- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …research areas centered around rare diseases and immune disorders.Summary The Associate Director , Privacy & Compliance Investigations, is a member of the Compliance ... Act and the UK Bribery Act (2010), US fraud and abuse and false claims laws, and relevant industry codes on interactions with healthcare professionals required- 1 or… more
- CVS Health (Springfield, IL)
- …done from your laptop. Fundamental Components: * Utilization management - The medical director will perform concurrent and prior authorization reviews with peer ... to its membership. Aetna is looking for a Medical Director to be part of a centralized team that...plus. Preferred Qualifications: Previous Experience in Utilization Management / Claims Determination with another Health Plan / Payor or… more
- HomeSafe Alliance (Columbus, OH)
- …as needed to ensure prompt recovery of claim expenses. + Work with the Director of Claims and Claims Managers to ensure any concerns or issues ... settlement practices, trends, or areas of concern to the Director of Claims . Responds to internal and...4-year degree preferred + Minimum 3-4 years personal property claims adjusting experience preferred + Prior experience… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …examiners and claim adjusters in responding to insured commercial property claims * Review and determination of complex coverage issues * Maintains reports on ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4534112) Apply Property Claims Manager… more
- Illumination Foundation (Santa Ana, CA)
- …the standards of our contracts and programs. + Verify eligibility of each client prior to creating and submitting claims . + Have knowledge in understanding, ... EOB's and Remittance Advice + Posting payment accurately to claims and continuing with the claim close...Verifying client's insurance falls into one our contracted insurance prior to billing + Following up on claims… more
- Marshfield Clinic (Marshfield, WI)
- …level of creativity, and excellent oral and written communication skills. **Preferred/Optional:** Prior experience in the management of health claims operations. ... to support the most exciting missions in the world!** **Job Title:** SHP Claims Training & Audit Manager (Hybrid Remote) **Cost Center:** 682891379 SHP- Claims … more
- State of Minnesota (Duluth, MN)
- …Stat. | 176.183. The incumbent may be assigned to any task required by the SCF Director or the Special Claims Team Supervisor on a need and availability basis. ... **Working Title: Claims Manager** **Job Class: Compliance Services Officer Senior**...that all final candidates submit to a background investigation prior to employment. The background check may consist of… more
- Western Washington University (Bellingham, WA)
- Assistant Director of Environmental Health and Safety Apply now ... Bellingham, WA Categories: Business and Financial Affairs Position TitleAssistant Director of Environmental Health and Safety About the UniversityWestern Washington… more
- Commonwealth of Pennsylvania (PA)
- Director , Business Opportunity (Equal Opportunity Manager 1) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4525657) Apply Director , ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using… more
- Beth Israel Lahey Health (Plymouth, MA)
- …and any other parties who may be relevant parties in a malpractice or liability claim . + The Director will oversee the Risk Specialists as they provide ongoing ... served in the hospital. **Duties/Responsibilities:** Under the guidance of the Senior Director of Quality and Patient Safety, members of Senior Leadership and others… more
