of their lives. Too often, that cost comes in the form of suicide - which claims the lives of 20 members of the military and veteran... Correspondence & Database Management Acts as the backstop and support to Director of Philanthropy on the following outreach activity...
Experience team. The candidate will report to the IT Director, Solution & Delivery Lead in the Portfolio. In this role... be supporting. The Portfolio is responsible for the development and support of complex technology solutions from claims processing...
training programs, and conducting workplace investigations. This position is considered hybrid-remote and may at times..., labor law compliance, positive employment practices, and legal issue avoidance. Termination & Unemployment Claims: Manage...
organization and oversees Analytics relating to Contact Center, Digital, Marketing, Claims, Appeals, Grievances, Disputes, Customer..., and presence as a corporate citizen. Blue Shield has received awards and recognition for being a certified Fortune 100...
in Raleigh, North Carolina, the successful candidate will work alongside and with the General Counsel and the Brightly corporate... and in coordination with business group contacts. Organize and maintain the company’s contracts and corporate governance documents...
of claims for medical necessity, coding accuracy, medical policy compliance and contract compliance Ensure discharge (DC... and present cases to Medical Director (MD) for medical director oversight and necessity determination and communicate...
associated with Quality performance. The Health Data Analyst for Clinical Quality (Principal) will report to the Director... of public health and research inputs and build new analytic bridges between claims, encounter and supplemental data sources...
knowledge and experience desired Finance acumen and medical claims experience desired Strong analytical, problem solving... as a corporate citizen. Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work...
of claims for medical necessity, coding accuracy, medical policy compliance and contract compliance Ensure discharge (DC... Prepare and present cases to Medical Director (MD) for medical director oversight and necessity determination and communicate...
combination of education and experience. Must have experience in appeals and grievances and preferred experience in claims..., business practices, and presence as a corporate citizen. Blue Shield has received awards and recognition for being...
, matching donation program, volunteer opportunities, and an employee driven corporate giving. #LI-JA1 # Remote... strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and risk...
or GED Requires at least 3 years of experience Requires at least 2 years in health insurance operations such as I&M, Claims..., promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate...
, matching donation program, volunteer opportunities, and an employee driven corporate giving. #LI-JA1 # Remote... strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and risk...
Manager Title Director, Compliance and Quality Oversight Direct Reports Delegation and Quality Oversight Specialists... and appeals, corporate risk assessment and compliance education and technical assistance. This position develops, designs...
in either Elmsford or Latham, NY. The position is hybrid: three days in the office; two days remote. The base salary is $152K-$267K... overall claims expense. Additional duties include the following: Leads, coaches and develops all attorneys within the...
in either Elmsford or Latham, NY. The position is hybrid: three days in the office; two days remote. The base salary is $152K-$267K... overall claims expense. Additional duties include the following: Leads, coaches and develops all attorneys within the...
insurance Paid time off Training & development Vision insurance Wellness resources This position is flexible remote... on claims Access to Continuing Education CEU Library What else you should know: This position will be under the general...
insurance Paid time off Training & development Vision insurance Wellness resources This position is flexible remote... on claims Access to Continuing Education CEU Library What else you should know: This position will be under the general...
and REMOTE! Location: Any location throughout GA, NC, SC or FL JOB PURPOSE: Under the supervision of the Director of Episode... for improved patient outcomes and appropriate claims reimbursement in accordance with regulatory billing guidelines. KEY...
The base salary for this position is dependent upon experience and location. Location: US Remote Salary... and with guidance from the Project Director. This involves defining project goals, creating detailed plans, monitoring progress...