- VNS Health (Manhattan, NY)
- …strategies to reduce claim errors and payment delays. + Oversees the day-to-day operations of the claims processing department, ensuring adherence to established ... OverviewOversees the efficient and accurate processing of claims , resolution of payment disputes, and implementation of claims quality improvement initiatives.… more
- Bank of America (Charlotte, NC)
- …metrics to identify root causes ▪ Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery rights, etc.) ▪ Proven strong ... Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Tampa,...degree in a quantitative discipline such as mathematics, statistics, operations research, finance, or business ▪ Advanced analytical and… more
- AIG (Lenexa, KS)
- …Fraud referrals. + Increased responsibility with an expectation of managing higher claims volumes and assist manager with customer escalations and file audits ... help customers to manage risk. Join us as a Claims Examiner II, Accident & Health to play your...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Job Summary** Senior Manager , GPV Aggregate Report & RMP Operations Apply knowledge and expertise in the area of aggregate reports and risk management plans. ... Deliverables + Reports to the Global Lead of Aggregate Report & RMP Operations + Contributes to the project management for production of Aggregate Safety Reports… more
- Walmart (Douglas, GA)
- …business stakeholders to solve complex business issues (for example, business operations , necessary skills,). Develops business cases for projects with projected ... practices and policies. Lists common tasks and activities performed by operations functions and subfunctions. **Asset Protection & Security** Possesses knowledge of:… more
- Walmart (Chino, CA)
- …business stakeholders to solve complex business issues (for example, business operations , necessary skills,). Develops business cases for projects with projected ... practices and policies. Lists common tasks and activities performed by operations functions and subfunctions. Asset Protection ; Security Possesses knowledge of:… more
- NTT DATA North America (Lincoln, NE)
- …a HC and Insurance Operations Analyst to join our team. **Posisition:** ** Claims Case Manager ** **This position is eligible for company benefits including ... voluntary or legally required benefits.** **Role Overview:** We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our… more
- Otsuka America Pharmaceutical Inc. (Rockville, MD)
- …the Chief Compliance Officer in executing an effective compliance program. The Manager , Healthcare Law Auditing & Monitoring, executes the annual plan by conducting ... healthcare laws, regulations and guidance (such as the Anti-Kickback Statute, False Claims Act, OIG Guidance for Pharmaceutical Manufacturers, PhRMA Code, FDCA and… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- The Manager will report to the Associate Director, Transparency & Aggregate Spend, GRC and will oversee and ensure OAPI and OPDC compliance with state financial ... as needed, to the Associate Director, compliance analytics and operations . This role is responsible for the accurate preparation,...Ability to meet deadlines with minimal supervision, as a manager as well as a team member + Proven… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- The Sr. Manager , CTA Regulatory Strategy is responsible for providing critical support in developing global regulatory strategy, planning, and execution of global ... Lead (GRL). + As an integral member of Otsuka's Regulatory Operations team, provides support for regulatory strategy assignments, monitoring, and oversight,… more
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