- CVS Health (Tallahassee, FL)
- …And we do it all with heart, each and every day. Site of Care Specialist is the face of Aetna to provide targeted, personalized service based on a holistic ... to assist members in understanding components of the Aetna products including claims , accumulators, usage and balances and cost sharing. Provides support to the… more
- Providence (Anaheim, CA)
- **Description** The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex dispensing and charging information, processes ... Experience in health care or pharmacy billing, collections or medical claims processing. **Preferred qualifications:** + Bachelor's Degree in Business, Healthcare… more
- Providence (Tukwila, WA)
- …that meet required qualifications and conditions for payment** The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex ... experience in health care or pharmacy billing, collections or medical claims processing. **Preferred Qualifications:** + Bachelor's Degree in Business, Healthcare… 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 ... regulations. + Oversees, investigates, and approves reserves for high spend and complex claims . + Oversee investigations process related to subrogation potential… more
- The County of Los Angeles (Los Angeles, CA)
- …Manager II include, but are not limited to: Human Resources Analyst IV Program Specialist IV, CEO Senior Staff Analyst, Health Services To receive credit for ... a Parks and Recreation operational agency + Directs highly complex or sensitive assignments + Prepares or manages the...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and ... to enhance provider satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account… more
- Newtown Savings Bank (Newtown, CT)
- …to The Fair Debt Collection Practice Act. Assist the Account Resolution Specialist (s) with difficult or complex accounts and situations, utilizing experience ... Provide guidance and support to help the Account Resolution Specialist (s) develop skills and overcome any challenges they may...and final reports to Loss Mitigation team along with Senior Management. + Prepare the monthly Residential and Consumer… more
- WSP USA (New York, NY)
- …contractors and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to appropriate ... coordination of activities for the design and construction of the more complex and/or highly visible construction and modernization projects under the guidance of… more
- Ford Motor Company (Dearborn, MI)
- …competitive positioning. + Develop business cases and financial models for senior leadership on benefit investments, plan redesign, and transformational initiatives. ... & Collective Bargaining Leadership:** + Serve as the lead strategist and senior negotiator for health care benefits in collective bargaining, shaping proposals that… more
- Banco Popular Puerto Rico (San Juan, PR)
- …overseeing the Special Investigations unit, which handles inquiries into customer claims , allegations, and internal issues, especially those related to possible ... Investigations & Audit Collaboration + Oversee investigations of customer claims , internal irregularities, and whistle-blower cases, focusing on employee fraud… more