- Commonwealth Care Alliance (Boston, MA)
- … performance frameworks and value-based care principles. + Working knowledge of claims data, quality measurement, and performance incentive methodologies. + ... of Delegation Partnerships and Performance, is responsible for advancing provider quality performance across CCA's contracted network, with a focus on value-based… more
- Whirlpool Corporation (Ottawa, OH)
- …maintain the Quality KPI's for the assigned production area to ensure zero quality claims for the customer. ? Participate in the development of Failure Mode ... found at WhirlpoolCorp.com. **This role in summary** Our Ottawa Quality team is looking for a Quality ...Ottawa Quality team is looking for a Quality Engineering Technician for 1st Shift 6:30am-3pm. Wage rate… more
- The Joint Commission (Oakbrook Terrace, IL)
- …using SQL. + Experience working with real-world health care data such as EHRs, claims , or quality reporting metrics. + Knowledge of healthcare outcomes research ... growing portfolio of research and analytics initiatives that inform quality improvement, accreditation strategy, certification programs, and system-level learning.… more
- Principal Financial Group (Des Moines, IA)
- …You'll Do** Do you have a passion for and expertise in Paid Family Medical Leave claims ? If so, join Principal as a **Sr Paid Family Medical Leave Claims Account ... efficient and compliant processing of paid family medical leave claims . This is an opportunity to join a growing... staff resulting in acceptable results, while providing high quality service to the customer and field. + Consult… more
- Hawaiian Electric (Honolulu, HI)
- …and services, as well as investigate, troubleshoot, document, and diagnose customer power quality claims issues. + Serves as project engineer and construction ... applications are highly encouraged. BRIEF POSTING DESCRIPTION: The P SS POWER QUALITY CUSTOMER SOLUTIONS & SERVICES Department of the P CUSTOMER SOLUTIONS Division… more
- FM (Malvern, PA)
- …agents/brokers. FM Boiler Re, a division of FM, is currently seeking a claims intern for our Malvern, PA headquarters. This position provides administrative support ... is also responsible for ensuring proper maintenance and data quality of claim records, providing phone support coverage during...normal hours of operation, and providing support for the claims staff. + Computer skills + Excellent writing skills… 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 ... in this role is determined by performance which includes service level agreements and quality of work. Ally Work Location for this role is: Southern New Jersey,… more
- Oatey (Shakopee, MN)
- …technical support during on site visits and virtual training. + Enter customer/product complaints/ claims into our Quality Form (QF) system. + Answer customer ... **Why Oatey?** Since 1916, Oatey has provided reliable, high- quality products for the residential and commercial plumbing industries, with a commitment to delivering… more
- Commonwealth Care Alliance (Boston, MA)
- …team. Cross-Functional Collaboration - Work closely with network contracting, credentialing, claims , IT, customer service, compliance, and quality teams to ... systems (eg, Salesforce) and provider relationship management tools. - Understanding of claims operations, utilization management, and quality programs as they… more
- Henkel (Madison Heights, MI)
- …customers with documentation. Reports technical results and leads customer presentations. + Reports quality issues / customer claims to relevant parts of the ... organization (incl. CCMS/CAPRIS). Documents all activities in CRM tool (CAPRIS/ACE) and / or in the Application. + Works with application equipment to provide solutions to enhance customer adhesive related processes. + Can supervise and prioritize laboratory… more
- ASRC Industrial Services (Joplin, MO)
- …Time_ _| Medical, dental, vision and 401k_ **ABOUT THE COMPANY** Environmental Quality Management, Inc. & EQM Services (EQM) is a premier full-service environmental ... Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an...& Construction (R&C) Division. The Project Manager (PM) and Quality Assurance Manager (QAM) will focus on executing new… more
- CBRE Government and Defense Services (Fort Polk, LA)
- …minimal supervision to implement and supervise the implementation and delivery of Quality Control and workplace Health and Safety policies, procedures and programs ... a working lead who may direct the work of other employees engaged in quality and safety activities of the jobsite. **Essential Duties** + Directs, supervises and… more
- Caris Life Sciences (Irving, TX)
- …The Accounts Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role ... Review insurance denials and take appropriate action. + Check claims status via phone or poral. + Submit Medical...companies daily. + Must meet or exceed production and quality standards. **Required Qualifications** + High School diploma or… more
- GCI Communication Corp (Anchorage, AK)
- Deliver high- quality operational and employee support services by maintaining accurate employee records, assisting with HR help desk inquiries, and coordinating ... claims , reporting, and administrative processes that ensure compliance, consistency,...desk ticket handling within defined procedures. + Shapes: Service quality through timely and accurate task execution. + Vetoes:… more
- Post Holdings Inc. (Lakeville, MN)
- …import/export regulatory requirements. + Guide the **substantiation and validation of product claims ** , collaborating with Legal, R\&D, and Quality teams. + ... **Brand:** Post Consumer Brands **Categories:** Quality **Locations:** Lakeville, Minnesota **Position Type:** Regular Full-Time...the future of pet food compliance, labeling, and product claims . This is a high-impact leadership role that blends… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …provider demographic information timely and accurately for directories, provider mailings and claims payment and act as a liaison between Premera Blue Cross and ... and providers related to networks, contract information, agreement ID's, claims , payment methods, on-line directory, provider mailings, and national networks.… more
- BeOne Medicines (Emeryville, CA)
- …using large-scale healthcare data sources (eg, electronic health records, claims , registries). This role will collaborate with cross-functional teams, including ... epidemiology, and medical affairs to design, implement, and deliver high- quality analytic datasets, outputs, and visualizations that inform strategic business… more
- BeOne Medicines (Emeryville, CA)
- …using large-scale healthcare data sources (eg, electronic health records, claims , registries). This role will collaborate with cross-functional teams, including ... epidemiology, and medical affairs to design, implement, and deliver high- quality analytic datasets, outputs, and visualizations that inform strategic business… more
- Stanford Health Care (Palo Alto, CA)
- …identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The ... analyzes pharmacy billing data, including but not limited to charges and claims , to identify discrepancies, trends, and compliance gaps. + Participates in/leads… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …and fees negotiation is a key responsibility._ + Support development of Commercial/Supply, Quality , PV and Broker agreements for existing and New House Label and ... signed are accurately reflected in Vistex agreement management platform 1. **Open Claims /Chargeback Team Lead:** _Manage end-end review and co-ordination of open … more
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