- UnitedHealth Group (Minneapolis, MN)
- …Connecting. Growing together. This position is responsible for leading and directing a claims operations team of 300+ employees to ensure delivery of our contractual ... new or expanding business Conducts root cause analysis on claims that contribute to decrease in performance and failure...support and coordinates with UHC Benefit Operations for any claims needs in audits or regulatory inquiries Responsible for… more
- AdventHealth (Altamonte Springs, FL)
- …we are even better. Schedule: Full Time Shift : Monday - Friday Location: Remote The role you'll contribute: This position is responsible for the management of ... assigned potential compensable claims , asserted claims and suits. Management encompasses...Defense counsel is assigned in consultation with the Department Director . Litigation plan is discussed with defense attorneys, facility… more
- Ovation Healthcare (Brentwood, TN)
- …in Brentwood, TN. For more information, visit www.ovationhc.com. Summary: The Director , Accounts Receivable will support with strategic oversight to direct, manage, ... quarterly, and annual analysis of Key Performance Indicators (KPIs).The Accounts Receivable Director will be responsible for defining ways to leverage data for… more
- Amplity Health (Philadelphia, PA)
- …Amplity transforms how breakthrough treatments reach the people who need them. Director , Client Partnerships - Intel Business Development- Remote Amplity is ... to add to our talented team of professionals a Director , Client Partnerships for our Intel data services business....of traditional industry data sets such as prescription data, claims data and EMR data. *Established relationships within the… more
- Alo Yoga (Beverly Hills, CA)
- …as we expand in the US and internationally. This position is a hybrid remote /in-office role and candidates will be expected to work at the companies' headquarters in ... Beverly Hills a minimum of three (3) days a week. As Director of Employment, you will play a critical role in overseeing all aspects of employment law, policy, and… more
- Renton Technical College (Renton, WA)
- …The Executive Assistant provides comprehensive administrative support to the Executive Director of Diversity, Equity, and Inclusion (DEI). This position exercises a ... approach to solutions. The Executive Assistant will support the Executive Director advance equity and inclusion, while also implementing the institution's policies,… more
- Nanosoft Consulting (Lansing, MI)
- About the job Senior Program Manager (hybrid- remote ) This role will oversee a large, multi-year implementation of the new (replacement) claims management system ... skilled in managing communications and engagement with Executive leadership (Department Director , etc). They will be actively involved with strategic planning and… more
- StateJobsNY (Schenectady, NY)
- …Administrative Specialist 1 and the Administrative Assistant 2 in providing support for the Director , Deputy Director and staff of ARD. As directed by the ... calls for the ARD main telephone number, as well as the Director 's direct phone line. *Assist the Administrative Assistant 2 with proofreading proposed… more
- Ross (Dublin, CA)
- …well informed on industry trends, court decisions impacting lease audit claims , opportunities in technology, and the capabilities of third-party consultants/experts. ... *Optimize financial results by enforcing lease language, analyzing merits of claims , spreading best practices across both internal and external teams, leveraging… more
- Veterans Health Administration (Clermont, FL)
- …a Orlando VA Medical Center. On behalf of the VA Medical Facility Director , this position covers a variety of difficult and/or complex patient concerns, issues, ... congressional and/or patient inquiry letters as requested by the Office of the Director . Work Schedule: Monday to Friday 8:00am - 4:30pm Telework: This position may… more
- Blue Cross Blue Shield of Arizona (Phoenix, AZ)
- …and where employees work. Our positions are classified as hybrid, onsite or remote . While the majority of our employees are hybrid, the following classifications ... Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ,...requirement based on the essential functions of the job Remote : not held to onsite requirements, however, leadership can… more
- Moriah Behavioral Health (Kingston, PA)
- …is paid on time and in full. Monitors multiple client accounts. Ensure all claims are error free before submission. Managing the status of accounts and balances and ... challenges of clients. Notify Clinical Documentation Specialist and or Director of Billing & Collections if clinical data is...Work closely with Team Members to create and submit claims as well as client statements. Work closely with… more
- Whisker (Auburn Hills, MI)
- …CEO. This is an in-office role and we are not open to considering remote applicants for this position. Relocation packages are available. This is a marketing ... integration with our product management team to define our technical product claims and marketing statements for our go-to-market strategies that align with each… more
- Talon Recruiting (Livermore, CA)
- …industry in search of a Sales Representative to cover California. This is a full-time, remote position and would report to the Director of Sales. The Sales ... time and expense reports to management. Investigates product/service warranty claims to ensure resolution within organization policies. Analyzes and interprets… more
- Justice in Motion, Inc. (New York, NY)
- Communications Associate Remote , USA Bilingual Spanish-English fluency required In the face of overwhelming legal and practical barriers, many migrants who have ... are unable to remain in safety due to lack of evidence to support their claims . These migrants need "portable justice" - the right and ability to access justice… more
- Leman Manhattan Preparatory School (New York, NY)
- …tasks related to boarding students' health and well-being and reports to the Director of Residential Life and Clinical Coordinator. The Residential Life Nurse is ... and ending in early June, with an allocation of remote days over the summer. This position is either...students with insurance paperwork and ensure efficient processing of claims Coordinate and organize all documentation needed for medical… more
- Ellie Mental Health (Lancaster, PA)
- …do individual, but also enjoys doing couples and families This position is flexible remote meaning some in person and some through Telehealth. Looking for the right ... and professional development. Flexible scheduling Hourly pay structure PLUS commission on claims Access to Continuing Education CEU Library What else you should… more
- myPlace Health (Los Angeles, CA)
- …team. Utilization and Care Management: Work closely with the Medical Director and interdisciplinary team (IDT) to determine hospital admissions, observation stays, ... lengths of stay. Enter and manage authorizations to streamline claims processing. Interdisciplinary Team Collaboration: Attend IDT meetings, hospital rounds,… more
- CNA (Santa Ana, CA)
- …Counsel office in Santa Ana, CA or this role would be fully remote and servicing the Northern California (ie Sacramento, Stockton, etc.) area. These matters ... and paralegals. Trains department staff on appropriate procedures (eg, claims , etc). Collaboratively works with clients, claim professionals, underwriting, risk… more
- Molina Healthcare (San Antonio, TX)
- …experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing/resolution, including 2 ... years in a manager role. * Experience reviewing all types of medical claims (eg CMS 1500, Outpatient/Inpatient, Universal Claims , Surgery, Anesthesia, high… more
