to clinical and other leadership for purposes of quality and patient safety improvements. The Claim Data Process Manager... with captive manager and actuary Data Analysis & Reporting Collect, validate, normalize, and analyze medical professional...
data for reporting purposes, to find trends, and support decisions The Claim Financial Process Manager will collect data...: Collect, validate, normalize, and analyze medical professional and general liability claim data Develop, maintain, and run...
: As a CID Claims Manager, you will be responsible for supervising a staff of Claim Intake Assistants, Segmentation Technicians... Notice of Loss and claim creation process in CID. The position requires proven leadership skills in managing and training...
accommodations to assist you in the search and application process, please email us at . Candidate Data Privacy Rivian may... is seeking a Senior Manager, Insurance Claims & Contract Management to lead all aspects of claims and litigation strategy...
appropriate controls are embedded across your teams, including a robust peer review process for high impact tasks. § Work... constraints are fully understood by your manager. § Ensure SLAs are frequently review, updated and communicated based...
operating process. Support Claims Sourcing Managers with spend data analysis, data queries, and reporting, which support line...About the role Reporting directly to the Claims Sourcing Manager, the role will be responsible for supporting the...
you can be proud of. The Manager, Workers Compensation will lead the strategy and execution of GXO's workers compensation... to claim initiatives or strategies, are being met. Recommends strategies to meet or exceed goals. Tracks, analyzes...
your productivity and efficiency. Job Description: Job Overview: The company is seeking a Senior Commercial/Contract Manager... engagement(s) (e.g. one on one workshops) during the bid process Support in negotiation of terms and pricing with subcontractors...
in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage... teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique...
Workers Compensation Manager is responsible for the strategic and operational oversight of the Workers' Compensation programs.... 4. Monitor claim progression and outcomes to ensure adherence to clinical, legal, and operational standards. 5. Support...
Workers Compensation Manager is responsible for the strategic and operational oversight of the Workers' Compensation programs.... 4. Monitor claim progression and outcomes to ensure adherence to clinical, legal, and operational standards. 5. Support...
The Project Manager – Responsible for managing a portfolio of duty drawback client accounts while providing oversight.... Lead and support the implementation of new client accounts, including onboarding, program setup, and process alignment...
process. Types of analyses include performing sophisticated retrospective data analytics Identifies cost of care savings...Anticipated End Date: 2026-01-31 Position Title: Manager Senior Engineering for Healthcare (Pharmacy) Applications...
Description Job Summary The Workers Compensation Manager is responsible for the strategic and operational oversight..., advanced practice providers, third-party administrators, and external healthcare providers. 4. Monitor claim progression...
Specialist include but are not limited to the following: The SOAR Benefits Specialist will report to the SOAR Program Manager... outreach services, and completion of the application process, and/or technical assistance as needed to ensure completion of the...
support as required, including scheduling, chart creation, and charge entry. Ensures quality monitoring to produce clean claim... processing. Assists in hiring and orientation of new employees and may assist in annual evaluation process. Experience Two...
claims. How you will make an impact: Claim reviews for appropriate coding, data mining, entity review, law enforcement... referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible...
, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support... draft development and/or revision of enterprise reimbursement policy. Analyze claim documentation, coding accuracy...
clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision... of enterprise reimbursement policy. Analyze claim documentation, coding accuracy, and medical record details to determine if denial...
. This role helps develop a process of accountability to ensure improvement of overall quality. The Director of Clinical Quality... Quality will be provided to analyze outcomes and possible changes in plan. Aids with claim denials and in the resolution...