- AssistRx (Orlando, FL)
- …and support all operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day operations ... and external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account minimum balances… more
- Healthfirst (NY)
- …with HRP implementation and claims processing + Prior experience with claims and provider payment operations in a healthcare payor setting + Experience ... development of strategic plans to ensure modern and efficient claims processing across the entire lifecycle with...on a unified, streamlined experience for both providers and operations staff + Works closely with technology and business… more
- HCA Healthcare (Nashville, TN)
- …Physician's Services Group and other corporate departments that will mutually benefit the Claims Department and the organization. + Lead and/or participate in ... Do you want to join an organization that invests in you as a Sr Claims Supervisor? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300… more
- Axis (Alpharetta, GA)
- …Lines market in North America. As a direct report to the Head of Financial Lines Claims , the successful candidate will lead a sophisticated team of claims ... top talent and developing appropriate succession plans + Reviewing, processing , and assigning new D&O claims to...maintaining relationships with internal and external partners as their lead contact within the claims department for… more
- CHS (Clearwater, FL)
- …culture of transparency and member-focused service. With at least 5-7 years of claims operations management experience and strong leadership skills, you'll shape ... to payment. * Oversight for the ongoing management of claims processing technology, including plan building and...at least 5-7 years in a Management role for Claims Operations , servicing health insurance policies or… more
- AIG (Atlanta, GA)
- …Law Firms with an annual spend of less than $500K for Insurance Claims processing and adjudication commodities. This shall include; + Negotiate commercial ... help customers to manage risk. Join us as a Claims Law Firm Analyst to play your part in...from AIG's Law Firm contract template; + Participate and lead Law Firm pricing negotiations; + Document and summarize… more
- Elevance Health (Richmond, VA)
- …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... / revenue cycle management (RCM) organizations, with specific understanding in end-to-end claims / encounter processing , as well as ensuring compliance with… more
- MVP Health Care (Schenectady, NY)
- …+ Mentor, support, and build a high-performing team within Claims Operations . + Supervise claims processing activities related to adjustments, ... our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims / Operations ** **Pay Type** **Salary** **Hiring Min Rate** **52,423 USD**… more
- Truist (Greensboro, NC)
- …review the following job description:** Under minimal supervision of the Operations Manager, responsible for handling electronic payment exceptions, escalations, and ... guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to… more
- AIG (Philadelphia, PA)
- About the role: The Administration Operations Lead oversees the financial administration of premium bookings and payments, provides cash management, billing and ... as the liaison between the Business, Finance, Collections, Reinsurance, Treasury, Actuary, Claims and IT. Address ad hoc questions, queries and issues that arise… more
- Molina Healthcare (Provo, UT)
- … Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, and...operations + Must have strong understanding of QNXT claims processes + Must be able to identify and… more
- NextEra Energy (North Palm Beach, FL)
- …insurance subsidiary and provides coverage to both affiliated and non-affiliated risks. As the Operations Analyst for Claims & Finance, you will be assisting the ... Loss), following up with TPAs (Third Party Administrators), manage claims BDXs (Bordereau), processing invoices, generate loss...ideal candidate will be responsible for the following: * Lead the tasks and deliverables of Operations … more
- Wells Fargo (Charlotte, NC)
- …end-to-end claims processing for all dispute types. This individual will lead the ATM, Debit Card Claims (ADCC) team of approximately 2,000 employees, ... this role:** Wells Fargo is seeking a Fraud & Claims Operations Director to report to the...Address issues and maintain an awareness of fraud and claims activity across the company. + Lead … more
- State of Colorado (Grand Junction, CO)
- …What we do: Retail Operations provides the sale of Lottery products, claims processing , redemption of prizes, and customer service at the Pueblo, Denver, ... Retail Operations Customer Support - Part Time Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5010408)...Grand Junction, and Ft. Collins Claims Counters, including providing customer service support to retailers,… more
- nVent (Anoka, MN)
- …product circumstances, specifications of original order, order errors etc. + Coordinate claims processing with Customer Service, Finance, Traffic & Quality ... claims with cross functional teams. + Be the Lead Trainer for new hires & continuous training for...**WE HAVE:** + A dynamic global reach with diverse operations around the world that will stretch your abilities,… more
- Veterans Affairs, Veterans Health Administration (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
- Otsuka America Pharmaceutical Inc. (Jackson, MS)
- …Affordability We are seeking a highly skilled and motivated Director of Specialty Pharmacy Operations to lead and oversee the operations for the launch ... This position will be responsible for the Specialty Pharmacy operations for OAPI The position will report to the Executive Director, Channel Strategy and Patient… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER, AUTOPSY OPERATIONS AND SUPPORT SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4670156) Apply MANAGER, AUTOPSY OPERATIONS ... through subordinate supervisors. + Develops, implements, and evaluates daily operations , processes, and procedures to achieve established goals and objectives… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Description** The Associate Director, Strategic Sourcing, Research Category Lead , will lead strategic sourcing efforts for key R&D categories including ... organization. **Job Description** The Associate Director, Strategic Sourcing, Research Category Lead , will execute on Sourcing strategies defined by R&D Sourcing… more
- Otsuka America Pharmaceutical Inc. (Bismarck, ND)
- This position will be responsible for the Specialty Pharmacy operations for OAPI The position will report to Director, Specialty Pharmacy Operations We are ... seeking a detail-oriented and proactive Senior Manager of Pharmacy Operations to support the operational execution of our new specialty pharmacy product launch. This… more