- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Integrity Provider Remediation (ALD- 24 months) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....net required to achieve that purpose. Job Summary The Manager , Claims Integrity Provider… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Los Angeles, CA, US, 90017 Position Type: Full ... net required to achieve that purpose. Job Summary The Manager , Claims directs the efforts of others...goals of the company. The Manager must provide mentoring to supervisors and Claims department… more
- USAA (San Antonio, TX)
- …a part of what makes us so special! **The Opportunity** We are seeking a dedicated Claims Litigation Manager Senior. This position is a hybrid work type and can ... a real impact for our members. We believe in our core values of honesty, integrity , loyalty and service. They're what guides everything we do - from how we treat… more
- Alight (MN)
- …to Very High Standards" important to you? If so, Alight is seeking a Claims Operations Manager with experience meeting team service goals and objectives ... calling of improving lives. **Be Alight -** act with integrity , be real and empower others. It's why we're...of Be Alight. Learn more at careers.alight.com. **Claim Operations Manager ** Are you a successful leader who is experienced… more
- Robert Half Finance & Accounting (San Antonio, TX)
- …company in the heart of the San Antonio market seeking to hire an experienced Claims Manager . With over 20 years of experience in the healthcare industry, this ... + Develop and maintain auditing and quality control standards to uphold the integrity of claims processing. + Supervise day-to-day operations, including workflow… more
- AIG (Lenexa, KS)
- …the way we help customers to manage risk. Join us as Accident & Health Claims Unit Manager to play your part in that transformation. It's an opportunity ... of the industry's top talent. Make your mark in Claims Our Claims teams are the proven...with Operational / Best Practices guidelines + Ensuring Analysts provide exceptional customer service, including regular interaction with our… more
- USAA (San Antonio, TX)
- …liability and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison ... 4 years work experience handling liability and first party claims or progressive experience in litigation. + 2 years...services; in so doing, USAA seeks to be the provider of choice for the military community. We do… more
- USAA (Colorado Springs, CO)
- …liability and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison ... 4 years work experience handling liability and first party claims or progressive experience in litigation. + 2 years...services; in so doing, USAA seeks to be the provider of choice for the military community. We do… more
- USAA (Colorado Springs, CO)
- …we need the right people. We're looking for those who share our values of honesty, integrity , loyalty and service. Because what we do is just as important as how we ... is all about learning and growing. Our Associate Auto Claims Representative role may be a new career for...The days from home will be determined by your manager . Relocation assistance is not available for this position.… more
- USAA (San Antonio, TX)
- …we need the right people. We're looking for those who share our values of honesty, integrity , loyalty and service. Because what we do is just as important as how we ... what makes us so special! It is all about learning and growing. Our Customer Service Claims Representative role may be a new career for you. There's a lot to learn,… more
- USAA (Tampa, FL)
- …we need the right people. We're looking for those who share our values of honesty, integrity , loyalty and service. Because what we do is just as important as how we ... special! It is all about learning and growing. Our Claims Customer Service role may be a new career...days will be determined between each employee and their manager . **The Opportunity** Job Description We are currently seeking… more
- Molson Coors Beverage Company (Milwaukee, WI)
- …do, we want to hear from you. **The Headlines** **:** In the role of Insurance and Claims Manager working in Milwaukee, WI you will be part of the Americas legal ... finance, procurement functions. This position reports to the Senior Manager , Insurance & Claims and works closely... for the Americas with a focus on data integrity , reserving, tracking, financial and actuarial reporting. Consults on… more
- Elkay (Milwaukee, WI)
- Freight Audit and Claims Analyst **_The Company_** Zurn Elkay Water Solutions Corporation is a thriving, values-driven company focused on doing the right things. ... growing, publicly traded company (NYSE: ZWS), with an enduring reputation for integrity , giving back, and providing an engaging, inclusive environment where careers… more
- BMO Financial Group (Irving, TX)
- BMO is hiring an Insurance Claims Specialist to join the Transportation Finance Operations team. The Insurance Claims Specialist is responsible for verifying and ... assisting with Insurance claims . The Insurance Claims Specialist will work...on business objectives. + Analyzes data and information to provide insights and recommendations. + Identifies and analyzes issues… more
- Guthrie (Sayre, PA)
- …providing feedback to CRC‐Insurance Department bi‐monthly to facilitate release of provider claims . 8. Liaison between CRC Insurance Depart, Reimbursement ... Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role...payers to facilitate payment on outstanding and /or pended claims . 9. Central point of contact for enrollment inquiries… more
- Guidehouse (Lewisville, TX)
- …payers is essential **_Questions regarding these openings, please call Chris Rivera ( Manager , Talent Acquisition) at ###._** **_These positions are on a Hybrid ... and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client follows all.../ or plan changes as appropriate to ensure the integrity of the insurance master is maintained + Updates… more
- Corewell Health (Grand Rapids, MI)
- …Program with specific expertise in healthcare payment and reimbursement. The Payment Integrity Manager is responsible for managing staff and associated ... will be supported by coordinating with Medical Policy and Provider Relations teams to effectively plan and execute program... Strategy. + Develop/sustain and engagement model between the Claims integrity function and other business units… more
- University of Utah Health (Murray, UT)
- …and trust that are integral to our mission. EO/AA_ Under the direction of the Provider Network Director, the Manager of Provider Contracting is responsible ... with all departments and providers throughout the state. The Manager of Provider Contracting must be highly...area. + Previous management experience. + Working knowledge of provider contract configuration related to accurate claims … more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- ** Manager Provider Network Management** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29175 Your career starts now. We're ... contracts. + Responsible for implementation of electronic strategies for provider network to include increasing electronic claims ...these principles into action every day by acting with integrity and respect. We stand together to speak out… more
- Medical Mutual of Ohio (OH)
- …the ability to apply advanced concepts related to payer performance-based contracts, provider delivery systems, claims and clinical data. . Superior financial ... oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health,… more