- Centria Autism (Tempe, AZ)
- …to address complex clinical issues. Driving Clinical Quality through Performance Management and Development Use internal tools to review supervision practices and ... oversee performance standard metrics related to clinical services, including assessment denials, claims , and appeals. Escalate support needs as necessary to the Vice… more
- Aequor (New York, NY)
- …services to employees within regulated scope of practice and disability case management . Experience/Education: MS/NP in nursing degree and current NP license in New ... occupational nursing professional Minimum experience of 1-3 years in case management , utilization review and/or quality assurance Experience in episodic care,… more
- Merck & Co. (Rahway, NJ)
- …Quantitative Sciences team uses big data to analyze the safety and efficacy claims of our potential medical breakthroughs. We review the quality and reliability of ... & development (R&D) projects (data, analyses, tables, graphics, listings).Strong project management skills; leadership at a program level; determines approach and… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …in selection of outside litigation counsel, assists in the direction and management of assigned patent litigations and patent office proceedings (IPRs and PGRs) ... involving marketed and pipeline products; inputs to senior management (US and Tokyo) on settlement options, and negotiates directly with third parties for strategic… more
- Insmed Incorporated (Bridgewater, NJ)
- …skills with SQLAbility to understand different data sets (marketing data, sales, claims , access etc.) to utilize in building models to answer key business ... on evolving business needsExcellent communication (verbal and written) and project management skills Highly organized with a strong attention to detail, clarity,… more
- Insmed Incorporated (Bridgewater, NJ)
- …expert including burden of illness studies, patient evidence studies, medical claims and electronic health records database analyses, economic models, and systematic ... and presentationKnowledge of healthcare databases and coding systemsEssential project management skills requiredHEOR experience in US required and global… more
- Centria Autism (Tempe, AZ)
- …to address complex clinical issues. Driving Clinical Quality through Performance Management and Development Use internal tools to review supervision practices and ... oversee performance standard metrics related to clinical services, including assessment denials, claims , and appeals. Escalate support needs as necessary to the Vice… more
- AAOS (Rosemont, IL)
- …drafts when there are requests for novel agreements, oversees the AAOS electronic contract management system and trains staff on its use; acts as back up for ... contract management system in the absence of the Legal Operations...orientations and trainings. Coordinating with outside counsel regarding legal claims against AAOS resulting from Professional Compliance Program sanctions,… more
- Blue Shield of California (Oakland, CA)
- …mission. This team is highly regarded within the company and respected by management . It is comprised of top tier, analytical and intelligent attorneys; paralegals; ... Service Plan Act and Regulations, Affordable Care Act, ERISA, HIPAA, Stark laws, and False Claims Act Pay Range: The pay range for this role is: $ 202400.00 to $… more
- Amazon (Austin, TX)
- …continually challenged. Duties may include, but are not limited to, the following: . Claims management of moderate and complex bodiliy injury litigated claims ... and employs best practices to control claim costs. . Lead logistic complex claims management , develop and refine claims processes, and provide training as… more
- Parsons Corporation (Centreville, VA)
- …International Airport since 2000! Parsons is looking for a talented **Technical Director, Claims Management ** to join our team! **What You'll Be Doing:** + ... Claims management + Claims avoidance + Cost modeling and management + Change order analysis + Risk management + Forensic and milestone estimating… more
- United Site Services (Oakland, CA)
- …photos, videos etc. to establish a complete investigation + Enter information into Claims Management System (CMS), and utilize CMS to report, manage, and ... + Knowledge of data management systems and processes (ie, Outlook, Claims Management Systems, Excel Spreadsheets, Internet, Word, PowerPoint, etc.) + Strong… more
- Guardian Life (Plano, TX)
- The ** Claims Case Management Team Leader** is responsible for leading a team of Absence Management Case Managers to get results within their team and the ... in related field and/or equivalent relevant disability work experience; integrated absence management preferred. + 5+ years of disability claims experience. +… more
- Live Nation (Houston, TX)
- …investigations and resolution of self-insured claims + Coordinates overall claims process including investigation and discovery, litigation management , and ... oversight and general management of TPAs on the management of all GL, AL and PD claims , including claim handling best practices, adherence to client service… more
- AIG (New York, NY)
- …service with empathy and efficiency. How you will create an impact As a Complex Claims Director for Management Liability, you will have the unique opportunity to ... Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our… more
- Amazon (Seattle, WA)
- Description We are expanding our Global Risk Management & Claims team and insurance program support for Amazon's growing risk portfolio. This role will partner ... worldwide operation. Key job responsibilities - Collaborate with risk management and claims team to identify insurance gaps, propose solutions, and measure… more
- Axis (Los Angeles, CA)
- …level individual contributor directly reviewing primary and excess Financial Institutions and Management Liability claims to determine nature of loss, coverage ... contributor directly responsible for inventory of complex, severity Financial Institutions and Management Liability claims . * Excels in a best practices claim… more
- Amazon (Seattle, WA)
- Description Amazon is seeking an experienced Senior Risk Analyst to support Global Risk Management & Claims (GRMC). The ideal candidate will be innovative, team ... finance, accounting, actuary, administrator and underwriter). - Assist with producing management reporting and key metrics for quarterly and monthly business… more
- Bank of America (Pennington, NJ)
- Wealth Management Fraud & Claims - Client Servicing Representative Pennington, New Jersey **Job Description:** At Bank of America, we are guided by a common ... by experienced associates or above. Job Description: As a Wealth Management Fraud & Claims Client Services Representative, you will work in an inbound contact… more
- Amazon (Arlington, VA)
- Description Amazon's Global Risk Management and Claims team is seeking a Sr. Risk Analyst to assist with the development and management of Amazon's global ... insurance programs, including supporting global insurance program management (Property, Builders Risk and Owner Controlled Insurance Program - OCIP, and other… more
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