- Careers Integrated Resources Inc (Albuquerque, NM)
- Job Title: Provider Network Consultant Job Location: Albuquerque, NM 87113 Job Duration: 2 years+ Shift: HYBRID - 2 days WFH and 3 days onsite / Monday to Friday ... 8:00am - 5:00pm Job Description : . Provide information and assistance needed to resolve problems experienced...training and continuing policy education on all facets of operations of Client to provider staff and… more
- Careerbuilder-US (Rome, NY)
- …Saturday every 5 weeks.Exceeds Transportation service expectations to regional store network by actively influencing inbound domestic, import and outbound shipments. ... communication channels are providing accurate and timely two-way communication with Store Operations , DC Operations , Carrier Management and Store Support Center… more
- Accounting Now (Tampa, FL)
- …to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely mannerThis position applies prior knowledge of denials to ... for all appeals in EPICDocuments communications with medical office staff and/or MD provider as requiredFollows up on submitted appeals through payer portal or phone… more
- JobsRUs (Plainsboro, NJ)
- …NA to comply with legal and internal standards related to industrial hygieneTo provide high level expertise in the field of industrial hygieneTo raise awareness on ... company by actively participating to the industrial hygiene tier I network .Position ContextClient- fermionic is a recognized leader in Safety, Health, Environment… more
- CVS Health (Trenton, NJ)
- …and educational materials for providers as well as for internal staff and aligns Network functions with Operations and Claims as needed. + Collaborates ... work with others at all levels + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes… more
- Molina Healthcare (MI)
- …Experience in one or more of the following: Claims , Provider Services, Provider Network Operations , Hospital or Physician Billing, or similar. + ... Bachelor's Degree **Preferred Experience** + 3+ years Provider Claims and/or Provider Network Administration experience + Experience in Medical… more
- Prime Healthcare (Ontario, CA)
- …savings across all aspects of the Employee Health Plans. The VP of Health Plan Claims and Operations will provide strategic leadership and development of the ... Department and its employees, as well as collaborate with Network Development, Provider Affiliation and Member Relations,...(7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in… more
- Providence (Anaheim, CA)
- …of the Manager, this position is responsible for overseeing the day-to-day operations of the Support Services department with strong emphasis in Customer Service ... **Required qualifications:** + 3 years of experience as a Claims Examiner in an IPA, Medical Group, or Health...career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace… more
- AIG (New York, NY)
- …broad range of products to customers through a diversified, multichannel distribution network . Our Claims professionals support AIG policyholders through some of ... on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life...to know the business General Insurance is a leading provider of insurance products and services for commercial and… more
- AIG (Parsippany, NJ)
- …broad range of products to customers through a diversified, multichannel distribution network . Our Claims professionals support AIG policyholders through some of ... on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life...to know the business General Insurance is a leading provider of insurance products and services for commercial and… more
- Sedgwick (San Diego, CA)
- … provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Workers Comp | Roseville, CA...excellence and customer service. + Leverage Sedgwick's broad, global network of experts to both learn from and to… more
- Sedgwick (Roseville, CA)
- … provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Team Lead | Roseville, CA or San Diego,...excellence and customer service. + Leverage Sedgwick's broad, global network of experts to both learn from and to… more
- AIG (Atlanta, GA)
- …broad range of products to customers through a diversified, multichannel distribution network . Our Claims professionals support AIG policyholders through some of ... Complex Director- Excess Major Claims | Primary Severity Unit Who we are...on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner to play your part in that transformation. It's an opportunity to grow your ... and experience as a valued member of the team. General Insurance is a leading provider of insurance products and services - focused on helping to manage risk for… more
- AmeriHealth Caritas (Charleston, SC)
- … provider contracts. + Responsible for implementing electronic strategies for the provider network , including increasing electronic claims submission and ... **Manager, Provider Network Management - Remote South...implementing improved processes that result in increased auto-adjudication of claims . **Recruitment:** + Responsible for compliance with State and… more
- AIG (Atlanta, GA)
- …an impact This position will ensure that Third Party Administrators (TPAs) provide high quality claims management and State Regulatory compliance performance ... help customers to manage risk. Join us as a Claims TPA Regulatory Governance and Performance Manager to play...Claim Third Party Governance Matters: AIG uses a vast network of third parties to support its global business… more
- AmeriHealth Caritas (Dayton, OH)
- ** Provider Network Account Executive II - Dayton, OH area only** Location: Dayton, OH Primary Job Function: Medical Management ID**: 34495 Your career starts ... administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Provider Network Account Executive II (AE II) is… more
- AmeriHealth Caritas (Washington, DC)
- ** Provider Network Account Executive II** Location: Washington, DC Primary Job Function: Medical Management ID**: 34461 **Job Brief** The Provider Network ... administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Provider Network Account Executive II (AE II) is… more
- BrightView (Blue Bell, PA)
- …service skills. + Ability to network and effectively collaborate with claims /insurance industry and commercial operations + Working knowledge of claims ... Job Summary + The AL/GL Claims Specialist is a key member of the...contact applicable resources. + Effectively evaluate claim facts to provide accurate and timely investigation and loss analysis on… more
- AIG (New York, NY)
- Complex Claims Director, Cyber Media & Technology Join us as a Complex Claims Director to grow your experience in Claims . Make your mark in Claims Our ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
