- HHS Technology Group, Inc. (Atlanta, GA)
- …and Certification reimbursement Open PTO policy Join us! WHO WE ARE HIRING: PROJECT MANAGER - PMP - Remote POSITION DESCRIPTION: HHS Technology Group is excited ... about expanding and adding an Agile Project Manager to our Professional Services team. This key member of our highly talented team will interface with our valued… more
- MultiPlan (Rockville, MD)
- …for the electronic setup, testing and go-live of IT projects that involve Client Claims Processing. These claims may be received either via EDI (Electronic Data ... and to customize how they access/utilize MultiPlan Products using EDI and Web Services claims processing workflows. It includes but is not limited to the below *… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …free drug assistance. Position Summary: Under the general supervision of an Operations Manager , the Customer Access Specialist will be providing advanced ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings: 8:00 am...attention to detail. General knowledge of accounting principles, pharmacy operations , and medical claims . Acceptable use of… more
- Abbtech Professional Resources (Merritt Island, FL)
- This program requires US Citizenship Full-Time Office/Project - no remote /no telework Diverse teams build the extraordinary: As a global company, our client has long ... monitoring supplier performance, back charge procedures and the resolution of claims and disputes * Knowledge of international commercial conditions of buying… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …to the healthcare provider. Position Summary: Under general supervision of an Operations Manager , the Benefits Verification Specialist will contact insurance ... Title: Benefits Verification Specialist Location: Remote Duration: 3+ month's Working hours: 8:30am to...access. Could include documenting and initiating prior authorization process, claims appeals, etc. Completes quality review of work as… more
- Providence (MT)
- …for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for media ... empower them.** **Providence is calling a Sr. Medical Malpractice Claims Manager - Professional Liability who will:**...roundtables + Assist in Regional CEO Conferences with Senior Manager Operations + Facilitate and participate in… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Supervisor Operations , Claims Research - Remote **Job Description** The Supervisor ... depth perception and ability to adjust focus **Reporting Structure** + Reports to Manager or Director in Operations Potential pay for this position ranges… more
- Fallon Health (Worcester, MA)
- …ownership within the Analytics staff for product line(s) as assigned by the Risk Adjustment Operations and Analytics Manager and will be a SME for the risk ... Adjustment Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department....and risk outcome improvement. The RAA will own the claims adjustment workflow associated with regulatory retrospective chart review… more
- Elevance Health (Indianapolis, IN)
- **Title: Claims Representative II (Health & Dental)** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within ... 50 miles of one of our PulsePoint locations. The ** Claims Representative II** will be responsible for keying, processing health claims in accordance with … more
- HealthEdge Software Inc (Columbus, OH)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... including Customers, Account Executives, Sales, Professional Services, Support and Cloud Operations to create and deliver a great customer experience. + Lead… more
- Elevance Health (Atlanta, GA)
- **Business Architect Executive - Claims ** **Location:** This position will work a hybrid model ( remote and in office 3 days per week). Candidates will live ... our Atlanta, GA Pulse Point location. The **Business Architect Executive - Claims ** drives and completes the Business Architecture portion of business blueprints,… more
- University of Washington (Seattle, WA)
- …**WORK SCHEDULE** + 40 hours per week + Day Shift + This position is Remote **POSITION HIGHLIGHTS** The Claims Supervisor is responsible for the coordination and ... control of the Claim Specialist Team, ensuring that effective operations run smoothly and staff-assigned work queues are maintained...disputes and/or recommends administrative course of action to the Claims , Payment & Credit Manager with the… more
- Magellan Health Services (Boise, ID)
- …with internal matrix partners that support achievement of strategic alignment including operations (IT, Finance, Product Development, Claims , Legal etc.) and ... issues when escalated by the ASR in conjunction with operations ( claims , service, and systems). + Provides...skills. General Job Information Title Contracts and Compliance Account Manager - Remote from Idaho Grade 29… more
- AmeriHealth Caritas (Charleston, SC)
- ** Manager , Provider Network Management - Remote South Carolina only** Location: Charleston, SC Primary Job Function: Medical Management ID**: 34447 Your career ... electronic strategies for the provider network, including increasing electronic claims submission and implementing improved processes that result in increased… more
- Sedgwick (Sacramento, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Risk Services Manager - Pooling ( Remote OR Hybrid in CA) **Are you looking for ... of an energetic culture?** + Enjoy flexibility -Hybrid in N. California (Sacramento), remote or telecommuter setting **in California only.** + This role will require… more
- Lundbeck (Deerfield, IL)
- Associate Director, Promotional Review and Operations - Remote Opportunity Requisition ID: 5521 Location: Deerfield, Illinois, US Do you want to join a team ... and reporting, and implement necessary trainings on key aspects of commercial operations . This position will ensure all promotional materials are reviewed and… more
- Insight Global (San Francisco, CA)
- Job Description Insight Global is seeking a Remote Bilingual Operations Support Specialist for a telehealth and nutrition client based out of San Francisco. The ... ensure a seamless customer experience. Collaborate closely with the customer support manager , Food operations coordinator, and client development team to… more
- Hubbell Power Systems (Hubbell, NE)
- EHS Regional Manager - Remote Apply now " Date: Aug 28, 2024 Location: Non Hubbell Location, CT, US, 06484-4300 Company: Hubbell Incorporated Job Overview Under ... the direction of the Director EHS, the EHS Regional Manager will support the business Segment by driving and supporting Enterprise and Segment-wide EHS programs,… more
- Wolters Kluwer (Columbus, OH)
- …end-to-end customer experience to drive world-class business outcomes. **Basic Function** This remote -friendly Account Management Team Manager , you will build a ... suite of tools that address the growing needs of corporate legal operations departments to increase operational efficiency and reduce costs. Corporate legal and… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Account Manager - Connecticut ADAP - remote **Job Description Summary** Overall management ... + Resolves or appropriately escalates customer service issues in conjunction with operations ( claims , service, and systems). + Provides mentoring to Account… more
