- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …Staff (ACOS) for Community Care. The ACOS of Community Care is a senior leadership position within the Health Care System, responsible for overseeing the planning, ... denial of Community Care consults, unauthorized/Mill Bill and traditional VA Community Care claims based on eligibility criteria. The Chief, CCS, is a senior … more
- Patent and Trademark Office (Alexandria County, VA)
- …standards. Early in your career, you'll work closely with supervisors and senior examiners, receiving extensive guidance as you develop your skills and review ... examination decisions, discuss them in depth with supervisors or senior examiners, and refine your work based on their...be able to comply with the relevant rules of professional conduct regarding any possible professional responsibility… more
- PPL Corporation (Allentown, PA)
- …subject matter experts and leading teams in executing project plans. Guidance from Senior Project Managers or Project Managers would typically be sought by the ... PPL Electric iv. Utilities in a manner that meets the highest standards of professional conduct and integrity. v. Plan and manage small to medium size projects from… more
- Gwinnett County Public Schools (Suwanee, GA)
- …in Educational Leadership and/or Support Personnel License issued by the Georgia Professional Standards Commission. Senior Professional Human Resources, SPHR ... present educational programs and/or workshops; ability to investigate and analyze claims information and to draw conclusions; advanced analytical, evaluative, and… more
- Prime Healthcare (Redding, CA)
- …missing documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of professional fee ... their family. For more information, visit www.shastaregional.com. Responsibilities The Senior Medicare-Medicaid Biller/Collector is responsible for both billing and… more
- University of Iowa Community Credit Union (Dubuque, IA)
- …Insurance Representative works closely with the License Insurance Repersentatives, Senior License Insurance Representatives, Insurance Processors Senior Account ... primary duties of this position include accurate, timely and professional service to all members and staff of GreenState...quote, provide advice regarding insurance products and services, submit claims , advise about claims process, calls out… more
- Mount Sinai Health System (New York, NY)
- …42nd Street Corporate Offices** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a...2) adherence to policies, procedures, rules, and regulations, 3) professional conduct in dealing with persons internal and external… more
- CSL Behring (King Of Prussia, PA)
- …and market dynamics. Present detailed quantitative analysis and qualitative insights to senior leadership in a manner that is easily interpreted and aids strategic ... resources. + Strong business acumen & presentation skills to senior leadership to aid & influence the data driven...economics). Master's Degree preferred + 8 to 10 years' professional experience with a focus on quantitative analysis and… more
- Evolent (Cheyenne, WY)
- …CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more
- Conifer Realty LLC (Rochester, NY)
- …captive insurance company and Risk Management function, ensuring incident data, claims management, and loss control programs are fully integrated with security ... safety risk assessments leveraging law enforcement data, regional crime statistics, claims history, inherent exposure potential and site evaluations. + Partner with… more