- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis, and medical record reviews of complex claims and ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- BrightSpring Health Services (Nashville, TN)
- …Sr Director's responsibilities include identifying reimbursement issues, ensuring that claims , denials, and appeals are efficiently processed, and resolving ... of month closing procedures. + Develop sustainable processes to bill and adjudicate claims timely to maintain a benchmark cash goal. + Develop denial management… more
- The Hartford (Remote, OR)
- …matters and we put the customer at the center of all we do. The Senior Staff Attorney is an in-house, fully remote, position that will handle a designated caseload ... of defense strategies with autonomy. * Partner with our Claims Partners to achieve the best results for our...with the court, witnesses, opposing counsel and co-counsel with professional diplomacy and discretion. * Facilitate prompt, efficient and… more
- ICW Group (CA)
- …Learn more about why you want to be here! The ** Senior ** **Safety/Risk Management Consultant** will identify and quantify policyholder Workers Compensation, ... stakeholders in conducting research or accident investigations to sustain claims and underwriting initiatives. + Identifies and quantifies Workers' Compensation… more
- Amgen (Thousand Oaks, CA)
- …the lives of patients while transforming your career. **R&D Strategic Scientific Communications Senior Manager** **What you will do** Let's do this. Let's change the ... world. In this vital role as **R&D Strategic Scientific Communications Senior Manager** you transform complex science into compelling stories. You will own the… more
- The Hartford (Lake Mary, FL)
- …+ Communicate with the court, witnesses, opposing counsel, and co-counsel with professional diplomacy and discretion. + Participate in claims file reviews. ... as we help shape the future. As an in-house Senior Staff Attorney for The Hartford, you will join...seminars in order to maintain a high level of professional expertise. QUALIFICATIONS: + Juris Doctorate Degree from an… more
- Mount Sinai Health System (New York, NY)
- …Opportunity for advancement within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations ... + Opportunity for mentorship from senior MSHP leaders + Opportunity to be part of...coding, modeling, and reporting on Hospital Billing (HB) and Professional Billing (PB) contracts for the MSHS Health System.… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …key to driving successful IT development initiatives within the Pharmacy Benefits Manager (PBM) claims space. As a Senior Consultant, you will serve as a ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Business Systems Consultant Location: Hybrid | Eagan, Minnesota Career Area:… more
- DriveTime (Tempe, AZ)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **_This is...eligible for hire at this time._** In long, our Senior Analyst, Strategic Analytics are responsible for: + Innovate… more
- Mount Sinai Health System (New York, NY)
- …a medical, legal and ethical nature. 9. Interfaces with the HRA/TDC on-site Professional Liability Investigators: reporting potential claims as well as cases of ... **Job Description** Senior Clinical Risk Manager The Senior ...applicable)** NYS RN, NP or PA or allied health professional licensure CPHRM preferred **Qualifications** The Mount Sinai Health… more