Clinical Case Manager - Cost Optimization & Claims Analysis
ullico inc.
Ullico Inc. is actively recruiting a Case Manager for the Silver Spring, MD office. The role involves analyzing claims for potential financial exposure, gathering clinical information, and providing recommendations. Ideal candidates will possess a BSN and RN license with at least 5 years of clinical experience. Benefits include health insurance, a pension plan, and a 401K. The company has been a proud partner of the labor movement for over 95 years, ensuring protection for its customers. #J-18808-Ljbffr ullico inc.
$78k - $82k
Position Title: Medical Case Manager EI (Remote) 2026-1476 Location: Orlando... ...preferred 3 years related clinical experience with at least 1... ...set, level of experience, and cost of a specific location. For the... ...confidently manage risk and claims. With decades of experience...ClaimsFull timeFor contractorsFor subcontractorWork at officeLocal areaRemote workWork from homeHome officeFlexible hours$132k - $198k
...strong background in optimization to join our growing team... ...experts, product managers) to integrate optimization... ...validation, and performance analysis of optimization... ...available at little to no cost to employees) ensures... ...fraudulent outreach claiming to be from Anduril, please...ClaimsFull timeWork experience placementImmediate start- ...Registered Nurse (RN) Case Manager to work the Directorate... ...promote quality and cost-effective outcomes, across... ...care. Serves as a clinical case manager and... ...monitoring, evaluation and analysis of cases. Screen... ...Address services needed to optimize current health, psycho...SuggestedFull timeContract workTemporary workWork at officeLocal areaMonday to FridayShift workWeekday work
$186.49k - $278.88k
...with the Senior Director of Clinical Management, the Director is responsible... ...dossier. • Contributes to final analysis and interpretation including... ...in assigned therapy area to optimize scientific quality/... ...application processing fee, even if claimed you will be reimbursed, this...ClaimsContract workTemporary workLocal areaFlexible hours$108k - $145k
...Overview As a Senior Cost Manager at Linesight, you will work with highly experienced... ...initial tender/bid documentation through analysis and reporting Manage the change management... ...accounts, including the handling of any claims to ensure the client gets best value...ClaimsContract work- ...Company is actively recruiting a Case Manager for our Silver Spring, MD... ...trigger reports” and high dollar claim referrals to identify... ...physician charges, specialty drug costs, usage and provide potential... ...alternatives. Gather and analyze clinical information and medical...ClaimsWork at office
- ...reporting to the Clinical Ancillary Services... ...financial impact analysis, revenue forecasting... ...and gross revenue optimization. Independently works... ...Pharmacy revenue management issues, analyze... ...measurement, and cost; ensure compliance... ...medication-related claim denials and outstanding...ClaimsTemporary workWork at officeFlexible hours
- We are seeking a Cost Estimator to support large-scale capital construction... ...cost estimating, change management, and the development of standardized... ...and performing what-if cost analysis Participate in and support change order and claims negotiations with contractors Facilitate...ClaimsFull timeFor contractors
- ...Underwriting and Claims through process redesign... ...a Transformation Manager / Senior Manager,... ...to reimagine and optimize outcomes.. Lead... ...; craft business cases and delivery... ...hypothesis-driven analysis, and creative thinking... ...materially improve cost, cycle time, and customer...ClaimsLive inWork at officeLocal area
$120k - $243k
...facilitating practice growth through business development, managing projects, and contributing to internal operations... ...options and related compliance Managing data analysis and modeling using administrative claims and cost survey data Reviewing the analytical work of...ClaimsFull timeTemporary workFor contractorsWork experience placementWork at officeRemote workWork from homeFlexible hours$168.1k - $268.7k
...directly influence clinical development decisions... ...world evidence, and cost-effectiveness analysis, you’ll play a pivotal... ...outcomes (PRO) to optimize clinical development... ...alignment with labeling claims Prepare... ...support US Account Management teams, Medical Science...ClaimsWorldwide- ...generating assets under management. This position helps... ...understand the operations and optimization of solar assets,... ...for financial cost of purchasing, storing... ...and support insurance claims Interface with the origination... ...and underperformance analysis. Perform project...ClaimsContract workWork at officeLocal areaRemote work
$89.07k - $162.8k
...Case Management Team Member ***Work days are set for Wednesdays... ...Team and applies RN clinical expertise and medical... ...delivery of quality cost effective patient-centered... ...and works to achieve optimal clinical and resource... ...surveys LOS data analysis charge/discharge data...Temporary workPart time- ...Description Job Description Job Title: Case Manager Location: Tysons - VA About Us:... ...and Letters of Protection (LOPs), file claims, and ensure timely case documentation in... ...providers to verify balances and reduce costs for clients. Case Resolution: Collaborate...ClaimsRemote work
$123.59k - $167.21k
