- The Cigna Group (Bloomfield, CT)
- The Claims & PR Advocate is a **phone...+ Answer inbound calls from members and providers regarding claims , contracting, and provider relations . + ... in Evernorth Behavioral Care Specialist/Advocacy role preferred + Experience handling behavioral health claims and provider relations calls is a plus +… more
- Molina Healthcare (Buffalo, NY)
- …in New York _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...ABILITIES** : * 3 - 5 years customer service, provider service, or claims experience in a… more
- Molina Healthcare (Ramapo, NY)
- … visits _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a… more
- MTA (Jamaica, NY)
- … - Railroad Operations and Director - Labor Relations on current labor relations issues. Provide consultation and expert advice to management or other groups ... within time limits. Calculate the cost or liability of claims . Negotiate stipulations of settlement where appropriate. Analyze cases...Relations - Railroad Operations and Director - Labor Relations at various meetings as needed. Provide … more
- MTA (New York, NY)
- Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: ... Labor Relations MNR Date Posted: Aug 15, 2025 Description JOB...all other US transit systems combined. MTA strives to provide a safe and reliable commute, excellent customer service,… more
- BAE Systems (Nashua, NH)
- …Come build your career with BAE Systems. We are seeing a Senior Manager of Employee Relations to join our team in Nashua, NH. In this role, you will work to foster ... employee complaints, providing guidance to management and employees on employee relations issues, and collaborating with peers and leaders to drive organizational… more
- McLaren Health Care (Indianapolis, IN)
- … for the Provider , supplying information and education, working with Provider Relations to handle issues. Also responsible for assisting members with ... risk arrangements and actuarial precepts). + In-depth understanding of claims administration as it pertains to provider ...of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes,… more
- The Cigna Group (Richmond, VA)
- …Hospital/ Provider /Ancillary group experience required** + **1+ years prior Provider Servicing/ Provider Relations experience strongly preferred** + ... need to work in the office or visit Providers 3 days per week The ** Provider Contracting Lead Analyst** serves as an integral member of the Provider Contracting… more
- The Cigna Group (Bloomfield, CT)
- … Provider Data Management to reduce inventory queues. Working closely with Contracting/ Provider Relations , Quality, and Claims Managers and Supervisors to ... Utilizes independent judgment and discretion. Responsible for maintaining current provider data to ensure the quality of the network....Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.… more
- ASM Global (Boston, MA)
- …and procedures, and all employment/labor laws. He/she will proactively anticipate labor/employee relations issues and provide counsel to resolve them. The ... to meet all legal obligations, minimize organizational risk, and provide a safe and secure work environment for employees....ensure proper onboarding of all seasonal staff. + Employee Relations - Act as an employee advocate … more
- Win (Women In Need) (New York, NY)
- …to monitor and investigate reports of employee misconduct, harassment, retaliation and other claims . + Provide advice and counsel to managers as investigations ... the Opportunity Win is a leader and the largest provider of shelter, supportive housing, and groundbreaking programs in...the department's leadership team to analyze PC challenges and provide solutions that will impact a positive work environment.… more
- The County of Los Angeles (Los Angeles, CA)
- …permanent appointment to Community Health Worker. Essential Job Functions Facilitates relations between the agency and the community by communicating agency policies ... housing, medical, mental health, or substance use care. Serves as an advocate for client/patient access to departmental and community resources. Assists clients,… more
- Voices for Children (San Diego, CA)
- …Children is a respected, local nonprofit organization focused on fulfilling our mission to advocate for the needs of children in foster care. Our mission is to ... home, and to that end, our vision is to provide a CASA to every child in foster care...one, monitor every court file in the system, and advocate to improve the lives of Riverside and San… more
- The Cigna Group (Bloomfield, CT)
- …to utilization management, case management, network, contracting, pharmacy, and service operations ( claims ). This is an entry to mid-level position for a physician ... Performs benefit-driven medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state… more
- The Cigna Group (Charlotte, NC)
- …Medical Management, Legal, Medical Economics, Compliance, Sales, Marketing, and Provider Relations **Minimum Program Qualifications** + **Currently enrolled ... Track will build the skills needed to succeed in provider contracting and healthcare network development. As a Network...Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.… more
- Omaha Children's Hospital (Omaha, NE)
- …state, federal regulations and medical terminology. This includes all aspects of payer relations , claims adjudication, contractual claims process and general ... and education. As the state's only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families-from primary and… more
- Villa Restaurant Group (Morristown, NJ)
- …for overseeing and executing human resources, health/welfare, safety, and union relations programs and strategies across the organization ensuring that the company's ... strategy and policies in alignment with the overall strategic business goals. + Provide leadership, guidance, and mentorship to the HR and Operations team to ensure… more
- University of Miami (Miami, FL)
- …pertaining to quality-of-care issues. Facilitate interventions as necessary with Patient Relations , Physician Leadership and Corporate Patient Advocate of Risk ... complaints regarding patient care. The Director Risk Management of UHT shall provide consultation to UM leadership that includes: Senior Management, Faculty and… more
- Southern Company (Atlanta, GA)
- …companies. *Foster collaboration & teamwork among departments including Safety, Legal, Claims , Training, HR, Operations & others to achieve shared results. ... efficiencies, and drive a consistent safety culture across the enterprise. * Advocate the Company's position regarding safety compliance legislative and regulatory… more
- Marriott (Bethesda, MD)
- …strategy. This work will include benefits design, policy development, compliance, vendor relations , and local and on-site initiatives. This individual will be a ... and evaluate emerging trends, innovations, policies, legislation and resources and provide insight into competitive benefits practices and benchmarking to position… more