Complex Claims Advisor - United States

General Responsibilities: · Responsible for overseeing the successful and efficient operations of the Safety Claims Administration Team, including management of the related processes and systems. The position handles complex and escalated claims issues, while supervising the clai ...

NOTE: A position with the Employee Healthy Plan Trust is strictly VOLUNTEER, and is NOT a paid position. · Purpose: The UUA Employee Health Plan Trust oversees the UUA Health Plan, a self-funded plan which provides comprehensive health insurance to approximately 1,500 members, t ...

The Utilization Review Nurse is responsible for the day-to-day coordination of admission criteria as it relates to healthcare needs of the patient and organization. · ...

What are we looking for? · The Business Transformation Advisor is a senior, client-facing advisor who leverages deep TPA industry expertise and advanced VBA platform knowledge to guide client configuration strategy and solution design. This role ensures each client's implementati ...

Nuestro Gerente exitoso del éxito del cliente (CSM) servirá como socio estratégico para nuestros clientes, impulsando la adopción, el rendimiento por inversión y el éxito a largo plazo en Claims and Contract manager suite of product solutions. · ...

· Overview · Seeking a highly-organized, strategic and execution-focused Director to support the Claim Legal Department. This role will serve as a trusted advisor, project leader and operational partner, helping drive strategic initiatives, manage cross-functional projects, and ...

The Claims Application Analyst serves as the bridge between Claims business operations and technology solutions, identifying and translating organizational needs into technology-based solutions that improve efficiency, reporting, compliance, and scalability. · ...

About the Business · Headquartered in Dublin, OH, Cardinal Health is a global healthcare services and products company. We provide customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, clinical laboratories, physician offices and patients ...

We are seeking an HR Business Partner to join our team in the Eastern U.S. The successful candidate will serve as a business partner and subject matter advisor to the business, supporting employee engagement, continuous improvement and customer experience. · ...

We're looking for a Director, International Product Compliance to own global regulatory strategy across international and U.S. markets. · Own the global regulatory roadmap supporting international expansion across key regions · Assess regulatory feasibility for new markets, prod ...

The Director, Payer Relations establishes a centralized leader responsible for leading enterprise-wide payer escalation, denial prevention and payer rule governance efforts to address systemic payer dysfunction impacting reimbursement denial trends and cash performance. · ...

In our 'always on' world, we believe it's essential to have a genuine connection with the work you do. · RUCKUS Networks's Supply Chain org. is growing. · We're hiring for Global Transportation Manager to join our team.Bachelor's degree in Supply Chain, Logistics, Business or a r ...

Manage all modes of international and domestic transportation, ensuring alignment with ANS's strategic objectives for cost efficiency, service excellence, and operational quality. · ...

Join The Colhoun Agency - a fast-growing, high-performance Allstate agency that rewards hustle, ambition and results. · ...

We believe people are at the heart of every high-performing revenue cycle. We bring trusted expertise, partnership, and integrity to hospitals and health systems nationwide, helping teams improve accuracy, elevate performance, and build sustainable operations. · ...

We are seeking a dynamic, client-focused and bilingual Account Manager (English/Korean) to join our growing team. The role is critical to delivering exceptional service, cultivating lasting partnerships and ensuring the satisfaction and loyalty of our diverse customer base. · ...

:Why you'll want to work at nimble · Interested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadershi ...

Location Address: · 9521 San Mateo NE · Albuquerque, NM · Summary: · The Director of Business Unit Finance is responsible for overseeing all operational financial activities within the health plan. Reporting to the CFO of the health plan, this leadership role involves developing ...

We are seeking a skilled litigation attorney to join the Farm Bureau legal team. · In this role, you will deliver high‑value legal counsel to Farm Bureau and its affiliates. · You will act as a front-line litigation attorney for the company and its affiliates, · providing strateg ...

To provide legal advice and counsel to corporate officers, managers and employees of the Corporation and its various lines of business. Under the general direction of the General Counsel or Associate General Counsel, this individual provides direction and legal counsel to the C ...