- Molson Coors Beverage Company (Milwaukee, WI)
- Insurance and Claims Mgr Date: May 2, 2024 Location: Milwaukee, WI, US **Requisition ID:** 30509 **A Career in Beer and Beyond:** Our purpose at Molson Coors ... **The Headlines** **:** In the role of Insurance and Claims Manager working in Milwaukee, WI you will be...and coordination of the company's risk management, insurance, and claims (Americas) functions. You will lead the relationship with… more
- Hartford HealthCare (Hartford, CT)
- …**Professional Non-Clinical* **Organization:** **Hartford HealthCare Corp.* **Title:** *Medical Claims /Risk Mgr / Admin Legal* **Location:** ... Manages a robust caseload, from inception to closure, of Hartford HealthCare's claims and suits through HHC's Legal Department. Responsible to assist in the… more
- Covenant Health Inc. (Morristown, TN)
- …timely and accurate pre-authorizations, initial collections of co-pays, and billing of claims . Works with financial services for timely resolution of delayed ... claims , or other charge issues which would delay patient...RN License Apply/Share Job Title REG ONC HEM CLINIC MGR RN ID 3958955 Facility Thompson Oncology Group Department… more
- Elevance Health (Seven Fields, PA)
- …Monday - Friday, 8:00 am to 5:00 pm EST.** The BH Provider Quality Mgr is responsible for leading Behavioral Health (BH) provider engagement, with a focus on ... and Beacon clinical, quality, provider strategy, network departments, operations, claims and provider relations to ensure interdepartmental collaboration and… more
- CVS Health (Oklahoma City, OK)
- …Oklahoma City office with greater frequency during the startup. The Sr. Mgr ., Project Program Management-Value Based Solution, leads work and deliverables of ... + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals and Disputes and Network Performance Standards +… more
- State of Indiana (Brownsburg, IN)
- Construction Project Mgr Date Posted: Apr 24, 2024 Requisition ID: 442801 Location: Brownsburg, IN, US, 46112 Work for Indiana Begin a fulfilling career with the ... and negotiate change orders. + Prepare documentation related to contractor claims for additional payment. + Attend meetings, workshops and/or conferences related… more
- L'Oreal USA (Miami, FL)
- …Retail Americas - Account Executive - DUFRY ( Mgr .- Account) Miami, FL, Florida Apply now (https://careers.loreal.com/en\_US/jobs/ApplicationMethods?jobId=178112) ... all brands, follow up on orders. + Follow up on Invoices, Credits/Promo items and Claims + Reporting (All brands) + SO reporting Tool (monthly) + Trend files Update… more
- Hartford HealthCare (Farmington, CT)
- …and $16 million dollars in denials, overseeing the effective appeals of these claims and protecting against bad debt in this endeavor. These numbers will increase ... Patient Accounts* **Organization:** **Rev Cycle Prof Svcs Adm (93001-208170)* **Title:** * Mgr Accounts Receivables / Rev Cycle Prof Svcs Adm* **Location:**… more
- Magellan Health Services (Newtown, PA)
- …and analyze healthcare data from various sources, including electronic health records (EHR), claims data, and clinical systems. + Utilize Tableau and other BI tools ... Tableau or similar business intelligence tools. General Job Information Title Sr Mgr , Clinical Analytics - Remote Grade 30 Work Experience - Required… more
- Aflac (GA)
- Mgr , Financial Control The Company: Aflac Columbus The Location:...* Agency * APAY * Billing * Flex * Claims * CDS * SAP * Tracker * Payroll/Benefits * ... FSCD * Knowledge and experience using data retrieval and analysis software for mainframe and PC * Knowledge and experience with the use and administration of Blackline financial tools * Knowledge of the principles and practices of organization, administration,… more
- CVS Health (Buffalo Grove, IL)
- …health care more personal, convenient and affordable. Position Summary The Sr Mgr , PBM Benefits Modernization is responsible for managing the technical needs across ... This position works closely with other technical leaders of the PBM space & Claims Adjudication team to assess business goals, strategic objectives and to build a… more
- The Hershey Company (IN)
- …limited to, physical therapists, specialists, and/or Nurse Case Managers. * / Claims Management/* * Timely and accurate documentation of reported work-related ... as per company policy. * Acting as the Subject Matter Expert on work-related claims and claim statuses, collaboration with TPA claims adjusters and onsite claim… more
- Universal Health Services (Eden Prairie, MN)
- …to Equifax requests for information relative to all unemployment compensation claims received for separated facility personnel. + Coordinates reporting of all ... facility workers compensation claims , ensuring appropriate completion of paperwork, and works with...of paperwork, and works with Sedgwick to monitor all claims and promote employee safety. + Works with Sedgwick… more
- Batteries Plus Bulbs (Glendale, WI)
- …inventory age reporting. + Perform financial reconciliations of inventory, overage/shortage claims , franchise settlement of claims , and inventory reserve. + ... Maintain inventory, inbound shipments, and audits at third-party warehouses, if needed. + Manage warehousing by maintaining inventory levels that optimize storage space. + Coordinate with multiple internal teams on the timely movement of materials, material… more
- Anheuser-Busch (Santa Fe Springs, CA)
- …party administrator instructions manual + Attend worker's compensation hearings, small claims court proceedings, litigation trials, and interrogatories as may be ... wholesale operations division requirements + Investigate all auto accidents, general liability claims , and other actions filed against the branch + Review, compile… more
- CVS Health (Frankfort, KY)
- …well as for internal staff and aligns Network functions with Operations and Claims as needed.* Recommend Network Action Plans to ensure Network Compliance with any ... Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes and Network Performance Standards*… more
- CVS Health (New Albany, OH)
- …service center handling a customer service function, which may include claims , member or provider services, billing, enrollment, accounts receivable and ... implementation services.*Develops, monitors and reviews performance reports and service performance trends for each account against the plan and recommends specific actions or remedies as necessary.*Develops and maintains strong collaborative relationships… more
- Elevance Health (Denver, CO)
- …rates of reimbursement, as applicable. + Assists in problem-solving with providers, claims , or service issues. + Assists with the development of utilization/care ... management policies and procedures. **Minimum Requirements:** + Requires BA/BS in a health-related field and a minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current,… more
- Elevance Health (Atlanta, GA)
- …of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... policies and procedures. **Minimum Requirements** Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN… more
- Elevance Health (Atlanta, GA)
- …an equivalent background. Preferred Skills, Capabilities and Experiences: + EDI claims and file management experience highly desirable. + Familiarity using Edifecs, ... Availity, Informatica, and SQL strongly preferred. + MS Office experience strongly preferred. more