- The Cigna Group (Morristown, NJ)
- …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
- Robert Half Technology (Florham Park, NJ)
- Description A Senior Software Business Analyst is needed to play a crucial role in connecting business requirements to technical solutions. This role involves ... technology platforms, and more. With a strong presence as an industry advocate , the focus remains on delivering strategic channel management, advanced products, and… more
- Huron Consulting Group (Van Buren, AR)
- …you provide. This position reports directly to the Insights Management Senior Director. **RESPONSIBILITIES** + Extract and analyze data from Huron's analytics ... **PREFERRED QUALIFICATIONS** + Experience with comprehensive healthcare data sets ( claims , financial performance, clinical, and other related healthcare data) +… more
- Amazon (Sunnyvale, CA)
- …cross-functional business reviews. This requires that the Business Manager be both an advocate for the supplier within Lab126 and be their harshest critic to ensure ... business relationship including contracts, pricing, terms and conditions and claims . Must be an effective negotiator. The value of...5+ years of managing, analyzing and communicating results to senior leadership experience - - 7+ years of supply… more
- Huron Consulting Group (Van Buren, AR)
- …technical consultants to help our clients maximize their technology investments. Our Senior Consultants come with a wide variety of experience leveraging their ... Rev Guardian, Charge Router, CDM Maintenance + Previous experience in claims , RMC Actions, Late Charge/Replacement Claim Processing, Self-Pay Workflows and Denial… more
- UHS (Binghamton, NY)
- …claim denials by analyzing denial patterns, investigating and appealing denied claims , and collaborating across departments including with physicians, providers, and ... Aetna, Excellus, UHS, and WellCare to stay informed and advocate for resolution of systemic issues. + Work with...recognition, and initiatives like Walk in my Shoes for senior leaders are just a few ways we foster… more
- McLaren Health Care (Indianapolis, IN)
- …at the most appropriate and cost-effective setting. Performs as the member advocate with emphasis on education regarding managed care, disease management and PCP ... risk, and under and overuse of services. Collaborates with Medical Director and senior management on complex cases and special projects. **This position is hybrid… more
- UNUM (Portland, ME)
- …and enhancing your professional skills + Gain exposure to networking opportunities with senior leader across our enterprise locations + Take part in social events, ... service activities, by supporting organizations that make our communities stronger, advocate for greater access to the benefits that strengthen our societies… more
- Villa Restaurant Group (Morristown, NJ)
- …outside labor attorneys. + Partner with an employment attorney on any claims of harassment, discrimination, unlawful terminations, or any other employment matters. ... and reserves and establishes company Key Performance Indicators for risk minimization. VRG Advocate + Represent VRG with local industry and community groups to build… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …database for all individuals residing in the borough including family and advocate contact information. Updates information as needed and distributes to all ... for special trainings or meetings. 11. Answers telephone and maintains calendar for Senior Director and/or Director. 12. Maintains and keeps track of Borough staff… more