- Crawford & Company (Portland, OR)
- …which focuses primarily in the following four key areas of edjuster's content claims handling operations : + Acting/operating as a third party, intermediary ... Claims Specialists are consistently (daily/weekly basis) assigned new claim files. + Operating from their home-based offices, edjuster's...detailed work/time logs on a daily basis, for all claims processed. + Maintain claim related notes… more
- CareOregon (Portland, OR)
- …Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Benefit Specialist II Exemption Status Non-Exempt Department Pharmacy Manager Title Pharmacy ... Benefit Operations Supervisor Direct Reports n/a Requisition # 24256 Pay and Benefits Estimated hiring range $45,850 - $55,500 / year, 5% bonus target, full… more
- Bureau of Land Management (Prineville, OR)
- Summary This position serves as a Geographic Information System Specialist in a BLM office, OR/WA State Office. Work assignments frequently stem from senior managers ... to bureau and/or state/center priorities. Responsibilities As the Geographic Information System Specialist in this position, you will: GIS Specialist GS-301-07… more
- CareOregon (Portland, OR)
- …in several of the following areas: Provider relations, managed care operations (eg, claims , appeals, grievances, customer service), medical/behavioral health ... Job Title Provider Relations Specialist Lead Department 116-Provider Relations Exemption Status Exempt Requisition # 24293 Direct Reports n/a Manager Title Provider… more
- Providence (OR)
- **Description** **Providence is calling a Senior Pre-Service Specialist who will work remotely within** **our footprint states, AK, CA, OR, WA, TX, NM, or MT.** ... Under the direction of the Pre-Service Supervisor/Manager/Director, the Senior Pre-Service Specialist has a clear understanding and knowledge of all functions… more
- Providence (OR)
- **Description** Senior Pre Service Specialist \*Remote\* Under the direction of the Pre-Service Supervisor/Manager/Director, the Senior Pre-Service Specialist ... when receiving care at PSJH. Functions may also include claim edits, DNB's or Stop Bills, Maintaining the integrity...well as the coverage record. In addition, Senior Pre-Service Specialist acts as a role model and resource for… more
- CareOregon (Medford, OR)
- …one or more of the following areas: Provider relations, managed care operations (eg claims , appeals, grievances, customer service), medical/behavioral health ... contractor and must comply with all federal laws. Job Title Provider Relations Specialist I Department 116 - Provider Relations Exemption Status Exempt Requisition #… more
- CareOregon (Portland, OR)
- …in several of the following areas: Provider relations, managed care operations (eg, claims , appeals, grievances, customer service), medical/behavioral health ... Job Title Provider Relations Specialist II Exemption Status Exempt Department Provider Relations...member. + Work closely with other internal departments, including Claims , Credentialing, and Provider Data; address processes that affect… more
- Interior, US Fish and Wildlife Service (Portland, OR)
- Summary This position is a Program Support Specialist , GS-0301-7/9, working in Portland, Oregon, for the Region 1 Assistant Regional Director (ARD) for Ecological ... to be considered under both recruitment methods. Responsibilities As a Program Support Specialist , your duties will include, but are not limited to, the following:… more
- Walgreens (Hood River, OR)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... (eg, offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Executes and coaches team members on warehouse and vendor… more
- Air National Guard Units (Kingsley Field, OR)
- Summary This National Guard position is for a GENERAL SUPPLY SPECIALIST , Position Description Number D1975000 and is part of the Oregon National Guard 173rd Fighter ... Wing, National Guard. Responsibilities As a GENERAL SUPPLY SPECIALIST , GS-2001-7/9, this position is located in the Air National Guard, Mission Support Group,… more
- Prime Therapeutics (Salem, OR)
- …and drives every decision we make. **Job Posting Title** Senior Enrollment Specialist **Job Description Summary** This position is responsible for processing, data ... assessment and dis-enrollment documentation for strategic business unit (SBU) operations . **Job Description** + Effectively supports Magellan's SBU program … more
- Intermountain Health (Salem, OR)
- **Job Description:** Scope: The Pharmacy Contract Reimbursement Specialist assists with Pharmacy Benefit contract management, prepares, or reviews third-party ... actual and budgeted contractual allowances and variances, monitoring of individual claims (logs)). Interacts with Payer Contract resources and Pharmacy Director as… more
- Interior, Bureau of Indian Affairs (Salem, OR)
- …multiple suspects and events to probable criminal activity. Serving as a technical specialist for the prosecution of cases in US Magistrate Court, State, and local ... 4) Serving as technical advisor to team leaders in the daily operations of their assigned functional areas. FIREARMS REQUIREMENT: This position requires that… more
- Travelers Insurance Company (Lake Oswego, OR)
- …$196,200.00 **Target Openings** 2 **What Is the Opportunity?** As a Property Specialist , you will be responsible for completing risk engineering assessments to ... and mentor to other risk control consultants. The Property Specialist is a self-starter and has the ability to...assigned to business units, with the broker/agent community, with Claim , with other Risk Control staff, and with clients.… more
- Bureau of Land Management (Baker City, OR)
- …Park Ranger. Primary Duties: This position will be vital to the operations and messaging of the museum. Fee collection, Educational program delivery, Visitor ... in a park, recreation or conservation area; management, assistant, or program specialist work involving the development and implementation of policy related to… more
- CareOregon (Portland, OR)
- …health plan financing, health care costs, health outcome measures, and health plan operations , such as claims payment, customer service, medical management, and ... Exemption Status Exempt Management Level Supervisor Direct Reports Tribal Program Specialist , Tribal Liaison JCC, Tribal Liaison CPCCO Manager Title Director, Tribal… more
- BMWC Constructors, Inc. (Hillsboro, OR)
- …construction company seeking an experienced Safety Manager to support our Portland operations . You will be part of a top-performing Safety Department and report ... + Minimize company exposure to incidents, accidents, and workers' compensation claims . + Prioritize effective time management and communication. + Serve as… more
- Zurich NA (Salem, OR)
- …and customer satisfaction. + Participating in leadership team meetings to provide specialist guidance and enable the implementation of policies, projects and change ... industryOR + Bachelor's Degree with 20 or more years of experience in Claims or Underwriting Support area within the Commercial Insurance industryAND + Experience in… more