• Senior Corporate Compliance…

    Fujifilm (Jefferson City, MO)
    **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
    Fujifilm (05/21/25)
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  • Senior Claim Benefit…

    CVS Health (Jefferson City, MO)
    …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists. - Makes outbound calls to obtain required information ... handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication… more
    CVS Health (05/16/25)
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  • Healthcare Claims Denials Specialist

    CenterWell (Jefferson City, MO)
    …of our caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure ... the coordination of claim activities and designated agencies, and the timely reimbursement...timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily.… more
    CenterWell (04/18/25)
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  • RCM Healthcare Claims Denials Manager

    CenterWell (Jefferson City, MO)
    …Develop department tools and training programs, along with the Training Specialist , to encourage growth and development. Analyze/monitors their implementation. **Use ... HIPAA information. CenterWell Home Health offers a variety of benefits to promote the best health and well-being of...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
    CenterWell (04/10/25)
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  • Senior Medical Stop Loss Underwriter

    Highmark Health (Jefferson City, MO)
    …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
    Highmark Health (05/21/25)
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  • Loss Mitigation Specialist - Mortgage

    Commerce Bank (Kansas City, MO)
    …requirements have been met + Prepare Foreclosure Recommendation and submit to senior management for approval, review legal documents and progress of each loan ... in Foreclosure/REO Workstations and promptly and accurately prepare mortgage insurance claims . + Work directly with vendors to procure completion of property… more
    Commerce Bank (04/03/25)
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  • Senior Corporate Compliance Manager…

    United Therapeutics (Jefferson City, MO)
    …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
    United Therapeutics (05/21/25)
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  • Associate Medical Stop Loss Underwriter

    Highmark Health (Jefferson City, MO)
    …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
    Highmark Health (04/04/25)
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