- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Attorney General, Office of the Title Senior Consumer Frauds Representative or Consumer Frauds Representative Trainee (NY HELPS) Occupational ... of health care complaints, including, but not limited to billing and claims reimbursement disputes; denials of coverage for medical treatment, prescriptions, and… more
- Access Dubuque (Dubuque, IA)
- …SISCO Client Service Representative Cottingham & Butler/ SISCO Disability Representative Sr . Sedgwick Claims Representative Cottingham & Butler/ SISCO Service ... from some of the world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey. + Career development and promotional… more
- USAA (San Antonio, TX)
- …P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager , Claims Operations experience. + Deep operational knowledge of end-to-end ... There are 2 positions available. As a dedicated, **Business Process Owner Senior ** you will plan, direct, and coordinate activities for complex processes, including… more
- NTT DATA North America (Montgomery, AL)
- …the full system life cycle of assigned projects. The focus will be the Medicaid Claims Processing System. The Senior BA will support both the current MMIS and ... organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery, Alabama...the future CPMS takeover project working with the Project Manager , client and vendor development team to build out… more
- CVS Health (Columbus, OH)
- …do it all with heart, each and every day. **Position Summary** As a Senior Investigator you will conduct high level, complex investigations of known or suspected ... fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business +...for clinical and legal review + Documents all appropriate case activity in case tracking system +… more
- Ankura (Lexington, NY)
- …leaders and team members as needed. However, a remote option may be available on a case -by- case basis. As a key member of our Life Sciences Practice, you will be ... in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act;...medical science, economics, accounting, and data science. As a Senior Director, you can expect to: . Demonstrate the… more
- Fallon Health (Milford, MA)
- …to coordinate after care needs + The Navigator refers to the Nurse Case Manager /PCP whenever clinical decision making is required. **Responsibilities** **Note: ... a culturally sensitive way, completing care plans, and reviewing claims and other data which may indicate a need...other data which may indicate a need for Nurse Case Manager involvement and assessment + Assists… more
- Medtronic (Los Angeles, CA)
- …connected, compassionate world. **A Day in the Life** The Principal Insurance and Claims Management role is a newly created expert and highly specialized position ... under Medtronic Diabetes Risk Management, reporting directly to the Sr . Director, Insurance and Risk Management. This position plays a key role in the Insurance… 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 ... Project Leader for complicated projects. The **Project Manager ** position is the single point of accountability for large PPL Electric Utilities capital projects… more
- Black & Veatch (Overland Park, KS)
- ** Senior Counsel** Date: Dec 12, 2025 Location: Overland Park, KS, US Company: Black & Veatch Family of Companies **Together, we own our company, our future, and our ... and put your diverse talents and perspectives to use. **The Opportunity** The ** Senior Counsel** will play a pivotal role in supporting the company's legal and… more