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- ...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
$108k - $145k
Overview As a Senior Cost Manager at Linesight, you will work with highly experienced, culturally... ...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 from...ClaimsContract work- ...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
$89.07k - $162.8k
...Serves as a member of the Case Management Team and applies RN clinical expertise and medical... ...the delivery of quality cost effective patient-centered... ...resources and works to achieve optimal clinical and resource... ...service surveys LOS data analysis charge/discharge data comparison...Temporary workRelocation- ...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
$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- ...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
$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$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- ...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
- ...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$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$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$42.2 - $55.42 per hour
...coordination of appropriate, cost-effective services that... ..., help achieve his/her optimal level of independence,... .... Effectively manages and coordinates assigned... ...collaboration with the nurse case manager and other... ...Minimum one (1) years of clinical social work experience...Part timeWork experience placementWork at officeLocal areaShift work$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$2,507 - $2,668 per week
...Case Manager Job #1909164 Silver Spring, MD $2507-2668/week* 40... ...and the support of a dedicated clinical team. Required Qualifications... ...continuum, ensuring optimal use of resources and improved... ...teams to provide efficient, cost-effective, and high-quality patient...Temporary workShift work$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$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- ...The Pursuits Scheduling Manager role involves implementing... ...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
$110.7k - $372.9k
...making has become slow, costly, and adversarial —... ...and paperwork, claims that misfire, clinical decisions made without... ...integrity and care management. Retrieval, grounding... ...mode and regression analysis, and sandboxed test... ...-tuned or reasoning-optimized models. • Translate...ClaimsLocal areaVisa sponsorship$191k - $253k
...novel approaches and optimizations for complex operational... ...including Monte Carlo analysis, recorded sensor playback... ...engineers, program managers, and customersPREFERRED... ...at little to no cost to employees) ensures... ...or fraudulent outreach claiming to be from Anduril, please...ClaimsFull timeWork experience placementImmediate start$160k - $190k
...recruiting process. If anyone claiming to represent X-energy... ...Mechanical Engineering Manager (Pressure Vessel) to... ...design, analyze, and optimize complex systems, structures... ...the mechanical design, analysis, and evaluation of... ...consideration differences in cost of living and may not...ClaimsFull timeWork at officeMonday to Friday$129k - $171k
...Manufacturing Finance Manager with 5-7 years of experience... ..., and growth teams to optimize cost management, pricing,... ...models, business case analyses, and decision... ...financials and resource analysis across functions such... ...or fraudulent outreach claiming to be from Anduril,...ClaimsFull timeWork experience placementImmediate startAfternoon shift- ...experienced Workers Comp Field Case Managers! Must be an RN and have a... ...CANDIDATE? Apply your medical/clinical or rehabilitation knowledge... ...being used in a timely and cost-effective manner in order to... ...the world’s leading risk and claims administration partner, which...ClaimsWork at officeRemote workWork from homeRelocation package
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