- Lyric (Newtown Square, PA)
- …coding guidelines with strong leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with clients to ... support are not available for this position. The Senior Manager , Clinical Content Maintenance will serve as a strategic...subject matter expert on CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid, MUEs,… more
- Towne Park (Media, PA)
- …be subject to a specific plan or program terms. **SUMMARY** The Senior Account Manager directly oversees one Tier 3 or 4 assigned account and the organizational ... satisfaction, and client satisfaction and business development objectives. The Senior Account Manager reports to the Area or District Manager responsible for… more
- Towne Park (Philadelphia, PA)
- …be subject to a specific plan or program terms. **SUMMARY** The Associate Manager is responsible for ensuring high levels of client, customer and associate ... including satisfaction surveys and exit interviews. - 15% Assists Account Manager in establishing guidelines so employees understand expectations and parameters.… more
- BrightView (Blue Bell, PA)
- …Onsite in Blue Bell, PA No Agency Resumes At This Time **Job Summary** + The Claims Manager is a key leader in the Risk Management team, responsible for ... complex and litigated claims , and workers' compensation enhancements. The Claims Manager serves as a subject matter expert and change agent, ensuring… more
- Grant Thornton (Philadelphia, PA)
- As a Process Risk & Claims Audit Manager , you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their ... and help you achieve more, confidently. Your day-to-day may include: + Leverage claims operations experience and claim audit experience to review and analyze … more
- Exelon (Plymouth Meeting, PA)
- …retention by leading the investigation, management, and resolution of third party claims against the company, including the field investigation of bodily injury and ... property damage claims to include high profile cases with significant financial...well as the evaluation, case management and adjustment of claims . Investigate and pursue recovery for motor vehicle related… more
- CDM Smith (Wayne, PA)
- …to those requirements. Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS ... **Requisition ID:** 42230BR **Business Unit:** CCI **Job Description:** The Commercial Manager - Pacific will be responsible supporting the project management teams… more
- Utilities Service, LLC (Willow Grove, PA)
- **Description** " **Corporate Claims Examiner** **Job Type** :Exempt **Pay** : Salary **Benefits:** + Benefits Available and vary per position and location. **Are ... **Essential Functions & Responsibilities:** + Handling and monitoring of claims ; worker's compensation, auto, and general liability. + Investigation, evaluation,… more
- Sedgwick (Philadelphia, PA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Implementation Project Manager **PRIMARY PURPOSE** **OF THE ROLE** To serve as the subject matter ... technology and regulatory compliance. + Serves as a project manager and process owner for all components of a...and experience required to include two (2) years of claims management, managed care or other related experience. **Skills… more
- ProSmile (Deptford, NJ)
- Job Title: Assistant Dental Office Manager Department/Location: Operations Reports to: Regional Vice President FLSA Status: Exempt Company Overview ProSmile is one ... ProSmile is in need of an Assistant Dental Office Manager who is looking to join a practice with...+ Has working knowledge of all insurances; handling of claims , attachments for claims + Maintains collection… more
- Genesis Healthcare (Pennsburg, PA)
- …a meaningful impact in the communities we serve. Responsibilities The Business Office Manager "BOM" must be familiar with company policies and procedures related to ... business office/administration department which may include Assistant Bus. Office Manager , Bookkeepers, and Receptionists. The BOM regularly interfaces with the… more
- Stantec (Philadelphia, PA)
- …the future of transportation. Your Opportunity Stantec is seeking a Project Commercial Manager who will be responsible for all matters pertaining to the contractual ... System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project… more
- IQVIA (Wayne, PA)
- …budget and forecast analysis and presentations for senior management. + Responsible for ** claims reconciliations and claims processing** . + Identify and manage ... **payment data related to claims , rebill, and manage overrides.** + Audit readiness and...Excel, and EHR systems** preferred. + **Experience with third-party claims adjudication and reconciliation tools such as Opus, and… more
- Walgreens (Philadelphia, PA)
- …events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and ... that elements of Good Faith are present. + Collaborates with Store Manager to define and develop new strategic business opportunities. + Maintains information… more
- Walgreens (Philadelphia, PA)
- …others accountable for efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company ... maintenance of pharmacy department equipment. In collaboration with Pharmacy Manager , responsible for recordkeeping and ensuring security safeguards are in-place.… more
- Trinity Health (Langhorne, PA)
- …Recruiter will provide **POSITION PURPOSE** Functions as the Patient Services Manager responsible for the direct supervision of local RHM supervisors and/or ... (RHM) Food & Nutrition Services (FANS) Department. The Patient Services Manager is responsible for successfully coordinating and directing all activities within… more
- The Salvation Army (Philadelphia, PA)
- Overview Position: Anti-Trafficking Case Manager Department: Philadelphia Social Service Ministries; New Day Drop In Center; Work Location: Philadelphia County ... nights and evenings required Reporting Relationship : PAD Program Manager Salary and Grade: 10/Exempt The Salvation Army is... with stats and reporting, including monthly review of claims data. + Participate in management of a 24/7… more
- Burns & McDonnell (Conshohocken, PA)
- **Description** The Assistant Construction Manager will assist the Construction Project Manager , Project Manager , Site Manager , and/or the Engineer ... Procure Construct (EPC) Project Manager or Program Manager with day to day management of project safety, quality, schedule, cost control, contracts,… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …by AM Best. Philadelphia Insurance Companies is looking to add a Product Development Manager to join our Compliance team. Summary The Product Development Manager ... Works with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle. Responsible for the end-to-end product… more
- Sedgwick (Philadelphia, PA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **_This Field Case Manager will cover our ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
