- CornerStone Staffing (Fort Worth, TX)
- …minded candidates with medical provider experience! We are seeking tenacious candidates with healthcare and outbound call center experience to work for an excellent ... Healthcare company in Fort Worth! JOB ID - 144713 Job Title: Medical Claims Analyst Pay: $18/hr Location: Fort Worth, TX (76102) - WILL BE FULLY ON SITE Hours:… more
- Blue Shield of California (Oakland, CA)
- …reporting. The Clinical Quality Analyst - Senior will report to the Clinical Quality Manager or Senior Manager . In this role you will provide data, analytic ... guidance and direction of Clinical Quality Analyst - Consultant or Principal or Manager Design, build, and enhance data systems and applications so that they better… more
- BioAgilytix (Durham, NC)
- …life-saving therapeutics to the patients who need them.We're seeking an experienced Manager of Employee Relations to join us at our Durham location, which ... both our hub for nearly 600 talented employees and our global headquarters. The Manager of Employee Relations will play a pivotal part in fostering a positive work… more
- A-Line Staffing Solutions (Cleveland, OH)
- Remote RN Case Manager openings with a major healthcare company based in the Cleveland, OH area and surrounding counties! Starting ASAP!! Apply now with Jake Z. ... Claims , Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare , Inbound Calls, Outbound Calls. more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …and contract compliance. Relationships This individual contributor role reports to the Sr. Manager of Business Assurance and works closely with various teams in PCOR ... relevant experience; at least 3 years in pharmacy or medical claims , formulary analysis, contract analysis, rebate administration, or utilization management controls… more
- Blanchard Valley Health System (Findlay, OH)
- …support the Legal, Risk Management, and Corporate Compliance Department. The Risk Manager is responsible for planning and directing the Risk Management program from ... (FMEA) etc.) Duty 4: Designs, implements, and maintains programs to reduce claims and incidents, and associated liability. Duty 5: Offers risk educational… more
- Option Care Health (Olympia, WA)
- …are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. ... on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or… more
- MultiPlan (Atlanta, GA)
- …of healthcare domains and data classification is required (eg, claims and eligibility, provider, pricing, risk-based products) with a solid understanding of ... data protection mechanisms and measures (data obfuscation, dynamic/persistent masking, etc.). JOB ROLES AND RESPONSIBILITIES:1Lead the implementation of the Data Maturity Program strategy and frameworkYou will be responsible for execution of the outcome based,… more
- Accounting Now (Pinellas Park, FL)
- …for ensuring accurate billing, timely submission of electronic and/or paper claims , monitoring claim status, researching rejections and denials, documenting related ... all functionality is utilized for the utmost efficient processing of claims to Insurances nationwide. Primary Responsibilities:Responsible for charge and payment… more
- Option Care Health (Dublin, OH)
- …financial assistance program).Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where ... missing).Assist Patient Registration Supervisor and Manager with special assignments as needed. Supervisory ResponsibilitiesDoes this position have supervisory… more
- MultiPlan (Atlanta, GA)
- …to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive ... customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions. Our commitment to diversity, inclusion and… more
- Globe Life Inc. (Broadview Heights, OH)
- …(PF&A) will, at the direction of the Product Forms & Filings Process Manager , be responsible for configuration of the Family Heritage operating system (SOAR). This ... the review of the Product Forms & Filings Process Manager of new and revised policies, riders, application forms,...system to issue policies and through benefit files, pay claims . The PF&A will help maintain accurate records of… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …Maintains awareness of potentially compensable events and refers to the Patient Safety Manager and the NGHS claims staff in a timely manner.Conducts ... Assistant, LPN, or other similar clinical licensure or Certified Professional In Healthcare Risk Management (CPHRM), Certified Professional in Healthcare Quality… more
- Hired by Matrix (Sacramento County, CA)
- …Security and Logistics, Pharmaceutical / Biotech, Technology, Automotive, Engineering, and Healthcare . At-a-Glance: Are you ready to build your career by joining ... areas on all financial and compliance topics. Supports the Project Manager in identifying, reporting, avoiding, or mitigating non-conformance costs; supports the… more
- CornerStone Staffing (Fort Worth, TX)
- CornerStone Staffing has partnered with a MAJOR HEALTHCARE NETWORK in Fort Worth and is currently recruiting for the following position: Job Title: Patient Account ... billing operations meet compliance with State and federal guidelines for accurate claims processing. This position processes electronic and paper claims for… more
- Valmont Industries, Inc. (Miami Shores, FL)
- …Apply now.A Brief Summary of This Position:Under the direction of the General Manager , with a reporting matrix to the Coatings Division, HR Business Partner, this ... Facilities. This position is also responsible to back-up the Office Manager /Accountant in daily invoicing responsibilities. Essential Functions:Reports to the Miami… more
- Valmont Industries, Inc. (Lindon, UT)
- …and procedures. Essential Functions: EHS Coordinator Reports directly to the General Manager or Technical Operations Manager .Assist the creation of annual, ... to health and safety events such as injuries, workers compensation claims , near miss incidents and internal and external inspections.Manages implementation of… more
- Valmont Industries, Inc. (Steele, AL)
- …hazards that can result in harm. Essential Functions: Report directly to the General Manager , with matrixed reporting to the Regional Safety Manager (no direct ... related to health and safety events such as injuries, workers compensation claims , near miss incidents and internal and external inspectionsManage and/or assist in… more
- Mindlance (Gallatin, TN)
- …Pharmacist Job Location: Gallatin, TN Top 3/5 Skills: Licensed Pharmacist Insurance Healthcare experience Job Duties: The Clinical Pharmacist is responsible for the ... measures and Medication Therapy Management Program (MTMP). . Utilize Pharmacy Benefit Manager resources and maintain comprehensive knowledge base on all heath plan… more
- Cambia Health Solutions, Inc (Vancouver, WA)
- …disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Oversees a ... resource to internal and external customers.Collaborates with other departments to resolve claims , quality of care, member or provider issues. Identifies problems or… more
