• Claims Review Specialist

    Aerotek (Tempe, AZ)
    **Overview:** **Aerotek has an immediate opening for a Claims Review Specialist - Workers Compensation at the corporate office in Tempe, AZ.** **Job ... Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review Specialist will assist in the monitoring and… more
    Aerotek (04/27/24)
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  • Fraud Claims Specialist

    Randstad US (Chandler, AZ)
    fraud claims specialist . + chandler , arizona + posted april 19, 2024 **job details** summary + $19.99 - $20 per hour + temp to perm + no requirements + category ... Non-Fraud team! Randstad is looking to hire several Fraud Claims Specialists and we are seeking candidates with great...be using various systems and screens to gather information, review and analyze information, and document findings they come… more
    Randstad US (04/20/24)
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  • Short Term Disability Claims

    Lincoln Financial Group (Phoenix, AZ)
    …to staff our ever-growing claims organization. As a Short Term Disability Claims Specialist , you will be responsible for conducting initial and ongoing ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
    Lincoln Financial Group (04/19/24)
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  • Group Claims Specialist - West Coast…

    Lincoln Financial Group (Phoenix, AZ)
    …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
    Lincoln Financial Group (04/22/24)
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  • Leaves Claims Specialist

    Lincoln Financial Group (Phoenix, AZ)
    … Specialists to staff our ever-growing claims organization. As a Leaves Claims Specialist , you will be responsible for administering and managing leave ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
    Lincoln Financial Group (04/19/24)
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  • Medical Billing Specialist

    Robert Half Accountemps (Scottsdale, AZ)
    …have strong medical billing knowledge and proficiency in MS Office. Responsibilities: + Review and process medical billing claims accurately and efficiently + ... located in Scottsdale, AZ, seeking a Contract-to-Hire Medical Billing Specialist to join our team. The ideal candidate will...insurance companies and follow up on unpaid or denied claims + Review and resolve billing errors… more
    Robert Half Accountemps (04/27/24)
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  • SIU Pharmacy Intake Specialist - Remote…

    Prime Therapeutics (Phoenix, AZ)
    …results with limited supervision. + Demonstrated strategic and analytical abilities to review and evaluate information such as claims data, suspicious patterns ... and drives every decision we make. **Job Posting Title** SIU Pharmacy Intake Specialist - Remote - Must Reside in CA **Job Description Summary** Responsible for… more
    Prime Therapeutics (04/25/24)
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  • Operations Specialist - Compliance

    Aveanna (Phoenix, AZ)
    Operations Specialist - Compliance ApplyRefer a FriendBack Job Details Requisition #: 194411 Location: Phoenix, AZ 85014 Category: Business Operations Salary: $20.00 ... per hour Position Details Position Overview The Operations Specialist is responsible for providing top level customer service to internal and external clients as it… more
    Aveanna (02/28/24)
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  • Collection Specialist - Accounts Receivable

    Satellite Healthcare (Mesa, AZ)
    …not been paid so as to have a fluent revenue cycle. **Essential Functions:** + Review , understand, and work unpaid and denied claims using QMS aging reports and ... **The Collections Specialist ** ensures that all collection activity is performed...reports in the external clearinghouse for unpaid or denied claims + Maintaining follow up notes in QMS +… more
    Satellite Healthcare (04/27/24)
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  • Senior Regulatory Affairs Specialist

    Stryker (Tempe, AZ)
    …at www.stryker.com We are currently seeking a **Senior Regulatory Affairs Specialist ** to join our **Sustainability Solutions** team; this position **is Remote** ... and expectations. **What you will do** As the Senior Regulatory Affairs Specialist for Stryker Sustainability Solutions, you will support vascular, surgical, and… more
    Stryker (04/26/24)
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  • Safety Specialist

    Hunter Contracting (Gilbert, AZ)
    …safety to company personnel. Roles, Duties, & Responsibilities: + Research incidents and claims . + Conduct incident review analysis. + Analyzes trends and ... + Holiday / Sick Pay + Company Vehicle Job Purpose: The Safety Specialist is responsible for conducting inspections of multiple jobsites, enforcing adherence to laws… more
    Hunter Contracting (04/18/24)
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  • Inventory Specialist

    Walgreens (Mesa, AZ)
    …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
    Walgreens (04/24/24)
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  • Senior Hierarchical Condition Category (HCC)…

    Highmark Health (Phoenix, AZ)
    …management team.20% + Contributes to Risk Adjustment Data Validation (RADV) audit coding review , including analysis of claims data to ensure chart acquisition is ... the organization. Collaborates with team members to optimize data collection and review , provider education and outreach, and coding quality.20% + Develops and… more
    Highmark Health (04/18/24)
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  • Facilities Operations Specialist

    Western Area Power Administration (Phoenix, AZ)
    Summary As a Facilities Operations Specialist , you will serve for the Desert Southwest Region (DSW), part of the Western Area Power Administration (WAPA), with ... in all areas of Management Services. Responsibilities As a Facilities Operations Specialist , you will: Develop annual and long term comprehensive program of facility… more
    Western Area Power Administration (04/27/24)
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  • Senior Quality Specialist

    CVS Health (Phoenix, AZ)
    …both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to ... and timely support. - Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations… more
    CVS Health (04/19/24)
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  • Software Licensing Specialist

    Amentum (Phoenix, AZ)
    We are looking for a **Software Licensing Specialist ** to join our team and to administer the contractual relationships between our company and software vendors such ... such as Customer Agreements, Partner Agreements, and Licensing Agreements. As a Licensing Specialist , you will play a critical role in overseeing the management of… more
    Amentum (03/16/24)
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  • Staff Supply Chain Subcontract Specialist

    Northrop Grumman (Chandler, AZ)
    …possible.** **LMDS has an opening for a** **Staff Supply Chain Subcontracts Specialist (Level 5)** **to join our team of qualified, diverse individuals. This ... limited to:** + **Supporting global supply chain acquisition professionals with their review and negotiations of complex terms and conditions related to various… more
    Northrop Grumman (04/27/24)
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  • Provider Network Specialist II

    Centene Corporation (Phoenix, AZ)
    …Educate providers regarding policies and procedures related to referrals, claims submission, credentialing documentation, web site education, Electronic Health ... Information data Information Set (HEDIS) analyses, and create reports for provider Review provider performance by both quantitative metrics and qualitative factors +… more
    Centene Corporation (04/21/24)
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  • Senior Medical Stop Loss Underwriter

    Highmark Health (Phoenix, AZ)
    …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
    Highmark Health (04/12/24)
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  • Associate Medical Stop Loss Underwriter

    Highmark Health (Phoenix, AZ)
    …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... assigned work. Receives guidance, technical oversight from other staff members. + Review and complete Rating and Analysis work with guidance and technical oversight… more
    Highmark Health (04/02/24)
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