- UPMC (Pittsburgh, PA)
- UPMC Corporate Legal is hiring a Senior Risk Management Specialist to join our team! This position will work a hybrid schedule with onsite work at the Forbes ... UPMC Hospital sits in. Under the supervision of the Senior Manager, Corporate Risk Management, the function of the...is systematic management of potential as well as actual claims . Clinical data will by analyzed to determine areas… more
- Citizens (Irving, TX)
- …challenges? Citizens Bank is seeking a Single Point of Contact (SPOC) Relationship Specialist to serve as the primary liaison for borrowers throughout the default, ... available loss mitigation options, including deferrals, forbearance, loan modifications, partial claims , repayment plans, short sales, or deeds in lieu of… more
- Centene Corporation (Columbus, OH)
- …Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution as it relates to provider set up. Provide ... and liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider contracts by researching and partnering to… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- …are followed, manage manning and staffing project efforts, and lead problem resolution efforts. + Interfaces with system or program contractors, vendors, and ... technical aspects of the programs/projects. + Must have experience supporting senior Navy and DoD leadership liaison operations, providing facilities management. +… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14888/ senior -customer-service-training- specialist ... calls to appropriate staff members. + Provide Help Desk resolution of customer service issues to ensure complete client...annual management reports for PBM clients, and from our Claims Processor. + Assist with on-site client orientation, health… more
- Molina Healthcare (West Valley City, UT)
- …of responsibility (eg, Provider Services/Provider Inquiry Research & Resolution , Provider Contracting/Provider Relationship Management). + Provides timely, accurate ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- Gilead Sciences, Inc. (Baltimore, MD)
- …compliance, behavior, and conduct + Assist in the identification and resolution of issues and opportunities, communicate proactively to Marketing and Sales ... and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office… more
- Masonicare (Wallingford, CT)
- Billing Specialist Job Location: Wallingford Center, Connecticut Billing Specialist Masonicare Corporate Services - Wallingford, CT Day Shift / 40hrs/wk **THIS ... IS ON-SITE** Under general supervision from Patient Accounts Management, The Billing Specialist performs a variety of complex operations related to the eligibility,… more
- USAA (Memphis, TN)
- …+ Partners with vendors and internal business partners to facilitate complex claims resolution . May also involve external regulatory coordination to ensure ... (Associate in General Insurance), CPCU (Chartered Property Casualty Underwriter), AIC (Associate in Claims ), or SCLA ( Senior Claims Law Associate) or… more
- Entergy (Russellville, AR)
- …the RFx processes, supporting supplier negotiations, and providing supplier management support for claims , invoice resolution , etc. The specialist will have ... This position may be filled as a Site Procurement Specialist I, II, III, or Senior , depending...with stakeholders to analyze and develop company position on claims and disputes. + Establish/maintain relationships with suppliers/partners, based… more