- Ankura (New York, NY)
- …is a team of excellence founded on innovation and growth. Ankura's Disputes & Economics professionals are world class and globally recognized independent experts ... who tailor financial, operational, and compliance solutions to complex litigation, enforcement, and regulatory challenges....Director will support the Healthcare Payer team within Ankura's Disputes & Economics practice - one of seven practices… more
- Ankura (Lexington, NY)
- …A recognized leader in healthcare litigation support, Ankura's Healthcare Disputes team combines unparalleled clinical, technical, and operational experience with ... analytical offerings for our clients that reveals how this information impacts legal disputes that these companies may be facing. We combine in-depth operational, … more
- Capital One (Chicago, IL)
- Sr. Associate, Product Management - Disputes Core Products Product Management at Capital One is a booming, vibrant craft that requires reimagining the status quo, ... product matter expert **As a senior member of our Disputes Product team, you will play a strategic role...customer disputed transactions across the Global Payment Network. Ensuring** ** compliance with rules and operating regulations, our goal is… more
- Humana (San Juan, PR)
- …we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These ... **Become a part of our caring community and help us put health first** The Medical Coding Coordinator 3 reviews clinical information from medical records and assigns… more
- JPMorgan Chase (Columbus, OH)
- …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... innovation. As a Product Delivery Manager in Claims and Disputes , you work to enhance and optimize the way...partners and ensures adherence to the firm's risk, controls, compliance , and regulatory requirements + Effectively manages timelines and… more
- JPMorgan Chase (Wilmington, DE)
- …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... continuous learning and development. As a Product Delivery Manager within Claims and Disputes , you will be a key driver in transforming strategic plans into tangible… more
- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on ... millions of people we serve to achieve their best health - delivering the care and service...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- State of Colorado (Denver, CO)
- RN* Health Compliance Inspector, Acute Care HFEMS - FAA01177 ( Health Professional III) Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5133994) Apply RN* Health Compliance Inspector, Acute Care HFEMS - FAA01177 ( Health … more
- State of Colorado (Denver, CO)
- …is operating in compliance with applicable statutes/regulations. + Assesses and evaluates health care facility quality of care , services, and treatment ... and survey results in order to determine whether and how the health care facility is out of compliance with applicable statutes and regulations. + Uses… more
- Martin's Point Health Care (Portland, ME)
- Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and ... Point employees are on a mission to transform our health care system while creating a healthier...reviews for retrospective authorization requests as well as claims disputes . The Utilization Review Nurse will use appropriate governmental… more
- Taco Bell (Plano, TX)
- …and leadership make data-driven, growth-focused decisions. The Day-to-Day: Franchisee Financial Health & Compliance (50%) + Analyze receivables and financial ... restaurant company. About the Job: The Senior Analyst, Franchise Health & Growth plays a pivotal role in driving...performance to flag risk indicators, compliance gaps, and emerging trends across key obligations (royalty,… more
- Western Digital (Boise, ID)
- …in data. **Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist** to join the Western Digital Fulfillment Operations Team to be ... strong communication skills. **Essential Duties and Responsibilities:** + Experience with retail compliance and penalty programs (eg, Walmart's OTIF - On Time In… more
- State of Colorado (Pueblo, CO)
- House Lead - Health Care Tech III - Pueblo Regional Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5137964) Apply House Lead - ... Health Care Tech III - Pueblo Regional...in their individual plans. Directs assigned staff and ensures compliance in work duties and schedules, according to pre-established… more
- Commonwealth Care Alliance (Boston, MA)
- …and resolution of complex reimbursement issues - including underpayments, overpayments, and disputes . The Claims Sr. Analyst serves as a subject matter expert on ... (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance , and provider engagement initiatives. This role also provides support… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …experience. * Minimum of 3 years Pharmaceutical experience; Experience with Managed Care Rebate Processing, Rebates Disputes , Contract Terms * Strong analytical ... Sr Mgr, Managed Care Rebates Date: Nov 19, 2025 Location: Parsippany,...are** Together, we're on a mission to make good health more affordable and accessible, to help millions around… more
- Stanford Health Care (Palo Alto, CA)
- …to be discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key ... to: *Medicare and Medi-Cal cost reports *Financial disclosures to the Department of Health Care Access and Information (HCAI) In addition, the Director of… more
- State of Colorado (Grand Junction, CO)
- Health Care Tech IV - Grand Junction Regional Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5135565) Apply Health Care ... on CDHS recruiting events! CDHSCareers Description of Job The Health Care Technician (HCT) IVplays a critical...while maintaining a safe and respectful environment. + Ensure compliance with physician, nursing, dietary, and therapy orders, as… more
- State of Colorado (Jefferson County, CO)
- *Entry Level* Health Care Services Trainee I - Wheat Ridge Regional Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5137478) Apply ... *Entry Level* Health Care Services Trainee I - Wheat...work unit provides 24-hour treatment services that are in compliance with State and Federal regulations. The Wheat Ridge… more
- Dignity Health (Rancho Cordova, CA)
- …works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As ... within the department and take action to resolve minor disputes and productivity issues. This position may be assigned...joint ventures and partnerships, we offer a robust, state-of-the-art health care delivery system in the communities… more
- State of Colorado (Jefferson County, CO)
- HEALTH CARE TECHNICIAN IV - Residential Coordinator for Secrest House Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5146487) Apply ... HEALTH CARE TECHNICIAN IV - Residential Coordinator...responsible for determining documentation of several programs to ensure compliance with ICF/IID regulations + Makes decisions about … more