- Carrot (Des Moines, IA)
- …troubleshoot and resolve issues An innovative spirit to push the boundaries of claims operations Preferred Qualifications: Literacy in Spanish (to support the ... Bachelors Degree 1-3 years of relevant work experience including claims submission/processing experience Highly detail-oriented and organized Structured thinker and… more
- FM (Reston, VA)
- …and make a difference in the future - yours, your clients', and the company's? The Claims team within our DC Operations in Reston (VA) has a great opportunity ... solutions. FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research;...summer 2026! When you join FM as a Property Claims intern, you can bring your talents to life… more
- Eisai, Inc (Nutley, NJ)
- …is your profile, we want to hear from you. The Associate Director, Compliance Operations will be a key member of Eisai's US Ethics & Compliance team, responsible ... identify potential compliance risks or violations Partner with Commercial Operations , IT, and Finance to understand existing systems and...Drug, and Cosmetic Act - Anti-Kickback Statute - False Claims Act - OIG/DOJ Guidance - Federal and State… more
- FM (Norwood, MA)
- …and make a difference in the future - yours, your clients', and the company's? The Claims team within our Boston Operations has a great opportunity for you for ... solutions. FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research;...Summer 2026! When you join FM as a Property Claims intern, you can bring your talents to life… more
- Commonwealth Care Alliance (Boston, MA)
- …systems (eg, Salesforce) and provider relationship management tools. - Understanding of claims operations , utilization management, and quality programs as they ... medical management, and analytics teams to advance provider network operations , education, and performance improvement. The Provider Relations Director reports… more
- PRGX (Bentonville, AR)
- …the client's business operations . + Finds, supports, and documents audit and claims operations . + Produces claims using appropriate audit concepts for ... writing claims , updating claims management system, and billing claims to client. + Provides vendors with claim back-up information. May contact vendors for… more
- Lyric (Newtown Square, PA)
- …consult with and inform Lyric's clients. + Familiarity with affordability, claims operations , payment integrity, utilization management, medical policy and/or ... ambassador to payer clients, engaging directly with medical directors, clinical operations executives, and CMOs. + Build trusted advisory relationships that expand… more
- Commonwealth Care Alliance (Boston, MA)
- …and authorization process highly desired. + Experience with and understanding of Claims operations preferred. **Knowledge, Skills & Abilities (Required)** + ... with and visits to provider sites. Visits may include regular operations meetings, staff education, provider orientations, and appreciation events. + Facilitate… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …team, and disease management). + Collaborates, educates, and consults with Customer Service/ Claims Operations , Sales and Marketing and Health Care Services to ... Departments such as FEP, National Account Liaisons, Health Care Services and Claims to ensure appropriate cost-effective care by applying their clinical knowledge… more
- Lyra Health Inc (Irvine, CA)
- …twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra ... features in the care platform A new Chromebook, dedicated business support from Operations , HR, and IT professionals, and a monthly technology stipend We like to… more
- UnisLink (Phoenix, AZ)
- …part of a growing team with long-term career potential? UnisLink is hiring a Medical Claims Clerk to support our billing and operations teams. No prior medical ... will include: Acting as the primary resource for printing and mailing secondary claims and appeals for multiple clients. Handling unprinted claims and ensuring… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …team, and disease management) + Collaborates, educates, and consults with Customer Service/ Claims Operations , Sales and Marketing and Health Care Services to ... and services. Premera Blue Cross is headquartered in Mountlake Terrace, WA, with operations in Spokane and Anchorage. The company has operated in Washington since… more
- Formation Bio (New York, NY)
- …the General Counsel, but will include extensive cross functional work with business, operations , and clinical/CMC teams and could grow to include management of other ... to manage multiple law firms / global patent portfolios Experience drafting claims and prosecuting patents (with experience litigating / disputing patents as a… more
- DHL Express, Inc. (Tempe, AZ)
- …lives. **Start YOUR career with DHL today ** **The Customer Care Backline Claims Advisor** provides Sales with specialized support. They are trained to know ... global, regional and local targets. + Liaise with other departments and Operations to address issues on service recovery. + Confidently and knowledgably handle… more
- FM (Johnston, RI)
- …solutions. FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research; risk ... challenging roles. Underpinning FM's excellent client service is our Claims Group - with a dedicated team of over...hand with our clients to minimize disruption and restore operations . **Schedule & Location** This is a full-time, office-based… more
- Eisai, Inc (Atlanta, GA)
- …opportunities within area, preferred.Experience with Integrated Customers with understanding of operations of integrated health systems within the current market and ... (eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- Ally (Trenton, NJ)
- …for a Field Adjuster that can appraise and/or adjust physical damage and mechanical claims within an assigned territory and key point or other assigned location for ... * Perform technical tasks required to support ongoing business operations . * Participate in training, educational activities, regulatory compliance awareness… more
- SanDisk (Milpitas, CA)
- …Accounting and Reporting teams and business partners from BU Finance, Sales Operations , Claims Settlement and IT teams. ESSENTIAL DUTIES AND RESPONSIBILITIES: ... facilities were also recognized as Sustainability Lighthouses for breakthroughs in efficient operations . With our global reach, we ensure the global supply chain has… more
- Coty (New York, NY)
- …projects in appropriate systems, forums and costing/budgeting exercises. **Support to Operations ** + Manage procurement related claims /issues for your brand ... New Product Launch & Operations Buyer **NEW PRODUCT LAUNCH & OPERATIONS BUYER** **PROCUREMENT - NEW YORK, NY** **COTY is looking for smart leaders who are fast… more
- Hyndman Area Health Center (Bedford, PA)
- …insurance Opportunity for advancement Paid time off Vision insurance Summary: The Operations Manager has various duties and responsibilities to guarantee HAHC is ... and state rules and regulations. Responsible for Risk Training and activities. The Operations Manager will act as the Organization's Risk Manager and comply with all… more
