- Hawaiian Electric (Honolulu, HI)
- …working on all aspects of litigation matters from case inception to judgment and appeals . Role: Manager Number of Vacancies: 1 Location: Honolulu - Oahu Hiring ... LEGAL Division at Hawaiian Electric Company has 1 Management vacancy available. (Role: Manager ) This posting seeks to fill at either the Associate General Counsel or… more
- Stanford Health Care (Palo Alto, CA)
- …. + Collaboration with Management: Identify and escalate denial patterns to the Manager of Government Audits and Appeals , providing detailed information for ... the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and denials. This position requires strong… more
- Tutor Perini (Fresno, CA)
- …$175,000 depending on experience.** Tutor Perini Corporation is seeking a **Lead Safety Manager ** to join our Project in Fresno, CA. **About Tutor Perini:** Tutor ... Tutor Perini Corporation is looking for a Lead Safety Manager to manage the Health and Safety of the...insurance inspectors on walk through tours. + Prepare written appeals for safety violation citations. + Additional assignments on… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- Field Reimbursement Manager Overview: The Field Reimbursement Manager is part of the Market Access group supporting Suns family of branded products in the United ... and reimbursement dynamic within payer channels. Job Scope The Field Reimbursement Manager will execute local market plans to support field based priorities. This… more
- Ralliant (Albany, NY)
- **Job Title:** Product Manager **Location:** Remote, USA **Job Summary:** As a key contributor within Hengstler-Dynapar, the **Product Manager ** will guide the ... aligns with the company's business objectives while collaborating cross-functionally. The Product Manager will work closely with all functions within our company to… more
- Home Depot (Atlanta, GA)
- …enrollment process. + Manages the review of all health and welfare plan appeals and the review and resolution of all customer service and administration issues. ... and call center. + Selects, develops and motivates assigned staff. **Direct Manager /Direct Reports:** + Typically reports to Sr Manager Benefits Administration.… more
- Warren Equipment Company (Oklahoma City, OK)
- **Description** TEAM UP WITH US! The Senior Facilities Manager oversees and manages all aspects of facility operations across multiple dealership sites, ensuring ... facility operations with project objectives while deferring permitting and municipal appeals to the Project Managers. . Inspect construction and installation… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the direction of the Manager , Professional Billing & Coding, the Billing & Collections Rep I is responsible to review and process charges via our ... for pulling medical records to submit with claims and appeals as required by payors. Responsible to validate and...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …2 years of experience - hospital billing, processing claim edits, denials, appeals and managing accounts receivable. Experience with Epic Resolute Hospital Billing ... CHFP (Certified Healthcare Financial Professional) CPAM (Certified Patient Account Manager ) CPAT (Certified Patient Account Tech) **The current salary range… more
- Southland Industries (Horsham, PA)
- …Plumbing and Fire Protection industry. Primary responsibility is to assist a design manager or project manager to successfully coordinate a project using the ... and potential career paths with one of the country's largest MEP building systems firms appeals to you and you're ready for the next big step in your career, then… more
- BronxCare Health System (Bronx, NY)
- Overview The Appeals Manager is responsible to assist in the analysis and preparation of response to denial notification letters that arrive in letter and ... to best respond to all hospital denials notification and documentation efforts. The Appeals Manager will provide timely tracking and trending of all denials and … more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... the safety net required to achieve that purpose. Job Summary The Manager , Appeals & Grievances (A&G) & General Operations (Clinical) is responsible for the… more
- BronxCare Health System (Bronx, NY)
- …the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to ... identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and… more
- Public Storage (Plano, TX)
- …and preferred stocks trade on the New York Stock Exchange. **Job Description** The Senior Manager , Property Tax Appeals and Analysis, is a key member of the ... Public Storage tax team, responsible for strategically managing the property tax appeals process across a national portfolio. This position reports directly to the… more
- Molina Healthcare (Houston, TX)
- …Manages team responsible for the submission/resolution of member and provider appeals and grievances; ensures resolutions are compliant with applicable standards and ... call tracking system of correspondence and outcomes for provider and member appeals /grievances; oversees/monitors appeals to ensure all internal and regulatory… more
- Providence (Torrance, CA)
- **Description** ** Appeals RN - Care Manager Remote. This position is Per Diem and will work 8-hour, Day shifts.** The Care Management Recovery Advocate (CMRA) is ... responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside… more
- CareFirst (Baltimore, MD)
- …educational and training presentations for internal and external stakeholders. Supports the Manager of Clinical Appeals and Analysis in the development and ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation...Licensure Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred + LNCC - Legal Nurse… more
- Corewell Health (Grand Rapids, MI)
- …all components of insurance prior authorizations, initial reviews, continuous stay reviews and appeals . Nurse Care Manager - Plans and prioritizes care for ... waiting list, insurance prior authorizations, continuous stay reviews and appeals . Additional support to the UM functions of the...Cross Ambulatory Care Management Upon Hire required + Case Manager , Certified (CCM) - CCMC Commission for Case … more
- Garnet Health (Middletown, NY)
- …for the day to day operation of the CDI department and DRG Denials appeals process. The Manager will develop, implement and evaluate processes, policies and ... Administrator, Coding & Clinical Documentation Improvement and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible… more
- The County of Los Angeles (Los Angeles, CA)
- …quality assessment and assurance monitoring processes; and handle informal complainant appeals . Health Facilities Program Manager , Nursing positions are required ... HEALTH FACILITIES PROGRAM MANAGER , NURSING Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4626091) Apply HEALTH FACILITIES PROGRAM MANAGER… more
