- Walmart (Bentonville, AR)
- …and providing recommendations on project design and methods to avoid risk of future claims + Direct external consultant oversight by overseeing the bid, ... and predicting costs based on construction industry trends and factors + Direct cost estimation for new capital facility concepts, investments, initiatives, and… more
- Elevance Health (Topeka, KS)
- …and medical policy, reimbursement and provider utilization patterns. + Coordinates prompt claims resolution through direct contact with providers, claims , ... payment as part of consideration for employment. **Network Relations Consultant (LTSS Provider Rep)** + Job Family: PND >...and reports on provider utilization patterns which have a direct impact on the quality of service delivery. +… 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 ... behaviors and health care decisions in support of improved health through direct member contact and/or clinical and/or plan policy development and management. The… more
- AON (IA)
- Risk Management Consultant : Are you ready to begin a new challenge and work with the best Insurance Professionals in the business? Then this just maybe the new ... + Purchase NFIP flood insurance as needed. + Provide input as needed for claims occurring at properties in assigned territory. + Attend carrier or industry meetings… 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
- UIC Government Services and the Bowhead Family of Companies (Shaw AFB, SC)
- **Overview** Force Protection Consultant (AFCENT): Bowhead is seeking a Force Protection (FP) Consultant for Physical and Personnel Security Management. The ... security support with USCENTCOM, the Air Staff, and host nation forces. The Consultant is also responsible for advising senior FP staff in identifying, developing,… more
- CVS Health (Phoenix, AZ)
- …a 45 minute commute of an Aetna or CVS office. The Senior Manager, Business Consultant is front facing to the provider partners to ensure the execution of the ... outcomes, and improving the clinician experience). The Senior Manager, Business Consultant reports directly to the Director of Transformation. With a focus… more
- Turner & Townsend (Houston, TX)
- …for full project by developing project estimates (relating to construction, fees, direct work and other costs), review estimations prepared by junior team members, ... and recommend cost amounts to be paid based on claims and changes + Measure & price quantities of...sources of cost information for cost discussions and suppliers direct from NPA, subs, quantities from A/Es,. + Manage… more
- The Hartford (Frisco, TX)
- Sr Consultant Risk Engineering - KR08DEConsultant II Risk Engineering - KR08ME We're determined to make a difference and are proud to be an insurance company that ... to meaningful work at The Hartford.As a Risk Engineering Consultant at The Hartford, your primary role will be...Active participation with partnering business units such as underwriting, claims , and sales teams. + Work with Risk Engineering… more
- Turner & Townsend (Houston, TX)
- …& Townsend** are seeking a highly skilled and experienced **Solar Planner/Project Controls Consultant ** to join our team. The role is for an experienced planner that ... also possesses cost engineering knowledge. The Planner/Project Controls Consultant will play a crucial role in ensuring the successful planning, monitoring, and… more
- The Hartford (Boston, MA)
- Sr Consultant Risk Engineering - KR08DEConsultant II Risk Engineering - KR08ME We're determined to make a difference and are proud to be an insurance company that ... to meaningful work at The Hartford.As a Risk Engineering Consultant at The Hartford, your primary role will be...process - meeting with insured's, making presentations, working with claims and underwriting, etc. + Work with Risk Engineering… more
- State of Indiana (Plainfield, IN)
- State Eligibility Consultant Date Posted: Apr 22, 2024 Requisition ID: 442623 Location: Plainfield, IN, US, 46168 Work for Indiana Grow your career with the State of ... + Examine data matches to find inconsistent and unreported data. + Approve claims referred and calculated by the Contractor. + Conduct full eligibility interviews… more
- Point32Health (Canton, MA)
- …Planning and Performance Management, the Sr. Competitive Intelligence Finance Consultant is responsible for performing Market share analysis, Competitor profiling, ... strategic insights. + Strong working knowledge of health insurance claims and health care delivery system preferred same +...content quickly + Must be able to manage and direct people toward the success of the organization +… more
- Guidehouse (New York, NY)
- …and oral communication. + Experience managing a team of 5+ direct reports, including one-on-one meetings, feedback, coaching, retention, and career progression. ... R + 3+ years of experience conducting RWE analyses and leveraging medical claims , pharmacy claims , and EMR/EHR sources. + Experience communicating data analysis… more
- US Air Force - Agency Wide (Patrick AFB, FL)
- …Recent Graduates Program. You MUST provide transcripts to support your educational claims . Education must be accredited by an accrediting institution recognized by ... Additional Information For DHA Positions: These positions are being filled under Direct -Hire Authority for the Department of Defense for Post-Secondary Students and… more
- Houston Methodist (Houston, TX)
- …HR responsibilities at the subject matter expert level providing expertise and direct support to assigned business units/clients in functional areas such as employee ... EEOC charges, business practice complaints, and Texas Workforce Unemployment Claims . Identifies appropriate options for management/senior leadership consideration, makes… more
- Beth Israel Lahey Health (Beverly, MA)
- …projects in emerging markets, Very strong project leadership skills and ability to direct client, consultant and contractor teams, Good knowledge of design ... the work of all site projects 11. Review the Consultant 's and contractor's pay requests and issue payment certificates...the site 14. Review and evaluate contractor's variations and claims and make recommendations to senior management 15. Assist… more
- State of Connecticut, Department of Administrative Services (Newington, CT)
- …THE ROLES Engineering staff in the Division of Traffic Engineering manage, direct and coordinate traffic designs, studies, and investigations for State roadways in ... structures and maintenance and construction methods in field; oversees state and consultant engineers in review of storm sewer and culvert designs and computations… more
- Customs and Border Protection (Indianapolis, IN)
- …of revenue, actions brought under federal statutes such as the False Claims Act, procurement disputes filed in federal courts, and condemnation actions. Also ... Office, and employee overpayment hearings; Advocating, identifying and pursuing affirmative claims and counterclaims on behalf of the Government and providing legal… more
- The University of Texas at Arlington (Arlington, TX)
- …property management, policies and procedures, collections, lease contract disputes, loss claims , and tenant communications for designated properties. Serve as a ... + Serve as Housing Liaison to Residence Life. + Direct activities and provide evaluation of Residence Life professional...and referral services for tenants. **Contract Disputes and Loss Claims ** : + Review appeals related to lease contract… more