- Trustmark (Augusta, ME)
- …our colleagues, clients and communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & ... of claim handling process and procedures and experience in handling claims appropriately in accordance with the corporate claim philosophy, policy provisions… more
- Intermountain Health (Augusta, ME)
- …of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as ... hospital personnel as needed. + Acts as a mentor. As assigned, coordinates training , direction and review of those working with reimbursement functions. + Manages… more
- Highmark Health (Augusta, ME)
- …reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. ... disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services)… more
- CenterWell (Augusta, ME)
- …**Key Responsibilities:** + **Operational Reporting:** Oversee the medical and prescription claims processes, including quality , audits, and reporting. Manage ... community and help us put health first** As a Sr . Business Intelligence Engineer for CenterWell Primary Care, you...operations & BI reporting and a passion for data quality and process improvement. The ideal candidate will have… more
- Cherry Bekaert (Augusta, ME)
- **Description** **Summary of Responsibilities:** The Senior Associate will work closely with the Cherry Bekaert FAO (Finance & Accounting Outsourcing) team, ... for our clients in the insurance, service and related industries. The Sr . Associate will also assist in an administrative project management capacity, spearheading… more
- United Therapeutics (Augusta, ME)
- …practices, you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training , Communications and Policy will ... experiences. Detail-oriented yet creative, you balance policy management with innovative training strategies that resonate across all levels of the organization. You… more
- Humana (Augusta, ME)
- …of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission ... considerable latitude in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims… more
- CenterWell (Augusta, ME)
- …of our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Augusta, ME)
- …of our caring community and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial statements ... other than those directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes and forecasts...all business areas such as: Finance, Network, Health Services, Claims and Actuarial **Use your skills to make an… more
- Highmark Health (Augusta, ME)
- …of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care ... actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to… more
- Carrington (Augusta, ME)
- …pay for this position is $31.73 an hour. **What you'll do:** * Provides training , creates and updates Policy & Procedures, and reviews control reports to ensure ... overall quality and performance of the Bankruptcy processes * Handles...with recommendations and solutions. * Conduct informal and formal training sessions with the staff on the bankruptcy processes.… more
- Otsuka America Pharmaceutical Inc. (Augusta, ME)
- …Omnichannel & Content Enablement -this leader ensures that insights, content, tools, training , and systems are aligned to business priorities and delivered with ... **2. Field Enablement** + Oversee the strategy and execution of field training programs, sales technologies, and operational support. + Manage infrastructure for… more
- Walgreens (Topsham, ME)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager and ... & champion an "earn while you learn" Pharmacy Technician Training Program recognized by ASHP & Department of Labor....and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen… more
- Humana (Augusta, ME)
- …midst of a people, process and technology transformation that will improve quality , timeliness and the overall experience for our associates, members and providers. ... inquiries. + Has 6-7 direct reports including Associate Directors, Managers, and Senior Professionals + Provides strategic direction and leadership to the various… more
- Walgreens (Auburn, ME)
- …Otherwise, earns PTCB or ExCPT certification as condition of promotion to senior technician. + Attends training and completes PPLs requested by ... and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Entergy (Brunswick, ME)
- …Jackson, MS; The Woodlands, TX This position may be filled as a Procurement Specialist Senior or Senior Staff based on the qualifications and experience of the ... utilize supply chain processes to support the delivery of safety, cost, quality , schedule, and customer satisfaction measures. Assignments of increasing scale and… more
- CBRE (Augusta, ME)
- …employee engagement, attrition, and compliance with employment regulations, while assessing data quality . + Prepare and present analysis to senior HR and ... within the assigned area(s) (ie Immigration, Reporting, Learning & Development, Unemployment Claims , etc.). You will work to support the broader Corporate Functions… more
- Genesis Healthcare (Lewiston, ME)
- …to improving health outcomes among residents of skilled nursing and senior living facilities. Our physicians, nurse practitioners (NPs) and physician assistants ... long-term care. At AlignMed, we believe in a better quality of life for all. Our mission is to...Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA Qualifications * The Mental Health… more
- Primo Brands (Poland, ME)
- …on site located in **Poland Spring, Maine** . Reporting to the ** Senior Transportation Systems Manager** . The position requires strong leadership, problem-solving ... HOD middle mile volume, and national OS&D (over, short, and damage claims )- outbound and inbound loads through Uber Freight transportation management system (TMS),… more
- Highmark Health (Augusta, ME)
- …with internal and external stakeholders, including clients, partners, and senior leadership. Cross-functional Collaboration: Operate effectively in a highly matrixed ... of healthcare technology products especially in Clinical, Digital, Provider, Claims , Enrollment, Billing, Benefits, Products and Services. Knowlege of Provider… more