- Terumo Medical Corporation (Somerset, NJ)
- …2025 Req ID: 5174 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: Contracting and Analytics **Job Summary** The Temp Contract ... responsible for administering specific assigned stages of the Terumo Medical Corporation (TMC) Sales Contract Lifecycle that may include...and ensure timely posting to the Finance team. 5. Audit of the Administrative Fees and Incentive Rebates to… more
- Jobleads-US (Seattle, WA)
- …have multiple shifts and flexible schedules Competitive pay Excellent benefits including Medical , Dental, Vision Care and Retirement for our full time team members, ... aParkshore - Human Resources Directorto join our team!As a member of the Parkshore senior leadership team, our **HR Director** serves as an advisor to the Executive… more
- Washington Metropolitan Area Transit Authority (Alexandria, VA)
- …and experience in acquisition planning, contract management, Maximo, and PeopleSoft. ** Medical Group:** + Satisfactorily complete the medical examination for ... issues as required. Provide monthly performance and compliance reporting to senior leadership. + Monitors statuses of all procurement initiations and follow… more
- Stanford Health Care (Palo Alto, CA)
- …**This is a Stanford Health Care job.** **A Brief Overview** Reporting to the Senior Vice President (SVP) - Chief Compliance and Privacy Officer in the Office of ... to inform and advise the Chief Compliance and Privacy Officer and other senior leaders. + Identifies, assesses, and mitigates risks related to fraud, waste, and… more
- Amazon (Bellevue, WA)
- Description Amazon shipping is seeking a strategic and results driven leader to join as a Sr . Claims Risk Manager to lead the Claims charter for our org. We ... analytical skills, and be an effective communicator. As a Sr . Claims Risk Manager, you will own...shipping solutions. Basic Qualifications - 6+ years of compliance, audit or risk management experience - Knowledge of Microsoft… more
- Philadelphia Insurance Companies (Melville, NY)
- …as a member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr . Claims Examiner - PIP to join our team! Summary: Analyze insurance claims to ... or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Communicates with all relevant parties and… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Manager, Indirect Tax Date: Oct 10, 2025 Req ID: 4850 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. Department: TAH Tax Terumo ... Medical Corporation (TMC) develops, manufactures, and markets a complete,...go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Manager-Indirect Tax will collaborate closely with the … more
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Tax Analyst, Indirect Date: Oct 20, 2025 Req ID: 3804 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. Department: TAH Tax Terumo ... Medical Corporation (TMC) develops, manufactures, and markets a complete,...go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Tax Analyst, Indirect Tax will work with the… more
- UIC Government Services and the Bowhead Family of Companies (Fort Belvoir, VA)
- **Overview** SR . CLOUD ENGINEER (ARDAP): Bowhead is seeking a Sr . Cloud Engineer for the upcomingArmy Data and Analytics Platform (ARDAP) effort located at Fort ... to Test (IATT) and Authority to Operate (ATO) processes, and address audit requirements. + Monitor cloud environments to ensure compliance with industry best… more
- Elevance Health (Washington, DC)
- **Pediatric Nurse Case Manager Sr ** **Location:** Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and ... as required by law The **Pediatric** **Nurse Case Manager Sr ** will be responsible for care management within the...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
- Sedgwick (Erie, PA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr IT Security Advisor **PRIMARY PURPOSE OF THE ROLE:** To manage the implementation ... progress, including retesting and closure validation. + Experience maintaining audit trails and documentation for compliance and governance. + Familiarity… more
- Sharp HealthCare (San Diego, CA)
- …level of service and interaction is provided, including accurate and timely claims processing, issue resolution, performance recognition , education and training ... relationship building for joint operating committee meetings with delegated medical groups. **Required Qualifications** + Bachelor's Degree in Healthcare Management,… more
- Republic Services (Phoenix, AZ)
- …+ Drafts and contributes to reports to the organization's Chief Legal Officer, senior management, auditors, and Audit Committee of the Board of Directors. ... **POSITION SUMMARY:** The Senior Corporate Counsel (Risk & Safety) is responsible...and providing legal advice regarding a wide range of claims , litigation, investigations, and other risk management, safety, and… more
- Trinity Health (Westerville, OH)
- …Type:** Full time **Shift:** Day Shift **Description:** Certified Pharmacy Technician Senior will assist the pharmacist in delivering timely, accurate, and ... and billing support. The technician will also process insurance claims , resolve third-party rejections, and coordinate refills and prior authorizations… more
- Zelis (NJ)
- …to increase the savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding ... evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images...years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred + Solid understanding of audit … more
- Republic Services (Phoenix, AZ)
- …+ Drafts and otherwise contributes to reports to the Company's Chief Legal Officer, senior management, auditors, and Audit Committee of the Board of Directors. + ... **POSITION SUMMARY** : The Senior Corporate Counsel (Operations) is responsible for managing...areas on a full range of legal matters, including claims , demands, investigations, litigation, administrative and business law, contracts,… more
- University of Virginia (Charlottesville, VA)
- …for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance Services to assure CDM compliance. + Develop relationships with payors ... issues. + Maintain compliance standards for providing accurate information on all facility claims . + Carries out other assignments or special projects as assigned. +… more
- Elevance Health (St. Louis, MO)
- …all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + ** Claims Auditor Senior ** - all the above, plus : Service as a ... ** Claims Auditor I, II and Senior **...various aspects of the claim including eligibility, pre-authorization, and medical necessity. + Contacts others to obtain any necessary… more
- Axis (Alpharetta, GA)
- …available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims...practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the implementation of Management… more
- Elevance Health (Atlanta, GA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Nurse Audit Senior ** will be ... **Nurse Audit Senior - Payment Integrity Complex...**Nurse Audit Senior - Payment Integrity Complex and Clinical ...as necessary + BA/BS preferred + Medical claims review with prior health care fraud audit… more
