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Utilization Management Specialist (RN) - Permanent Job

Los Angeles, CA
... Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent post-service and retrospective claims medical review - Monitors and oversees the collection and transfer of data (medical records) and referral requests What ...
Yoh - Oct 22

Member Services Representative Bilingual

San Francisco, CA
... That means providing expert, courteous, professional and accurate responses to incoming inquiries regarding network, plan benefits, eligibility, authorizations, plan guidelines and policies and processes, as well as claims and pharmacy issues. You ...
KVR Consultant - Oct 22

Human Resources Coordinator

Austin, TX
... process unemployment claims; process employment verifications; provide administrative support for the company’s PEER program and training initiatives; provide administrative support for internal audit activities. Requirements 4+ years’ as a Human ...
Cirrus Logic - Oct 22

Risk Assurance Director Health Care Compliance

Wilbraham, MA
... OIG guidance, healthcare-related laws, regulations (e.g., HIPAA, Medicare, Medicaid, Anti-Kickback, Fraud and Abuse laws, False Claims Act) and regulatory agencies to implement and monitor changes to Federal and State healthcare compliance program ...
PwC - Oct 22

Neurology Physician

Amarillo, TX
... Full benefits, malpractice insurance claims made and tail coverage, 401K, medical and dental, CME, signing bonus and relocation expenses. Practice has full EMR and payer mix is as follows: 45% managed care, 32% Medicare, 15% Medicaid, 6% Commercial ...
Universal Health Services - Oct 22

Safety Specialist

Chicago, IL
... assists the worker's compensation program including by interviewing employees and providing information concerning fraudulent claims to our risk department, and represents the company in worker's compensation related labor cases; provides technical ...
DHL Express - Oct 22

Freight Sales Agent

Las Vegas, NV
... In addition, we handle all of the back-end office work including: invoicing, receivables, credit, collections, claims, obtaining Customer Specific Pricing, and of course top-notch support. You receive a minimum of 40% of the profit for International ...
Global Forwarding Enterprises, LLC - Oct 22

Paralegal Specialist

Grand Ledge, MI
... Your training will enable you to research court decisions and Army regulations, process legal claims and appeals, and prepare records of hearings, investigations, court-martials and courts of inquiry. By joining the Army National Guard, you will be ...
Army National Guard - Oct 22

Construction Claims Expert

Millville, NJ
... Permanent position for a Construction Claims Expert Preparation of expert construction claims analysis, report regarding delays and productivity impacts. Provide expert testimony for commercial construction claims cases. Detailed empirical analysis ...
Engineering Resource Group - Oct 22

State Director of Risk Management

San Francisco, CA
... With a focus on high risk state(s), this position investigates potential claims, works with patients, residents and families and delivers education and training on liability claims related issues with the goal of improving quality of care and ...
Kindred Healthcare - Oct 22

Claims Manager

New York, NY
... Major offerings include services related to: - Reserve Analysis - Claims Operational Analysis - Mergers & Acquisitions - Product Design & Pricing - Predictive Analytics - Litigation Support - Regulatory Assistance - Alternative Markets - Reinsurance ...
PwC - Oct 22

Property & Casualty Actuarial Experienced Associate

New York, NY
... Major offerings include services related to: - Reserve Analysis - Claims Operational Analysis - Mergers & Acquisitions - Product Design & Pricing - Predictive Analytics - Litigation Support - Regulatory Assistance - Alternative Markets - Reinsurance ...
PwC - Oct 22

Billing Specialist

Iron River, WI
... The Billing Specialist will work in our Minong Clinic and is responsible for all aspects of patientsï billing and accounts including claims submission, answering questions regarding accounts, resolving complaints, establishing payment plans, and ...
Confidential - Oct 21

Part Time Billing/Coding Specialist

Birmingham, AL
... For providers, we offer fair rates and prompt, accurate payment of claims. Job Description: We are a growing healthcare management company based in the Southeast. We are looking for a part time billing/coding specialist. This is a part time position ...
Direct Pay Provider Network, LLC - Oct 21

Administrative Assistant

Methuen, MA
... mail, e-mails and faxes.Creates Bill of Ladings using various shipping vendors.Submits tracks and investigates shipping claims with retailers and vendors.Creates POs into the accounting system and tracks the transaction and maintains departmental ...
Partners Group - Oct 21

SICU RN

Indianapolis, IN
... you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). ...
Confidential - Oct 21

Registered Nurse (Primary Care)

Evansville, IN
... you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). ...
Confidential - Oct 21

RN for Telehealth Unit Manager

Indianapolis, IN
... you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). ...
Confidential - Oct 21

Quality Management Coordinator RN

Indianapolis, IN
... you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). ...
Confidential - Oct 21

Staff RN

Indianapolis, IN
... you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). ...
Confidential - Oct 21
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