- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on ... adjudicated claims that contain a code editing related denial or financial recovery. The Medical...Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method… more
- Commonwealth of Pennsylvania (PA)
- …LC Str 3603 Opening Date 05/29/2024 Closing Date 6/12/2024 11:59 PM Eastern Job Code 02490 Position Number 00051637 Union ISSU Bargaining Unit M2 Pay Group LS12 ... Bureau / Division Code 00263603 Bureau / Division Regional Operations Worksite Address...THE POSITION Have you had previous experience managing a team in a retail setting and find joy in… more
- Sharp HealthCare (La Mesa, CA)
- …skills and ability to work well with others contributing to a team environment.Practice a positive and constructive attitude at all times.Negotiates with others, ... handles minor complaints by settling disputes , grievances, and conflicts.Perform service recovery when The Sharp...admission delays and cause if known or allowed.Promotes a team approach in completion of department duties.Contributes to department… more
- MyFlorida (Tallahassee, FL)
- …adjudicates and facilitates mediation of public sector labor and employment disputes . PERC also performs other essential non-adjudicatory functions such as ... accordance with Chapter 447.403, 405, 407, Florida Statutes and Florida Administrative Code Chapter 60CC-3. Maintain and update Special Magistrate roster as needed.… more
- State of Colorado (Durango, CO)
- …work leader for a group that covers the southern mountains of Colorado. This team covers all mountain areas and mountain highways in the region. This position will ... and long term work duties and goals for the group and support the team members. The position will coordinate and facilitate data collection and the assessment of… more
- CareOregon (Portland, OR)
- …including claims, utilization management, benefits, contracts, member, call tracking, fees and code modules + Optum Claims Edit System + TriZetto Enrollment ... vendor performance and strategy. Other core responsiblities include IS team and user collaboration, analysis, and documentation. Essential Responsibilities System… more
- State of Georgia (Fulton County, GA)
- …Legal (https://careers.georgia.gov/landingpages/legal-opportunities-at- team -georgia-4) Employees' ... skills are necessary, as is the ability to efficiently evaluate, edit , and organize information. Technical skills required include in-depth internet research… more
- AAR (Wood Dale, IL)
- …and business team disciplines for resolution of contract issues and disputes . + Assists in identification, development and implementation of new contract policy ... counterparts + Working knowledge of contracting concepts, Uniform Commercial Code , applicable public contract acquisition law and regulations, and applicable… more