- Lyric (Newtown Square, PA)
- …references, specialty society guidance, industry trends and paid claims data, the New Opportunity Consultant identifies areas where claim overpayments may occur. ... **ESSENTIAL JOB RESPONSIBILITIES & KEY PERFORMANCE OUTCOMES** + Recommend new proposals for pre- payment claim edits to...nurse is a plus. + Current working knowledge of pre- payment editing and payment integrity .… more
- Lyric (Newtown Square, PA)
- …and internal partners to deliver services to Lyric post payment integrity customers. Responsibilities + Research new customer specific value opportunities; ... create SQL queries, analyze data; size opportunity and present potential value back to leaderships (40%)...further automation of repetitive tasks. (10%) + Support the payment integrity team in a variety of… more
- Lyric (Newtown Square, PA)
- …in ways that inform, advise, and influence adoption, ensuring clients strengthen their payment integrity programs while advancing Lyric's market impact and value ... and inform Lyric's clients. + Familiarity with affordability, claims operations, payment integrity , utilization management, medical policy and/or benefit policy… more
- City National Bank (Wilmington, DE)
- …regulatory requirements. * Collaborate with product management to identify enhancements and advance new payment ideas that align with client and market trends. * ... *SENIOR TECHNICAL SALES CONSULTANT - INTEGRATIONS/ PAYABLES* WHAT IS THE OPPORTUNITY ? We are seeking a highly skilled Senior Technical Sales Consultant -Payables… more
- Elevance Health (Wilmington, DE)
- …considered for employment, unless an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of ... companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate...identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of… more
- IQVIA (Wayne, PA)
- …Management both with direct clients and payees. + Identify and manage ** payment data related to claims, rebill, and manage overrides.** + Audit readiness ... **Liaison with pharmacies, PBMs, and health plans** to resolve payment discrepancies. + Educate providers on billing processes and...programs. + Identifies and monitors areas of risk and/or opportunity and their financial impact on the business. +… more
- IQVIA (Wayne, PA)
- …**Adaptability & Learning:** + Demonstrated ability to quickly learn and master new , highly detailed, domain-specific knowledge (eg, Quality Payment Program) and ... from conception to ongoing maintenance, with a primary emphasis on ensuring data integrity , quality, and adherence to US healthcare standards. The goal is to deliver… more
- Curtiss-Wright Corporation (Aston, PA)
- …product lines. **Location:** Aston, PA **Salary:** $115,000 to $130,000 plus bonus opportunity _Please note that the salary range information provided is a general ... **Your Challenge** + Work with engineering, manufacturing and sales to develop new product specifications to address issues and enhance existing product(s) or… more
- St. Luke's University Health Network (Harleysville, PA)
- …departments to ensure excellent patient experience, clean claim submission, and payment for services. May require occasional travel between campuses or regional ... of patients in hospital information system to maintain the integrity and accuracy of electronic medical records. Identify and...Number, NPI and UPIN via appropriate website for all new provider entries for outpatient services to ensure results… more
- TD Bank (Wilmington, DE)
- …Leads/participates in the identification, development and implementation of new initiatives, operating workflow, additional services/applications or operational ... capabilities to identify and maintain good business opportunities with new and existing clients + Performs detailed analysis and...the ad-hoc analytical support on age of the book, payment rate, and others was leveraged to support important… more
- CBRE (Wilmington, DE)
- …Conduct performance evaluations and coaching. Oversee the recruiting and hiring of new employees. + Coordinate and manage the team's daily activities. Establish work ... rent and common area maintenance recovery charges to ensure payment is on time. + Lead by example and...culture is built on our shared values - respect, integrity , service and excellence - and we value the… more
- TD Bank (Wilmington, DE)
- **Work Location:** Mount Laurel, New Jersey, United States of America **Hours:** 40 **Pay Details:** $140,000 - $231,000 USD TD is committed to providing fair and ... to simplify, problem solve, multitask and work effectively against deadlines + Integrity and high moral standards + Strong negotiation and conflict resolution skills… more
- City National Bank (Wilmington, DE)
- *MORTGAGE LOAN UNDERWRITER SENIOR* WHAT IS THE OPPORTUNITY ? The role of the Underwriter III is to evaluate the credit risk against company standards and to determine ... analysis, financial statement analysis, cash flow analysis, liquidity qualification and payment calculation spreads * Reviews for stability of residency and… more
- Ryder System (King Of Prussia, PA)
- …A FUTURE At Ryder, our most important competitive advantage is our people. _CULTURE- INTEGRITY - FAMILY_ . As a Customer Engagement Manager, you'll be part of a ... to expand Ryder's wallet share. Segment account base by opportunity for growth, renewal (retention) and potential for risk...+ Customer Education - Providing customers with information on new services, changes in policies, and best practices for… more
- Travelers Insurance Company (Wilmington, DE)
- …Range** $104,000.00 - $171,700.00 **Target Openings** 2 **What Is the Opportunity ?** LOCATION REQUIREMENT: This field position services Insureds/Agents in the ... Claim Services: + Employ proper claim handling techniques to protect the integrity of our brand and providing consistent service quality and streamlined processes… more
- HANA INDUSTRIES (Wayne, PA)
- …empower Native Hawaiian communities through education, cultural preservation, and economic opportunity . For over two decades, our five for-profit companies have been ... We treat our team like 'Ohana (family), lead with integrity (Pono), and take pride in creating opportunities that...responds to inquiries from IRS, state tax + Support new business or geographic expansion efforts by assisting with… more
- Comcast (Aston, PA)
- …payable if the employee is in good standing continuously through the date each payment is made.** **Only candidates hired into the role externally are eligible for ... things happen by working together and being open to new ideas. + Be an active part of the...all duties, responsibilities and qualifications. Comcast is an equal opportunity workplace. We will consider all qualified applicants for… more
