- Covenant Health Inc. (Knoxville, TN)
- Overview Insurance Appeals Senior , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health ... pre-certification required. Licensure Requirements: None. Apply/Share Job Title INSURANCE APPEALS SENIOR ID 4357425 Facility Covenant Health Corporate… more
- Centene Corporation (Jefferson City, MO)
- …medical directors and supervise MD's responsible for utilization management and appeals functions to ensure members receive medically necessary, evidence-based care ... the enterprise. + Provide medical leadership for all utilization management ( appeals ), pharmacy, case management, disease management, cost containment, and medical… more
- Ochsner Health (New Orleans, LA)
- …The Appeals Specialist is responsible for managing and resolving insurance claim denials and underpayments to ensure accurate reimbursement. This role involves ... Preferred - + Experience in healthcare or revenue cycle - specifically insurance claim denials. + Strong analytical and organizational skills. + Excellent… more
- Centene Corporation (Jefferson City, MO)
- …high-quality, cost-effective care to our members. This role further assists the Senior Medical Director or Chief Medical Officer in execution of strategic clinical ... utilization and health care quality + Oversee and actively participate in the appeals process, ensuring that appeals are handled efficiently, thoroughly, and in… more
- NTT America, Inc. (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a ... **Medicare Appeals Clinical Leader** to lead service delivery engagements and...eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Quality Control Senior Manager you want with your current employer? We have an exciting ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- GuideOne Insurance (Nashville, TN)
- As Senior Counsel, you will play a pivotal role in managing complex litigation and a broad range of legal matters within your state of licensure. In this ... depositions. + Prepares and drafts pre-trial motions. + Files or defends motion appeals . + Tries lawsuits. + Prepares and drafts post-trial motions. + Manages legal… more
- City and County of San Francisco (San Francisco, CA)
- …City and County of San Francisco is looking to bring on board multiple Senior Human Resources Analysts to help departments in hiring, supporting, and retaining a ... benefits that include: competitive salaries; medical, dental, and vision insurance ; defined benefit retirement plan; deferred compensation plan; long-term disability… more
- City and County of San Francisco (San Francisco, CA)
- …right fit. The City and County of San Francisco is looking to hire multiple Senior Administrative Analysts to be part of the City workforce of nearly 40,000 staff ... benefits that include: competitive salaries; medical, dental, and vision insurance ; defined benefit retirement plan; deferred compensation plan; long-term disability… more
- City and County of San Francisco (San Francisco, CA)
- …minimum qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Networks Specialty are only accepted ... that integrate these systems together as an enterprise networking backbone. The 1043 Senior Networks Engineer is the advanced journey level in the Engineer series.… more
- City and County of San Francisco (San Francisco, CA)
- …minimum qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Systems Specialty are only accepted ... these systems together as an enterprise networking backbone or platform. The 1043 Senior Systems Engineer is the advanced journey level in the Engineer series. The… more
- City and County of San Francisco (San Francisco, CA)
- …qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Applications Specialty are only accepted ... integrate these systems together as an enterprise networking backbone. The 1043 Senior Applications Engineer is the advanced journey level in the Engineer series.… more
- City and County of San Francisco (San Francisco, CA)
- …minimum qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Security Specialty are only accepted ... that integrate these systems together as an enterprise networking backbone. The 1043 Senior Security Engineer is the advanced journey level in the Engineer series.… more
- City and County of San Francisco (San Francisco, CA)
- …School District, or City College of San Francisco who are working in class 1406 Senior Clerk. If you pass the exam, you will be emailed your score and ranking ... benefits that include competitive salaries; medical, dental, and vision insurance ; defined benefit retirement plan; deferred compensation plan; long-term disability… more
- Clark County, NV (Las Vegas, NV)
- SENIOR PAYROLL TECHNICIAN Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/5179009) Apply SENIOR PAYROLL TECHNICIAN Salary $26.00 - ... seeking qualified candidates to join our team as a Senior Payroll Technician, located within the Comptroller's Office. The...cost + Teledoc, Doctoroo, and Dispatch Health + Retiree insurance - eligible after 5 years of service +… more
- Clark County, NV (Las Vegas, NV)
- SENIOR ENTERPRISE SYSTEMS ANALYST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4931637) Apply SENIOR ENTERPRISE SYSTEMS ANALYST ... (ERP) is seeking qualified candidates to apply for the Senior Enterprise Systems Analyst position. We are looking for...cost + Teledoc, Doctoroo, and Dispatch Health + Retiree insurance - eligible after 5 years of service +… more
- City and County of San Francisco (San Francisco, CA)
- …benefits that include: competitive salaries; medical, dental, and vision insurance ; defined benefit retirement plan; deferred compensation plan; long-term disability ... insurance ; life insurance ; and a generous paid...City and County of San Francisco has to offer. Senior Management Assistants perform difficult and complex professional level… more
- Elevance Health (Independence, OH)
- …report reopenings. + Under guided supervision, participate in completing more complex appeals related work: + Position papers + Jurisdictional Reviews + Maintaining ... ability to travel may be required. **Audit & Reimbursement Senior ** **_Location: _** _This role enables associates to work...report reopenings. + Manage caseload of Medicare cost report Appeals + Position papers + Jurisdictional Reviews + PRRB… more
- State of Colorado (Broomfield County, CO)
- CDA- Senior Quality Assurance Analyst (Physical Scientist III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5189208) Apply CDA- Senior ... Health Savings Account ($60 per month) + Paid life insurance , plus additional optional life insurance options...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- Senior Paralegal (Legal Assistant II) - Workers' Compensation Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5187993) Apply Senior ... matters. The Unit manages litigation from inception through hearings and appeals , including fully contested claims, challenges to specific disability and medical… more