- AAOS (Rosemont, IL)
- If you are eager about leveraging data to improve healthcare outcomes and have a strong background in health informatics data integration, with a desire to make a ... positive impact in the healthcare industry, please read on The Health Informatics Data...industry, please read on The Health Informatics Data Integration Manager will optimize the submission of registry data by… more
- Universal Health Services (King Of Prussia, PA)
- …Summary: The Corporate Insurance team at UHS is looking for motivated Senior Program Manager - Claims to join our innovative team and contribute to the ... Join a dynamic organization driven by our passion for healthcare . UHS is seeking talented individuals who are eager...maintaining of a rolling diary of claims . Essential Job Duties: + Maintain a rolling diary… more
- Atlantic Health System (Morristown, NJ)
- Job Summary and Essential Function Claims Manager is responsible for the successful management of executive and employment liability claims / litigation ... matters for the System. This includes claims involving Atlantic Health System medical centers, subsidiaries, affiliates,...NJ + Goryeb Children's Hospital, Morristown, NJ + CentraState Healthcare System, Freehold, NJ + Atlantic Home Care and… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Data Operations Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: ... net required to achieve that purpose. Job Summary The Manager of Claims Data Operations leads and...Required: At least 6-8 years of experience working with healthcare data. Minimum of 3-5 years of supervisory/management experience… more
- Maxim Healthcare Services (Columbia, MD)
- The Workers' Compensation (WC) Claims Examiner II understands and participates in every aspect of the WC claim process. Working in a team approach, the WC Examiner ... action, and determine the appropriate settlement value. The WC Claims Examiner II also works with the In-take Coordinators,...the In-take Coordinators, the broker of record, the WC Manager and fellow Maxim co-workers at every level of… more
- Sharp HealthCare (San Diego, CA)
- …business practices. **What You Will Do** Minimal data entry from non-scanned claims into GE according to established procedures. **Required Qualifications** + 1 Year ... previous claims experience in an HMO or indemnity insurance setting...Special ProjectsPerform special projects as assigned by the Team Leader/ Manager . **Knowledge, Skills, and Abilities** + Strong organizational skills… more
- Trinity Health (Livonia, MI)
- …facilitations, mediation, and trial. Provides status reports for open and closed claims to facility Risk Manager , facility administrators, committees and others ... Liability (HPL), General Liability (GL) and Employment Practices Liability (EPL) claims and litigation, and co-manages uninsured litigation across the system.… more
- Providence (Renton, WA)
- …retain the best people, we must empower them._** **Providence is calling a Senior Claims Insurance Manager - Medical Professional Liability Claims Handler ... liability insurance policy coverage letters + STARS / Riskonnect or similar claims management software experience + Certified Professional Healthcare Risk… more
- Elevance Health (Woburn, MA)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Claims Manager II** + Job Family: CLM > Claims Support + Type: Full ... **Shift:** Monday - Friday; 8:00am - 4:30pm ET The ** Claims Manager II** is responsible for providing...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Elevance Health (Woburn, MA)
- …check, or ask you for payment as part of consideration for employment. **State of NH, Claims Manager ** + Job Family: IFT > IT Bus Systems Solutions Planning + ... NH, MANCHESTER + MA, WOBURN **Description** **State of NH, Claims Manager ** **Location** : Manchester, NH; Woburn,...Skills, Capabilities, and Experiences:** + 3+ years' experience leading claims teams in a large healthcare payor… more
- Zelis (Atlanta, GA)
- …from providers, clients and internal teams Preferred Qualifications + 7+ years of healthcare claims related experience + People leadership experience with the ... Position Overview The Claims Settlement Manager is responsible for...interpersonal skills #LI-RZ1 As a leading payments company in healthcare , we guide, price, explain, and pay for care… more
- Conduent (Olympia, WA)
- …operations leadership + Account Management experience (3+ yrs) + Contract Management + Healthcare Claims processing exp (REQ'D) + Have experience organizing and ... is noticed and valued every day. **Job Description:** **Senior Manager , Rx Claims Service Delivery-Olympia, WA** **Are you comfortable in a high-volume… more
- Conduent (Olympia, WA)
- …5-10 years general operations leadership + Account Management experience (3+ yrs) + Healthcare Claims processing exp (REQ'D) + Have experience organizing and ... where individuality is noticed and valued every day. **Job Description:** **Senior Manager , Rx Claims Delivery** **$ign-On Bonus available** **About the Role**… more
- Humana (Columbus, OH)
- …under the direction of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support Services) Manager * Assist pharmacies with claims adjudication * ... Pharmacy Claims Team Leaders and the Pharmacy Claims (Support Services) Manager * Obtain all...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- United Site Services (Sacramento, CA)
- …Manager , and ADJ + Communicate any significant changes, problems, or concerns to Claims Manager + Request and monitor settlement requests - provide claim ... in 27 states - and growing! **Primary Purpose** The Claims Administrator, Risk Management position maintains all auto/general liability/...summaries to Risk Manager /Sr. Corporate Counsel + Work closely with TPA adjusters… more
- J&J Family of Companies (Skillman, NJ)
- …2407018022W **Description** Kenvue is currently recruiting for: **Senior Scientist EH Claims /Clinical** This position reports to Manager Research and Development ... review and approve product labels and advertising copy for consumers and healthcare professionals. * Prepare claims support documentation for product launch,… more
- Trinity Health (Livonia, MI)
- …Reviews. Contacts defense counsel as directed by ACM or Workers' Compensation Claims Manager ; composes correspondence/mail and form letters as directed; ... claims support functions as assigned by Area Claims Manager such as scheduling, calendar management,...Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation… more
- Providence (Anaheim, CA)
- **Description** The Supervisor, Claims Audit reports to the Manager , Claims Audit and responsible for the daily operations of the Claims Auditing ... will assist in managing, overseeing, and fulfilling requirements for all internal claims audits and adjudications for all product lines (Medicare, Commercial, and… more
- TEKsystems (Whittier, CA)
- …to work onsite in Whittier, CA. Must have at least 2 years experience in healthcare claims adjudication. Schedule: M-F, 7 am to 3:30 PM 3 Month Contract- ... Large Healthcare Group is looking for an experienced ...The claims examiner reports directly to the claims manager . They are primarily responsible for… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Coding & Claims - Coordinator 1 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4375274) Coding & Claims - Coordinator 1 Salary Depends ... Description + Benefits Supplemental Information Please clickHERE (https://ulsuno.wd1.myworkdayjobs.com/en-US/UniversityOfNewOrleans/job/Baton-Rouge-La/Coding Claims Coordinator-1\_R-000963-1?q=coding%20&%20claims) to apply. * Reviews and verifies… more
