- PacificSource (Portland, OR)
- …Plan Operations . This position is responsible for key functions of operations , including claims processing , encounters processes, payment integrity, ... utilize each person's talents and strengths. The VP of Claims , Encounters and Payment Integrity Operations is... claims errors and improve efficiency in the claims processing life cycle. Effectively lead… more
- Everest Insurance (Warren, NJ)
- Title: Claims Operations Associate I Company: Everest Global Services, Inc. Job Category: Claims Job Description: Everest Group, Ltd. (Everest), is a leading ... Summary This position is part of the Global Claim Operations team, which is responsible for the operational support...to self-development and the ability to meet challenges. This Claims Operation's Associate role will be based in our… more
- Insight Global (Dayton, OH)
- An employer in the Dayton, OH area is seeking a Claims Operations Specialist III for a direct-hire opportunity. This person will be providing analytical support ... for corporate projects as well as external audits, and lead claims initiatives such as working with...industry experience is required Experience with Facets as a claims processing software Nice to Have Skills… more
- Guidehealth (Rockford, IL)
- …day-to-day management of the Claim Operations team. Maintains and improves claims processing operations by monitoring system performance; identifying and ... met. This role will report to the Sr. Director, Claims Operations . WHAT YOU'LL BE DOING Responsible...progression. Responsible for writing and maintaining desktop procedures for claims processing functions. Identify areas within the… more
- CGI (Fairfax, VA)
- …years in Medicare call center environments. *Strong understanding of Medicare policies, claims processing , and customer service operations . *Proficiency ... Lead Business Analyst Category: Business Analysis (functional and...matters By playing this video you consent to Google/YouTube processing your data and using cookies - Learn more.… more
- VHA Central Office - Integrated Veteran Care (Denver, CO)
- …procedures and are routinely required to provide advisory services on all aspects of claims processing and have the ability to resolve unique problems by ... Summary This position serves as a Lead Contact Representative under the Department of Veterans... Contact Representative is advising, counseling, reviewing applications and claims , and responding to requests regarding business processes for… more
- KAI Partners, Inc. (Roseville, CA)
- …benefits, or Medicaid/Medicare consulting environments. Demonstrated experience supporting PBM operations , including: Claims processing and adjudication ... pharmacy benefit management (PBM) to support the validation of business rules, claims processing , adjudication logic, test case review, and implementation… more
- Dick's Sporting Goods (Fairview Heights, IL)
- …so that merchandise is easily accessible in partnership with the Freight Flow/ Operations Lead . Uphold company merchandising and presentation standards. Assist ... with the unloading of trucks, processing of freight, execution of transfers, RTVS, claims , freight processing , etc. Fulfill the company-defined customer… more
- SCOR (Charlotte, NC)
- …and effective administration of internal affiliate retrocession. This includes overseeing the processing of volumes, premiums, and claims , while maintaining a ... Responsibilities Defining and documenting policies and procedures for business processing , and outlining system enhancement requirements to support these processes.… more
- Chick-fil-A (Ballwin, MO)
- Human Resources And Operations Lead Chick-fil-A Ellisvilleisn't fast food, it is a top brand delivering a remarkable experience to our guests and our team. We ... by establishing department accountabilities, including talent acquisition, staffing, employment processing , compensation (pay), health and welfare benefits, training and… more
- Ventura County, CA (Ventura, CA)
- …dedicated funding (SB90 Claims ); May be assigned to serve as the lead on special projects and programs; and Performs other related duties as required. Typical ... with the review, recommendations, development, and monitoring of management operations /systems; assists with conducting project/program/policy implementation and evaluation; and… more
- Ivy Rehab Network (White Plains, NY)
- …market trends Collaborate with revenue cycle management teams to optimize claims processing and reimbursement including resolving payer reimbursement issues ... We are seeking an experienced Vice President of Payor Contracting to lead Ivy Rehab's payer relationship management and contract negotiations. This senior leadership… more
- MCI Careers (Savannah, GA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... a variety of commercial and public sector clients. In this role, you'll lead a team of inbound customer service agents, providing coaching, support, and performance… more
- Brookdale Senior Living, Inc. (Brentwood, TN)
- …of the date of the posting. Responsibilities Manages the day-to-day healthcare operations of the community to ensure resident's healthcare needs are met. Ensures ... (LPN/LVN, RN), the Med Techs/CMAs (if required by State Regulations) and/or Lead Resident Care Associates. May also supervise Resident Care Coordinators and… more
- Jones Lang LaSalle IP, Inc. (Houston, TX)
- …are responsible for all aspects of client and tenant satisfaction. As the lead professional, you will also be responsible for preparing budgets and financial ... intimate knowledge of lease agreements, ensuring compliance from an accounting and operations standpoint. Act as the primary or secondary contact for tenants… more
- Sunrise Senior Living (Westmont, IL)
- …payroll and follow established business processes and "Do It Daily" processing activities and submit accurate bi-weekly payroll by established schedule. Coordinate, ... internal business controls. Process and manage unemployment and worker's compensation claims and update claim activity as necessary. Clearly communicate and convey… more
- SpinXpress (Mcallen, TX)
- Description Now Hiring: Team Leader - McAllen, TX Are you ready to lead with purpose and join a team that's changing the game? SpinXpress is on the lookout for a ... every customer leaves with a smile. From managing daily operations to inspiring your team, you'll play a vital...environments like retail or food service The ability to lead by example and adapt in real-time What We… more
- Airbnb (San Francisco, CA)
- …and resolve issues that customers are unable to address on their own. Aircover Claims Platform: Facilitates the processing of claims for Aircover insurance ... the right technical and product tradeoffs for both short and long term Lead engineers-both inside and outside your immediate team-in building out these technical… more
- Walgreens (Hillsboro, OR)
- …enhancements to pharmacy systems to further promote productivity. Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... by Store Manager, Healthcare Supervisor, District Manager or Pharmacy Manager. Operations : Under direct supervision of a licensed pharmacist, counsels patients and… more
- Howard County, MD (Ellicott City, MD)
- …individuals to join our team and contribute to excellence in Howard County operations . What you'll like most about working at Howard County Government: We are ... POSITION SUMMARY: The Principal Attorney for the County Council serves as the lead legal advisor within the County Council's Boards Office. The position handles… more
