- Commonwealth Care Alliance (Boston, MA)
- …large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System) with BPaaS vendor and other PI partners, perform ... **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare...utilization review required + 7+ years experience with Optum Claims Editing System (CES), Zelis, Lyric or… more
- Customs and Border Protection (Washington, DC)
- Summary Organizational Location: The Director of Legal Operations is with the Department of Homeland Security, within US Customs and Border Protection, Office of ... Chief Counsel. Typical work assignments include: Developing and managing OCC legal operations , programs, and policies. Establishing and managing an OCC legal writing… more
- Zelis (NJ)
- …that will act as the subject matter expert (SME) as it pertains to Zelis editing product in support of the growth, and expansion of assigned clients. The Client ... lead the sales overview discussion of new/existing opportunities for the Zelis editing product during client meetings in partnership with the Client Management team.… more
- Commonwealth Care Alliance (Boston, MA)
- …is an individual contributor role. Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Medical/BH Reimbursement Policy Manager ... ensure accurate implementation of payment rules within the Plan's claims adjudication system, including the claim editing ...the scope and impact of the change on Plan operations and seek to implement changes as necessary +… more
- UPMC (Pittsburgh, PA)
- …clinical coding edits. Additionally, participates in cross-functional efforts including the Claims Operations , Systems Configuration, Medical Policy, & IT ... and internal stakeholders in the development and maintenance of claims payment and medical policy edits based on clinical,...to maximize results. + Work closely with Manager and Director of Claim Editing in departmental functions… more
- JPMorgan Chase (Wilmington, DE)
- …external events, including catering and transportation + Process invoices and T&E expense claims for team members, ensuring all policies are followed and items are ... in advance with issues or delays + Assist in editing spreadsheets and presentations, including printing and binding, for...capabilities, and skills** + Experience supporting at the Managing Director level (or equivalent) or above + College degree… more
- Commonwealth Care Alliance (Boston, MA)
- …Important to Us:** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, the Payment Integrity (PI) ... for a comprehensive claim accuracy program. The individual will optimize pre/post claims auditing and claim recovery programs that will drive incremental value year… more
- Patent and Trademark Office (Arlington, VA)
- …Patent and Trademark Office, Office of the Deputy Commissioner for Trademark Operations , Madrid Processing Unit (MPU). The United States Patent and Trademark Office ... guidance to examining attorneys, supervisory attorneys, Madrid Processing Unit supervisor, Director and Deputy Director of Trademark Services, specialists and… more
- Textron (Hunt Valley, MD)
- …team of in\-house attorneys and professionals\. You will work closely with business operations to mitigate risk and anticipate and favorably resolve claims and ... with a focus on aviation product liability defense\.Tasks include assessing claims and defenses, developing case strategy with outside counsel; directing and… more
- Millennium Challenge Corporation (Washington, DC)
- …internal controls; quality improvement initiatives; reporting, etc. Assists the Managing Director and Deputy Managing Director in strategic planning around ... experience is defined as: serving as a technical advisor on administrative program operations in two or more of the following areas (budget formulation and tracking,… more
- State of Colorado (Golden, CO)
- …to, the following: + Manage all aspects of highway design, construction and operations within the unit area. + Monitor and administer construction projects to ... progress reports and billings. + Resolve contractor disputes and claims to ensure timely project completion. + Supervise a...+ Commitment to safety; + Strong technical writing and editing skills; + Credibility on technical matters with staff,… more
- Arkansas Government Job (Little Rock, AR)
- …promoting ADPHT programs and community participation. Other responsibilities include editing materials produced by the communications section and other staff ... Summary The Arkansas Department of Parks and Tourism (ADPT) Administration Director is responsible for managing the fiscal, personnel, human resources and… more