the resolution of technical debt and architectural improvements, balancing ... leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with **CMS Stars… more
- Ascension Health (Bartlesville, OK)
- …metrics using analytical techniques and reports with meaningful impact. + Advocate and follow best practice process adoption, suggest opportunities to improve ... and manage a team responsible for investigating and escalating claims through different escalation channels + Act as a...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more