- Hartford HealthCare (Hartford, CT)
- …**Professional Non-Clinical* **Organization:** **Hartford HealthCare Corp.* **Title:** *Medical Claims /Risk Mgr / Admin Legal* **Location:** ... Manages a robust caseload, from inception to closure, of Hartford HealthCare's claims and suits through HHC's Legal Department. Responsible to assist in the… more
- MyFlorida (Tallahassee, FL)
- OPERATIONS & MGMT CONSULTANT MGR - SES - 43003020 Date: Jun 6, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For more ... Requisition No: 830714 Agency: Financial Services Working Title: OPERATIONS & MGMT CONSULTANT MGR - SES - 43003020 Pay Plan: SES Position Number: 43003020 Salary:… more
- Covenant Health Inc. (Morristown, TN)
- …timely and accurate pre-authorizations, initial collections of co-pays, and billing of claims . Works with financial services for timely resolution of delayed ... claims , or other charge issues which would delay patient...Tennessee driver's license Class D and state mandated minimum insurance coverage. Driving record must meet Covenant Health minimum… more
- Aflac (Windsor, CT)
- Sr Leave Case Mgr The Company: CAIC PFML The Location: Windsor, CT, US, 06095 The Division: PLADS Job Id: 6326 Salary Range: $31,200 - $71,000 We've Got You Under ... Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and...and other documents via the claim system; documents the claims system in an accurate and comprehensive manner. *… more
- CVS Health (Oklahoma City, OK)
- …Oklahoma City office with greater frequency during the startup. The Sr. Mgr ., Project Program Management-Value Based Solution, leads work and deliverables of ... + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals and Disputes and Network Performance Standards +… more
- Aflac (GA)
- Mgr , Financial Control The Company: Aflac Columbus The Location: GA, US, 31999 The Division: Financial Services Job Id: 6117 Salary Range: $83,000 - $193,000 We've ... Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and...* Agency * APAY * Billing * Flex * Claims * CDS * SAP * Tracker * Payroll/Benefits… more
- Anheuser-Busch (Santa Fe Springs, CA)
- …party administrator instructions manual + Attend worker's compensation hearings, small claims court proceedings, litigation trials, and interrogatories as may be ... required + Perform safety, insurance , environmental, DOT, security and environmental audits and inspections...division requirements + Investigate all auto accidents, general liability claims , and other actions filed against the branch +… more
- CVS Health (Columbus, OH)
- …on large scale projects. + 3 to 5 years of experience with medical claims processing. + Knowledge of CPT codes, IDC-10 coding and medical terminology. + Knowledge ... Waterfall/Agile Framework knowledge. + Benefit configuration experience. + Manual claims testing experience. + Microsoft suite experience. EducationBachelor's degree… more
- PSEG (Hicksville, NY)
- …behavioral health programs. We also offer 401(k) with company match, company paid life insurance , tuition reimbursement and a minimum of 18 days of paid time off per ... and administration of contracts for various projects including: (a) managing change orders, claims and back charges; + (b) asserting warranty claims ; (c)… more
- CVS Health (Phoenix, AZ)
- …areas of but not limited to client pricing (retail and mail), claims adjudication (including functionality on all adjudication platforms), business rules and ... programs and procedures, including knowledge of retail pharmacy operations and claims adjudication proficiency + Intermediate to advanced Microsoft Access database… more
- CVS Health (Boston, MA)
- …care and how provider reimbursement policies relate to the control of medical claims costs. * Full comprehension of provider contracts and the potential impact the ... available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.… more
- Healthfirst (TX)
- …experience includes compliance, risk, legal or audit within the health insurance industry Demonstrated experience working in a highly regulated environment Proven ... regulations, and regulatory expectations in dental utilization management, appeals and claims Strong organizational skills Ability to foster a culture of compliance… more
- CVS Health (Woonsocket, RI)
- …recommending opportunities to drive business growth through analysis of PBM claims and rebate data.Primary responsibilities: + Define metrics reporting approach and ... available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.… more
- Walmart (Greenacres, FL)
- …coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance . Paid time off benefits include PTO (including sick leave), parental ... 3: 1 year's experience in one of the following areas: accounting, claims , inventory control, systems/UPC, personnel, or loss prevention/asset protection in a multi… more
- Huntington Ingalls Industries (Pocasset, MA)
- …resolution + Manages warranty support, including the adjudication of warranty claims + Participates in standard Pricelist Spares and Services proposals, including ... assistance programs; Savings Plan Options (401(k)); financial planning tools, life insurance ; employee discounts; paid holidays and paid time off; tuition… more
- UIC Government Services and the Bowhead Family of Companies (Wasilla, AK)
- …to be ordered in anticipation for repairs. * Receive guidance and instructions from Shop Mgr . & Shop Foreman on a regular basis in the effort of constantly improving ... for repairs. * Receive guidance and instructions from Shop Mgr . & Shop Foreman on a regular basis in...characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- State of Georgia (GA)
- …Customer Response Unit, Policy & Process Improvement unit, Adverse Action & Claims unit, Quality Assurance & Training unit, and Administrative Services unit Provider ... years of experience at the lower level of Sr Mgr , Social Svcs (SSM013) or equivalent position. Agency Preferred...dental, vision, AD&D, short and long-term disability, and life insurance . Bright from the Start: Georgia Department of Early… more
- Shaw Industries Inc (Cartersville, GA)
- …processes. + Work as a part of Support Teams that are comprised of Dept. Mgr ., Process Eng., Process Tech., and Team Managers. + Work with Technical Development to ... + Ability to travel out of state and internationally for claims /customer relations Competencies: + Deliver compelling communication + Demonstrate good judgement… more
- AECOM (Orange, CA)
- …with, and communicates with the Owner's project team (CO, PM, COR, Ppty Mgr , O&M, stakeholders, etc); and professionally interfaces with the project design and ... risk and develops mitigation strategies, minimizes unsatisfactory work and exposure to claims . + Project specific responsibilities include but are not limited to:… more