- Sutter Health (Burlingame, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Elevance Health (St. Louis, MO)
- **Telephonic Nurse Case Manager II ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... drive the future of health care The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- USAA (Colorado Springs, CO)
- …what truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager , you will be responsible for managing moderately complex ... and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes under the Homeowner/Renter Policy Contract/Umbrella. + Proactively… more
- City of New York (New York, NY)
- … who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II ) involved in Claims processing. - Monitor and distribute cases in ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from… more
- AO Smith (Lebanon, TN)
- Regional Field Service Manager II Date: Jun 13, 2025 Location(s): Lebanon, TN, US, 37090 Company: A. O. Smith Corporation PRIMARY FUNCTION: Regional field ... SCOPE OF RESPONSIBILITY: Position reports to the Field Service Engineering Manager SPECIFIC DUTIES/ACCOUNTABILITIES(List in order of importance) + Aligned with… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: PARALEGAL SPECIALIST I / II /III Location: United States-Virginia-Virginia Beach Job Number: 250001Q7 Note this a 2 level non-compete progression position: ... any level equal to their experience, Paralegal Specialist I, II or III. Incumbents selected at the lower level,...requests. Ensures that responses are received promptly. The Litigation Case Tracking Module (LCTM) includes case management… more
- Baptist Memorial (Memphis, TN)
- … Manager /Director of the Denial Mitigation Department. The Denial Mitigation- Appeal Specialist II RN role reports to the manager of the Denial Mitigation ... Overview Specialist-Denial Mitigation II RN Job Code: 21432 FLSA Status Job...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
- Tucson Electric Power (Tucson, AZ)
- **Benefits Analyst - I, II , Senior or Lead** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **6015** **About Us** UNS Energy Corporation ... quality of life in the communities we have served for generations, and in TEP's case , since the 1890s. We're building a cleaner, greener grid, with more wind and… more
- Baptist Memorial (Memphis, TN)
- … Manager /Director of the Denial Mitigation Department. The Denial Mitigation- Appeal Specialist II RN role reports to the manager of the Denial Mitigation ... in Memphis, TN; Jackson, MS The Denial Mitigation-Appeal Specialist II RN serves in a key role of the...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
- UPMC (Pittsburgh, PA)
- …role may work remotely. The Absence Management Specialist II analyzes assigned claims to determine whether the case is medically supported for both leave ... II is responsible for the ongoing management of claims within set parameters as well as medical consultation...at work processes are followed. + Utilizes Clinical nurse Case Manager and/or Medical Director resources within… more
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