- Abacus Service Corporation (Mason, OH)
- …Security Essentials 5. Introduction to Phishing In addition; Model of Care, ODAG, FSL Fraud Integral Staff training, CA Fair Claims . Start Time: 12:00 AM Hours: ... Description/Comment: CTUAL JOB TITLE: Claims Coordinator BACKFILL Work hours: 8 - 5pm...with key customer interfaces that include EyeMed Account Managers, Operations , Information Systems, Client Representatives and EyeMed leadership team… more
- EPIC Brokers (San Francisco, CA)
- …*Preparation of renewal specifications for presentation to carriers including analysis of claims , changes in client operations , and recommended renewal pricing; ... control trends, State and Federal legislation, rules and regulations; *Work with claims advocates to ensure the client's needs are being satisfied throughout the… more
- Citizens (Pittsburgh, PA)
- Description Job Title: Senior Fraud Operations Manager - OLB and Mobile Fraud Detection Description: Citizens Fraud & Claims Organization is ... seeking a dynamic and experienced Senior Fraud Operations Manager to lead...OLB and Mobile Fraud Detection teams. Citizens Fraud & Claims is dedicated to protecting… more
- Elevance Health (Norfolk, VA)
- **Clinical Fraud Investigator Senior** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... and adaptable workplace. Alternate locations may be considered. The **Clinical Fraud Investigator Senior** is responsible for identifying issues and/or entities that… more
- AIG (Lenexa, KS)
- …Fraud referrals. + Increased responsibility with an expectation of managing higher claims volumes and assist manager with customer escalations and file audits ... help customers to manage risk. Join us as a Claims Examiner II, Accident & Health to play your...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- DXC Technology (Richmond, VA)
- …(NYSE: DXC) helps global companies run their mission-critical systems and operations while modernizing IT, optimizing data architectures, and ensuring security and ... mission-critical IT services that enable our customers to modernize operations and drive innovation across their IT ecosystems. Our...**Quality Analyst** with experience in **Life and Annuity Death Claims ** to join our growing team. This role will… more
- Otsuka America Pharmaceutical Inc. (Bismarck, ND)
- …Pharmacy Operations We are seeking a detail-oriented and proactive Senior Manager of Pharmacy Operations to support the operational execution of our ... This position will be responsible for the Specialty Pharmacy operations for OAPI The position will report to Director, Specialty… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... reliability, and compliance while collaborating closely with the Field Strategy & Operations team to meet field force needs. **Key Responsibilities** **Fleet … more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager Special Investigation Unit The SIU Manager is responsible for leading and managing the Special Investigation Unit (SIU) with a focus on ... identifying, investigating, and resolving health insurance fraud , waste, and abuse (FWA). This role provides operational oversight to the SIU team, ensuring the… more
- NTT DATA North America (Lincoln, NE)
- …a HC and Insurance Operations Analyst to join our team. **Posisition:** ** Claims Case Manager ** **This position is eligible for company benefits including ... voluntary or legally required benefits.** **Role Overview:** We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …for the commercial data and analytics domains. **Job Description** The Senior Manager for Commercial Data and Analytics role involves engaging commercial ... operations teams, data and analytics teams, brand marketing teams,...quality, financial transparency, and best practices. Additionally, the Senior Manager role will collaborate with cross-functional Data & Analytics… more
- Peak Vista (Colorado Springs, CO)
- …+ Develops and provides training on the Compliance & Risk Management Programs, HIPAA, Fraud and Abuse, FTCA, False Claims , and other compliance and risk areas ... Manager of Compliance & Risk Summary Title: Manager...of Compliance & Risk oversees the daily management and operations of Peak Vista Community Health Centers (PVCHC) compliance… more
- Otsuka America Pharmaceutical Inc. (St. Paul, MN)
- The Senior Manager , Platform Engineer, Operational Support will be responsible for managing and enhancing platform integrations across data systems, Salesforce ... capabilities. + Collaborate closely with business stakeholders, Health Experience operations , and cross-functional teams to define technical requirements, deliver… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- The Senior Product Manager , HCP Non-Personal Promotion (NPP) Marketing is responsible for developing and executing non-personal promotional (NPP) strategies for ... cross-functionally with sales, medical affairs, market access, digital, and commercial operations to ensure HCP marketing efforts are data-driven, integrated, and… more
- Otsuka America Pharmaceutical Inc. (Bismarck, ND)
- …regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations , etc.) to develop global regulatory plans, address global regulatory ... contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- Cambridge Health Alliance (Cambridge, MA)
- Director, Health Plan Operations - PACE Elder Service Plan **Requisition Number:** 10065 **Location:** CHA East Cambridge Care Center **Work Days:** 8:00am - 4:30pm ... CHA PACE is seeking a strategic and detail-oriented **Director of Health Plan Operations (HPO)** to lead and manage all insurance and operational aspects of health… more
- ProSmile (Deptford, NJ)
- Job Title: Assistant Dental Office Manager Department/Location: Operations Reports to: Regional Vice President FLSA Status: Exempt Company Overview ProSmile is ... team-oriented staff! The patients are great, and the Office Manager is always willing to coach and support all...+ Has working knowledge of all insurances; handling of claims , attachments for claims + Maintains collection… more
- Amazon (Bellevue, WA)
- …teams to assess impact to fleet condition, and Finance teams to manage budget and claims process. The FIF Sr Product Manager owns the integration of inspection ... mechanisms, and regularly present program performance to senior leadership. The Sr Product Manager will work closely with field operations and DSP stakeholders… more
- Amazon (Seattle, WA)
- …Design innovative solutions such as closed-loop mechanisms for warranty claims and cost-effective concession strategies. * Analytics & Reporting: Establish ... Protection: Ensure the A-to-z Guarantee program effectively protects customers from fraud , counterfeit products, and abuse. Develop and implement security measures… more
- Church & Dwight Co., Inc. (Ewing, NJ)
- …location: Hybrid (Ewing, NJ / Home Office) Role Summary The Treasury Manager will be responsible for all development, implementation, and maintenance of ... international cash operations and systems. Additionally, he/she will support foreign exchange...profitability related to customer payments + Identify cybersecurity and fraud risks within treasury processes and implement mitigation strategies… more
