- BlueCross BlueShield of South Carolina (Columbia, SC)
- Summary We are currently hiring for a Claims Customer Service Advocate II to join BlueCross BlueShield of South Carolina. You will be responsible for responding ... research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny...and guidelines and refer to a team lead or manager for resolution. You will also identify and report… more
- Corvel (Sandy, UT)
- …within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of ... and within a team environment Knowledge of the entire claims administration, case management and cost containment...be modified at any time. For leveled roles (I, II , III, Senior, Lead, etc.) new hires may be… more
- National Financial Partners (Wakarusa, IN)
- …approach. To learn more, please visit: https://www.NFP.com. Mission of the Personal Lines Account Manager To serve and grow the book of clients assigned to you by ... Follow agency remarketing guidelines Provide outstanding inbound service on claims , billing questions and endorsements Work to manage clients'...Actual base salary offered will be determined on a case -by- case basis. In addition to the base… more
- National Financial Partners (Annapolis, MD)
- …is a full time exempt position. Responsibilities include service and claims resolution, HR assistance, benefits administration support, implementation and contract ... for performance standards. Along with Client Management staff, Account Manager has documentation responsibilities to include maintaining Salesforce service cases,… more
- Corvel (Carmel, IN)
- …and claim details. Clinical Care Managers provide collaborative support to claims professionals and case management along with treatment recommendations ... The Physical Therapy Clinical Care Manager is a licensed physical therapist responsible for...claimants' care Provides email and telephonic communication to providers, claims and case management staff to impact… more
- Elevance Health (Norfolk, VA)
- **Title** : Nurse Case Manager II **Location** : 740W Peachtree St NW, Atlanta, GA 30308 **VIRTUAL** : This role enables associates to work virtually ... to work 2 Evening shifts/mth 11:30AM-8:00PM EST The **Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Sutter Health (Burlingame, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Case Manager II ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- City of New York (New York, NY)
- … who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II ) involved in Claims processing. - Monitor and distribute cases in ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from… more
- AO Smith (Lebanon, TN)
- Regional Field Service Manager II Date: Jul 12, 2025 Location(s): Lebanon, TN, US, 37090 Company: A. O. Smith Corporation PRIMARY FUNCTION: Regional field ... SCOPE OF RESPONSIBILITY: Position reports to the Field Service Engineering Manager SPECIFIC DUTIES/ACCOUNTABILITIES(List in order of importance) + Aligned with… more
- Baptist Memorial (Memphis, TN)
- … Manager /Director of the Denial Mitigation Department. The Denial Mitigation- Appeal Specialist II RN role reports to the manager of the Denial Mitigation ... Overview Specialist-Denial Mitigation II RN Job Code: 21432 FLSA Status Job...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
- Tucson Electric Power (Tucson, AZ)
- **Benefits Analyst - I, II , Senior or Lead** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **6015** **About Us** UNS Energy Corporation ... quality of life in the communities we have served for generations, and in TEP's case , since the 1890s. We're building a cleaner, greener grid, with more wind and… more
- Sutter Health (Modesto, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …new product lines, and working closely with Operations, Customer Care, Claims , and Finance/Underwriting departments to support group implementations and address ... + Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Acts...normal channels. + Acts as a backup to Account Manager when individual is out of the office. +… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service… more
- MyFlorida (Tallahassee, FL)
- GOVERNMENT OPERATIONS CONSULTANT II - 64005320 Date: Jul 25, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 857270 Agency: Department of Health Working Title: GOVERNMENT OPERATIONS CONSULTANT II - 64005320 Pay Plan: Career Service Position Number: 64005320 Salary:… more
- Elevance Health (Atlanta, GA)
- …a schedule of Wednesday - Sunday or Thursday - Monday. The **Transplant Nurse II ** will be responsible for providing case and/or medical management for members ... **Transplant Nurse II ** **Location:** Virtual: This role enables associates to...preparation for advancement to the senior level. Within the case management role will within the scope of licensure… more
- US Tech Solutions (Chesapeake, VA)
- …all levels to enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face and telephonically assessing, ... and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case... claims to address potential impact on current case management and eligibility. Assessments include the member's level… more
- PPL Corporation (Allentown, PA)
- …build and maintain strong, diverse communities today. Overview The **Associate Project Manager ** position is the single point of accountability for small to routine ... Project Leader for complicated projects. The **Project and Contract Manager ** position is the single point of accountability for...of both. Assigned work location may change. In the case of remote work, physical presence in the office/on-site… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER , AUTOPSY OPERATIONS AND SUPPORT SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4670156) Apply MANAGER , AUTOPSY ... Forensic Technician (https://www.governmentjobs.com/careers/lacounty/classspecs/1065384?keywords=Supervising%20Forensic%20Technician%20&pagetype=classSpecifications) for Los Angeles County. Option II : Four years of experience assisting pathologists in… more
