- HUB International (Pensacola, FL)
- …**REQUIREMENTS:** + College degree preferred + 5 - 7 years of applicable insurance/agency, claims or contract review experience + Exceptional written and ... HUB Gives** **SUMMARY:** We are seeking a highly skilled Contract Review Analyst with a robust background...parties. ** Claims Advocacy:** + Serve as a claims advocate to ensure the policy responds… more
- AON (New York, NY)
- Senior Client Advocate , Reinsurance Opportunity at Aon! This role is Hybrid in our New York office Are you on the lookout for an opportunity to apply your analytical ... Are you someone who loves a client facing opportunity, working as an advocate for clients by collaborating with multiple stakeholders globally? Do you enjoy… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …in our Customer Care team. Due to the volume of applications we receive, we review all applications in the order in which they were received. If you are chosen ... a Video Assessment from ###@jobalerts.excellusbcbs.com. Summary The Customer Care (CC) Advocate resolves customer inquiries via telephone, walk in, mail, fax, web… more
- US Tech Solutions (Columbia, SC)
- **Duration: 3 Months Contract (Possible temp to hire)** **Job Description:** + M-F 8:30-5:00 + Training will be approximately _12 weeks (remote). + NICE TO HAVE ... or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to… more
- Robert Half Legal (Oakland, CA)
- …to support case arguments. * Manage all aspects of discovery, including document review , interrogatories, and depositions. * Advocate for clients in court ... clients in employment law cases, with a focus on plaintiff-side matters and disability claims . * Conduct thorough legal research and draft compelling briefs… more
- Robert Half Legal (Oakland, CA)
- …role involves handling legal matters related to labor and employment, wrongful death claims , and personal injury cases. You will play a critical role in managing ... and file motions and other legal documents effectively * Manage wrongful death claims and personal injury cases from inception to resolution * Represent plaintiffs… more
- Hawaiian Electric (Honolulu, HI)
- …briefs, etc.; handling all aspects of various litigation matters including commercial, contract , personal injury, and property damage claims , from case inception ... briefs, etc.; handling all aspects of various litigation matters including commercial, contract , personal injury, and property damage claims , from case inception… more
- University of Utah Health (Salt Lake City, UT)
- …**Responsibilities** + Performs insurance follow-up and denial resolution on outstanding claims . + Performs contract compliance on outstanding claims ... + Ensures appropriateness of patient responsibility, as assigned by payer/ contract /benefit. + Resolves clinical and/or authorization denials through CARC analysis… more
- US Tech Solutions (Columbia, SC)
- **Duration: 3+ Months Contract (Possible temp to hire)** **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + ... provides health management program interventions. + Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to… more
- ASM Global (Boston, MA)
- …with all state and federal laws. Participate in grievance, arbitration, and contract negotiation proceedings. Partner with the General Counsel to investigate and ... respond to employment claims and demand letters, as well as state and...all event staff. + Talent Management - Manage performance review process. Partners with business leads to ensure employees… more
- CIRCOR International, Inc. (Monroe, NC)
- …achieved; interface with the customer in drawing and document information exchanges; review of contract specifications and communication of the requirements to ... shipping and document control. + Manage Program risk issues including receivables, claims , contract changes, margin enhancement, and effective Program closeout +… more
- WSP USA (Cincinnati, OH)
- …Owner in dispute resolution + Assist the Owner in defense of project claims and negotiations of contract modifications, including time extensions + Coordinate ... segment of the Brent Spence Bridge project will serve as a front-line advocate for the BSMT (Owner) while coordinating and collaborating with all project… more
- MTA (New York, NY)
- …discuss contract grievances and employee discipline appeals; perform analytical review of claims , grievances, and discipline transcripts; prepare substantive ... agreements. + Provide prompt and accurate responses to labor contract questions or concerns raised by operating department managers...Draft legal briefs and serve as the MNR management advocate at final and binding arbitration sanctioned by the… more
- State of Colorado (Denver, CO)
- …and the Department of Health Care and Policy Financing to create, develop, or contract to add at least 125 additional beds at mental health residential treatment ... to identify and resolve issues related to benefit applications, claims , and denials. The specialist must be able to..., and denials. The specialist must be able to advocate on behalf of clients, including navigating appeals processes.… more
- Robert Half Technology (Florham Park, NJ)
- …technology platforms, and more. With a strong presence as an industry advocate , the focus remains on delivering strategic channel management, advanced products, and ... candidates should have experience with pharmacy insurance, medical insurance, and claims processing ** Key Responsibilities: + Collect and translate business… more
- Robert Half Legal (San Rafael, CA)
- …to gather and present case information. * Attend hearings to represent clients and advocate on their behalf. * Manage cases using case management software to ensure ... briefs to ensure clarity, accuracy, and persuasiveness. * Handle complaints and administer claims in compliance with legal standards. * Stay updated on legal trends… more
- American Academy of Pediatrics (Itasca, IL)
- …leadership and Board of Directors, to support the AAP's mission and advocate for members. Oversee all compliance and regulatory oversight, including organizational ... management and litigation, corporate governance, intellectual property, policy development, contract negotiation and management, data protection, ethics and compliance,… more
- Corewell Health (Grand Rapids, MI)
- …LTSS functions, ensuring compliance with CMS and MDHHS requirements. + Review delegate and vendor performance, including reports and corrective action plans, ... Quality Improvement, Utilization Management, Care Management, Medicare Product Development, Claims , Digital Services, Population Health, Value Stream Leads) to… more
- Cypress Creek Renewables (Washington, DC)
- …support on M&A and financing transactions, development activities as well as other contract negotiations. Cypress Creek attorneys do not "just turn documents" - they ... will be expected not just to accommodate, but to advocate business considerations in the performance of their role;...transactions. Development + Act as legal lead on the review , drafting and negotiation of a wide variety of… more
- The Cigna Group (Richmond, VA)
- …of communication with matrix partners, including but not limited to Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales ... assist with total medical cost initiatives. + Prepare, analyze, review , and project the financial impact of larger or...impact of larger or complex provider contracts and alternate contract terms. + Create "HCP" agreements that meet internal… more