...Federal Regulations. This is a professional-level position operating independently. Work situations are varied and require initiative, analysis, interpretation of information from a variety of sources, a service-oriented individual, and the use of discretion and good...Full timeContract workLocal areaMonday to FridayShift work$70.34k - $115.57k
...The RN Clinical Consultant serves as a clinical resource... ...medical reviews and analysis of long-term and or short-term disability claims. The Clinical... ...medical data, to assist the Case Managers in determining claim liability... ...care and ensure optimal treatment outcomes and...ClaimsFull timeTemporary workH1bWork at officeRemote workVisa sponsorshipWork visaFlexible hours- ...regulations. The officer will work closely with management and employees to promote a culture of... ...safety regulations. Perform root cause analysis for incidents and accidents to prevent... ...of contact for workers' compensation claims and ensure compliance with relevant laws...ClaimsLocal area
- ...Military Healthcare System (MHS) for trends, analysis, and comparisons, gather and interpret... ..., and/or reports data (e.g., operative case log reports, ambulatory data system reports... ...of Permanent Change of Station (PCS) costs is not authorized, based on a determination...Permanent employmentFull timePart timeSeasonal workWork at officeLocal areaRelocation package
$79k - $90k
...combine innovative technology, clinical expertise, and human... ...hands-on workers' compensation case management training. Join our compassionate... ..., ensure appropriate and cost-effective healthcare services... ...medical recovery and return to an optimal level of work and functioning...Full timePart timeLocal areaHome officeFlexible hours- ...Financial/Actuarial Associate Manager As a Healthcare Financial/Actuarial... ...and measurement and financial analysis of the full spectrum of... ...plan analysis, design, cost avoidance, risk and funding strategies... ...accurate and reliable claim reporting and financial modeling...ClaimsTemporary workWork at officeLocal areaRemote workFlexible hours
$80.3k - $133.9k
...covering valuation modeling, cost optimization, restructuring, government... ...You’ll Do We are seeking a Claims Data Consultant to join our... ...Translating research questions into analysis-ready definitions, including... ...and circumstances of each case. A reasonable estimate of...ClaimsLocal area$97.5k - $199.5k
...Description The AI Gigascale Construction Cost Senior Manager (OCI) provides end-to-end cost... ...documentation. Evaluate change orders and claims: pricing, entitlement, schedule linkage... ...strategy through cost modeling, bid analysis, supplier benchmarking, and should-cost...ClaimsContract workTemporary workFlexible hoursShift work$115k - $165k
...Head of ClaimsJob Description:The Senior Manager, Claims & Risk Management leads HITT's... ...adequacy, litigation oversight, and total cost of risk while leading the claims organization... ...problem-solving skills.Proficiency in data analysis, Microsoft Excel, and translating...ClaimsFull timeFor subcontractorLocal area- ...coordination of appropriate, cost-effective services that are consistent... ...of care, help achieve his/her optimal level of independence, and... ...professionals. Effectively manages and coordinates assigned... ...collaboration with the nurse case manager and other members of the...Local area
$49.31 - $54.64 per hour
...Special Operations Case / Nurse Case Manager Part-Time (National Capitol... ..., and procedures in clinical settings in order to... ...appropriate, cost effective care to Department... ...in order to ensure optimal stewardship of resources... ..., rending, and analysis. ~ Ability to design...Temporary workPart timeLocal areaRelocation packageFlexible hours$75k - $105k
...Brault is a practice management, billing and coding company... ...account follow-up to optimize collections per visit.... ...monthly written analysis of month end key metrics... ...monitoring daily and weekly claims processing; provide... ...Maintain services and costs within established...ClaimsContract workRemote work- ...Scheduling Manager Maryland, Washington DC, or Virginia... ...of Time impact Analysis, Mitigations/Recovery Analysis and Claim Analysis. Duties and... ...with means and methods to optimize the schedule. Identify... ...resources to Revenue and Cost load Project Baseline schedule...ClaimsWork at officeLocal area
$66.58k - $142.58k
...community at a time. This RN Case Manager position is 100% remote and... ...integration. Through the use of clinical tools and information/data review (e.g., assessments, claims, etc…) conducts an evaluation... ...stock purchase plan. No-cost programs for all colleagues including...ClaimsHourly payFull timeTemporary workLive inWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hours$166k - $220k
...simulation including Monte Carlo analysis, recorded sensor playback,... ...to production C/C++ code optimized for real-time operational systemsSupport... ...(available at little to no cost to employees) ensures you’re... ...or fraudulent outreach claiming to be from Anduril, please report...ClaimsFull timeWork experience placementImmediate start$146k - $194k
...environmentsAnalyze and optimize algorithms for EO/IR... ...including Monte Carlo analysis, recorded sensor playback... ...requirements management, trade studies, and verification... ...at little to no cost to employees) ensures... ...or fraudulent outreach claiming to be from Anduril, please...ClaimsFull timeWork experience placementImmediate start
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