- UPMC (Pittsburgh, PA)
- **Purpose:** Under the supervision of the Senior Manager, Corporate Risk Management, the function of the position is systematic management of potential as well as ... actual claims . Clinical data will by analyzed to determine areas...with relevant internal departments and make appropriate recommendations to Senior Manager for approval or denial of requests for… more
- Gilead Sciences, Inc. (Los Angeles, CA)
- …improve the lives of patients with life-threatening illnesses worldwide. As a Senior Therapeutic Specialist , Oncology, you are responsible for representing ... and a proven record of interacting with healthcare professionals. Additionally, Senior Therapeutic Specialists are responsible for developing an understanding of the… more
- Delta Dental of Iowa (Johnston, IA)
- Compliance and Privacy Specialist Johnston, IA (http://maps.google.com/maps?q=9000+Northpark+Drive+Johnston+IA+USA+50131) Apply Job Type Full-time Description Come ... actionable summaries. Track issues and corrective action plans from initiation through resolution . + Coordinate third-party reviews and audits and act as a liaison… more
- Air National Guard Units (Reno, NV)
- Summary This position is for a Primary Prevention Specialist (PREV WF), PD# D2634P01, part of the Nevada Air National Guard. This position serves as the implementer ... leadership advisory committees, boards, and working groups. Briefs Commanders and senior personnel on Integrated Primary Prevention (IPP), as defined in applicable… more
- Citigroup (Jacksonville, FL)
- The Telesales Specialist role is a Client Service and Sales support position responsible for servicing and supporting internal and/or external clients primarily ... telephone or email. + Provides exceptional support and issue resolution - all client issues will be owned end to...treated with a closed loop process. + Ensures customer claims and complaints are handled in accordance with FINRA… more
- Cardinal Health (Nashville, TN)
- …department. Key responsibilities in this role include processing chargeback claims from pharmaceutical wholesalers to manufacturers, verifying membership, and ... and prioritizes getting the right things done. + Processing chargeback claims from pharmaceutical wholesalers to manufacturers + Verifying membership, and performing… more
- City of New York (New York, NY)
- …seeks a highly qualified candidate to join the Client Services team as a Senior Executive Director. The Senior Executive Director will be responsible for ... a multi-provider network of service providers. In addition, the Senior Executive Director will also be a subject matter...also be a subject matter expert in processing VA claims for Veteran benefits and supervising staff on how… more
- Insight Global (Burbank, CA)
- …service representative for the Health Fund. The Senior Participant Service Specialist /Analyst will process health insurance claims and answers calls from the ... customer (participant, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/call decisions.… more
- NBC Universal (Miami, FL)
- …indicators, relevant deviations from expected performance and present data-driven information to senior management. . Analyze EHS Data for insights on how to support ... laws and regulations. As necessary, assist Human Resources with Workers Compensation claims by individuals. . Assist operations with preparation and coordination of… more
- Festival Foods (WI)
- …work tasks and plans to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist . Prepares ... Job Summary Job title: Workplace Safety Manager Department: Asset Protection Reports to: Senior Director of Asset Protection Reporting to the Senior Director of… more