- Integrated Resources, Inc (Atlanta, GA)
- …Pay range: $66/hour on W2. Job Description: Research Scientist (Bioinformatics Consultant ) - Molecular Epidemiology The Biomarker Sciences department at client is ... and data science expertise to integrate and mine large complex data is a plus. . Candidates are expected...databases including electronic health records, specialized EMR databases, and claims data is a plus. . Should have general… more
- The Hartford (Hartford, CT)
- Consultant Claims - CH08CEConsultant Claims...This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty ... (HGS) Claims Division. As a Claims Consultant , you will be responsible for...of damages issues relative to high value bodily injury claims and complex property damage claims… more
- The Hartford (Scottsdale, AZ)
- …investigation, evaluation, negotiation, and resolution of minimal to moderately complex claims requiring thorough investigations including telephone contacts ... with the involved parties, technical expertise, and complex analysis. Claim assignments involve Cargo types of products....damages. Depending on experience can hire as a Sr Claims Representative or Claims Consultant .… more
- The Hartford (Hartford, CT)
- Consultant Claims Bond - CG07NEAsst Consult...of financial and construction services for moderate to highly complex claims on Hartford bonds to comply ... accomplish theirs, too. Join our team as we help shape the future. Consultant Claims Bond Experienced surety claim handler wanted to join 6th largest writer of… more
- The Hartford (Seattle, WA)
- …and coordinate financial, construction and other services regarding moderate to highly complex claims on Hartford bonds to assure compliance with all ... Asst Consult Claims Bond - CG07LE We're determined to make...strong team. Responsibilities + Investigate payment, performance and commercial claims on surety bonds including proactively implementing and managing… more
- The Hartford (Lake Mary, FL)
- …issues + Possess the ability to investigate, evaluate and negotiate highly complex claims to appropriate disposition + Possess superior analytical and ... management abilities + Possess the advanced technical knowledge to properly reserve highly complex claims + Properly apply statutory laws and regulations of… more
- Sedgwick (Buffalo, NY)
- …Health Care Risk Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and ... Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating… more
- Sedgwick (Columbus, OH)
- …Employer RN Consultant - Liability **PRIMARY PURPOSE** **:** To manage complex high exposure general liability claims ; to review medical treatment records ... associated with general liability, bodily injury auto and personal injury claims analyzing for damages and causation. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** +… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Consultant Sr - Professional Liability **PRIMARY PURPOSE** : To handle complex ... care issues; to independently investigate, analyze and evaluate medical malpractice claims for self-insured and commercially insured clients; to provide information… more
- WellSense (Boston, MA)
- Provider Relations Consultant (Boston/Northeast MA) - $5000 sign on bonus! WellSense Health Plan is a nonprofit health insurance company serving members across ... our members, no matter their circumstances. As a WellSense Provider Relations Consultant , you'll act as the primary liaison between WellSense's contracted medical… more
- Ada County (Boise, ID)
- Senior HR Consultant Print (https://www.governmentjobs.com/careers/adacounty/jobs/newprint/4347543) Apply Senior HR Consultant Salary $80,000.00 Annually ... + Receives and responds to employee complaints, including harassment and discrimination claims , evaluates claims for possible investigation, and helps mediate… more
- GEHA (Lee's Summit, MO)
- …customer experience, sustained by a nimble and efficient organization. The Nurse Consultant II provides professional nursing care to our members through the ... member contact and/or clinical and/or plan policy development and management. The Nurse Consultant II will be involved in research and development for policies and… more
- Sedgwick (San Antonio, TX)
- … **PRIMARY PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, ... such as subrogation, fraud evaluation or case management review to resolve claims . + Establishes and maintains effective relationship with internal and external… more
- Serco (Washington, DC)
- **Position Description** Serco is seekinga motivated Senior Project Consultant /Advisor to join our talented and fast-paced Public Sector Solutions team in supporting ... of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims ; and supporting state and national reporting and development of corrective actions… more
- Elevance Health (Topeka, KS)
- …ask you for payment as part of consideration for employment. **Network Relations Consultant (LTSS Provider Rep)** + Job Family: PND > Provider Relationship Account ... Overland Park + Kansas, Kansas City **Description** **Network Relations Consultant , LTSS Provider Representative** **Location:** Kansas. This position will work… more
- Mayo Clinic (Phoenix, AZ)
- …succeed. **Responsibilities** Partner with physician/scientist and operational leadership on complex physician/scientist ( Consultant Staff) employment and human ... strategy development, execution planning, and facilitation of HR practice for Consultant Staff, programs and services. Applies understanding of client business unit… more
- Elevance Health (Chicago, IL)
- …requiring additional specialized technical knowledge in clinical program operation and medical claims , etc. + Develops very complex and varied strategic reports ... you for payment as part of consideration for employment. **Business Information Developer Consultant Senior** + Job Family: RDA > Business/Health Info + Type: Full… more
- Two95 International Inc. (New York, NY)
- Job Title: Sr. Analytics Consultant Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Job Description: Primary ... * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively...solving, with the ability to visualize, articulate, and solve complex problems and concepts, make decisions, and take appropriate… more
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Financial Consultant Principal - Remote **Job Description** The Principal Financial Consultant ... internal and external customers and stakeholders. This position leads complex analyses to create new business insights related to...and develops others + Serves as a subject matter consultant in multiple areas within the industry (pharmacy trend,… more
- Elevance Health (Indianapolis, IN)
- …you for payment as part of consideration for employment. **Provider Contract/Cost of Care Consultant ** + Job Family: RDA > Health Economics & Cost of Care + Type: ... + Delaware + Indiana, Indianapolis **Description** **Provider Contract/Cost of Care Consultant ** **Location:** This position will work a hybrid model (remote and… more
