- Molina Healthcare (Omaha, NE)
- …of knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, ... & Regulatory Acumen (Healthcare/ Claims )** + Deep understanding of claims lifecycle, EDI transactions, payment integrity, provider data, appeals/grievances,… more
- CVS Health (Lincoln, NE)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Omaha, NE)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Lincoln, NE)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- WelbeHealth (Lincoln, NE)
- … claims with errors back to the claims team for corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, ... senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to… more
- WelbeHealth (Lincoln, NE)
- … senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while serving as a care provider and care plan to those ... pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider partners....procedures, or other established quality standards + Work alongside manager to establish and maintain claims processing… more
- RxBenefits (Omaha, NE)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Medtronic (NE)
- …education, clinical evidence interpretation, and Medtronic employee education. You will provide feedback to product development, internal training and education on ... Leads coordination of new-hire training with accountability to hiring manager (CSM or RM) + Responsible for new hire...can craft a message as to why Medtronic therapies provide a competitive advantage. + Disseminate competitive information to… more
- Cardinal Health (Lincoln, NE)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- Fujifilm (Lincoln, NE)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Cardinal Health (Lincoln, NE)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- Kiewit (Omaha, NE)
- **Requisition ID:** 176812 **Job Level:** Senior Level **Home District/Group:** Kiewit Building Group **Department:** Field Operations **Market:** Building ... **Employment Type:** Full Time **Position Overview** The Project Manager will be responsible for overseeing the successful delivery of large-scale building… more
- Otsuka America Pharmaceutical Inc. (Lincoln, NE)
- …plan. This position provides guidance, coaching, and oversight to the Manager , Medical Core Content, ensuring all materials are developed with scientific ... consistency, and compliance. This position reports directly to the Senior Director, CNS Medical Communications Lead. **Job Description** **Key Responsibilities… more
- HUB International (Omaha, NE)
- …programs, and Section 125 plans and maintains the ability to evaluate provider networks. + Maintains a current, working knowledge of the business organization ... of the assigned clients. + Proactively seeks to provide options that best meet the client's business objectives...and renewal, assists with guiding and directing the Account Manager and Financial Analyst assigned to the case, resolving… more
- CenterWell (Lincoln, NE)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex… more
- Walgreens (Lincoln, NE)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Omaha, NE)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Zurich NA (Omaha, NE)
- …culture. You will have the opportunity to work with a wide range of senior executives to drive the cross- functional key initiatives in RCIS, showcase your problem ... and relationship management skills. Working with all Functions including Claims , Underwriting, Operations, IT and Finance on a diverse...and Finance on a diverse set of topics will provide a holistic understanding of the Crop business and… more
- Accura Healthcare (Omaha, NE)
- …maintenance of all required information and procedures. Therefore, ideally a Business Office Manager , within senior living, would be an ideal candidate for this ... growing accounting and finance team! We are a multi-state senior living organization and this position will reside out...meet and maintain goals. + >Monitors Medicaid billing and claims are accurately and timely filed on behalf of… more