- Sentry Insurance (Davenport, IA)
- …of conditional demand requirements across multiple states; knowledge of claims handling operations Strong analytical, communication, presentation, and ... As a Claims Legal Specialist - Conditional Demands, you'll act...with regards to conditional demands received. Develop and guide claim managers and claim representatives on how… more
- Eisai, Inc (Nutley, NJ)
- …is your profile, we want to hear from you. The Associate Director, Compliance Operations will be a key member of Eisai's US Ethics & Compliance team, responsible ... identify potential compliance risks or violations Partner with Commercial Operations , IT, and Finance to understand existing systems and...Drug, and Cosmetic Act - Anti-Kickback Statute - False Claims Act - OIG/DOJ Guidance - Federal and State… more
- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …Integrity initiatives and projects. This role will act as the point of contact for claim related research. Serves as a claims subject matter expert (SME) and ... Acts as a claims subject matter expert (SME) and resource/support for claim edit and payment policy initiatives Conducts in-depth research on complex claim … more
- UnisLink (Phoenix, AZ)
- …part of a growing team with long-term career potential? UnisLink is hiring a Medical Claims Clerk to support our billing and operations teams. No prior medical ... will include: Acting as the primary resource for printing and mailing secondary claims and appeals for multiple clients. Handling unprinted claims and ensuring… more
- Lyra Health Inc (Bakersfield, CA)
- …twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra ... features in the care platform A new Chromebook, dedicated business support from Operations , HR, and IT professionals, and a monthly technology stipend We like to… more
- Eisai, Inc (Nutley, NJ)
- …well as managing Eisai's insurance requirements to provide optimum coverage, costs, and claim settlements is falls within the scope of this position.The Manager of ... to meet all financial obligations; Serve as key decision-maker in daily treasury operations and strategic initiatives; act as a backup to the Director of Treasury,… more
- Cipla (Hauppauge, NY)
- …the quality and compliance of printed packaging materials and warehouse operations . This includes reviewing and approving artwork, maintaining accurate artwork ... FDA, EMA) and industry standards, including proper labeling, dosage information, and claim . Maintain and organize a comprehensive archive of approved artwork files… more
- Formation Bio (New York, NY)
- …the General Counsel, but will include extensive cross functional work with business, operations , and clinical/CMC teams and could grow to include management of other ... to manage multiple law firms / global patent portfolios Experience drafting claims and prosecuting patents (with experience litigating / disputing patents as a… more
- Ally (Trenton, NJ)
- …for a Field Adjuster that can appraise and/or adjust physical damage and mechanical claims within an assigned territory and key point or other assigned location for ... on insured and claimant vehicles. * Handle catastrophe losses as directed by claim management. * Initiate the total loss handling process for conclusion by the… more
- FM (Parsippany, NJ)
- …make a difference in the future - yours, your clients', and the company's? The Claims team within our New York Operations in Parsippany has a great opportunity ... solutions. FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research;...summer 2026! When you join FM as a Property Claims intern, you can bring your talents to life… more
- Carrot (Des Moines, IA)
- …troubleshoot and resolve issues An innovative spirit to push the boundaries of claims operations Preferred Qualifications: Literacy in Spanish (to support the ... Bachelors Degree 1-3 years of relevant work experience including claims submission/processing experience Highly detail-oriented and organized Structured thinker and… more
- Endeavor Health (Warrenville, IL)
- …as needed. In addition, the Director monitors and manages the day-to-day revenue cycle operations to ensure that direct reports, as well as the staff in the ... goals What you will do: Leads/manages the ongoing implementation/rollout of Claims Manager. This includes identification and prioritization of new flags, building… more
- FM (Johnston, RI)
- …solutions. FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research; risk ... challenging roles. Underpinning FM's excellent client service is our Claims Group - with a dedicated team of over...hand with our clients to minimize disruption and restore operations . **Schedule & Location** This is a full-time, office-based… more
- Eisai, Inc (Atlanta, GA)
- …opportunities within area, preferred.Experience with Integrated Customers with understanding of operations of integrated health systems within the current market and ... (eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state… more
- Sentry Insurance (Pittsburgh, PA)
- …skills Ability to meet travel requirements of this job - The expectation during normal operations in this position will be up to 4 days a week travel within your ... Wisconsin, with offices located throughout the United States. From sales to claims , and information technology to marketing, we enjoy a rewarding and challenging… more
- Aveanna Healthcare (Brainerd, MN)
- …responsible for the administrative and leadership functions associated with all operations of an Aveanna branch. Additionally, this individual is responsible for ... regulations Oversight if internal billing and collection efforts to generate clean claim Aveanna Healthcare Offers: Quarterly bonus plan 401(k) with Company match… more
- Hyndman Area Health Center (Bedford, PA)
- …insurance Opportunity for advancement Paid time off Vision insurance Summary: The Operations Manager has various duties and responsibilities to guarantee HAHC is ... and state rules and regulations. Responsible for Risk Training and activities. The Operations Manager will act as the Organization's Risk Manager and comply with all… more
- EV Realty (Los Angeles, CA)
- …backbone of the electrified supply chain, we'd love to meet you. The Role As Operations Manager you will manage EV Realty's site and charging operations to ... structured and thoughtful processes, coordinating cross functionally, to oversee all operations partners and third-party vendors. You will be responsible for the… more
- Independent Living Systems (Miami, FL)
- …Services plays a pivotal role in bridging the gap between clinical operations and technology solutions to enhance member care and organizational efficiency. This ... within the healthcare industry. Proficient knowledge of UB04 / CMS-1500 claim adjudication process, including Medicare and Medicaid reimbursement methodologies (ie… more
- Mom's Meals (Ankeny, IA)
- …medical administrative assistance, or healthcare finance + Previous experience with electronic claims , such as electronic 835/837 claim and remit files, Zirmed, ... performing specified financial tasks in support of the day-to-day operations of the Billing/Revenue Cycle Department.We're looking for someone...drive collections, is a team player, and ensure every claim is handled with care and urgency. PTO and… more
