Medical Cost Containment Lead - Claims & Processes
Nationwide
Nationwide, a Fortune 100 company, seeks a Medical Cost Containment Consultant to lead specialized workers’ compensation bill-review and cost-containment efforts. The role requires RN with coding certificate (or certification within 6 months) and collaboration with adjusters and managers to improve billing accuracy and claim quality. Responsibilities include project leadership, policy implementation, and training development while analyzing trends and supporting regulatory compliance. #J-18808-Ljbffr Nationwide
$66k - $95k
...Insurance Workers Compensation Claims Team Lead Are you looking for an... ...procedures and ideas for continuous process improvement; and coordinates... ...reserve amounts on high cost claims and claims over the authority... ...benefits offering including medical, dental vision, 401K on day...MedicalClaimsContract workWork at officeFlexible hours- ...experience healthcare by simplifying the process of managing prescriptions and health... ...s lives. Position Summary The Lead Reimbursement Analyst serves as a... ...and resolve denied or underpaid claims; research and apply payer medical policies, prior authorization requirements...MedicalClaimsFull timeTraineeshipWork at officeRemote workMonday to FridayShift work
$55k - $65k
...Workforce Absence Team Lead Our teams... ...staff for disability claims for clients; to... ...ideas for continuous process improvement; and... ...reserve amounts on high cost claims and claims... ...The statements contained in this document... ...but not limited to, medical, dental, vision, 4...MedicalClaimsFull timeContract workWork at officeLocal areaFlexible hours$50k - $55k
...Services & Insurance Claims Representative,... ...ROLE: To analyze and process low to mid-level... ...experience, and cost of specific location... ...not limited to, medical, dental, vision, 4... ...benefits. The statements contained in this document... ...is the world’s leading risk and claims...MedicalClaimsContract workWork at officeLocal areaFlexible hours$24.5 per hour
...Lead Field Technician Position Purpose: The Lead Field Technician... ...for managing various processes in the absence of a Field Tech... ...documents and files/monitors damage claims, motor vehicle accidents and personal... ...not available. Benefits: Medical, dental and vision benefits...MedicalClaimsTemporary workSummer workWork at officeLocal areaRemote workFlexible hoursNight shiftWeekend work$97.5k - $199.5k
...Gigascale Construction Cost Senior Manager (OCI) provides... ...standardized processes, systems, and reporting... ...Budgeting & Forecasting Lead concept-to-definitive estimating... ...change orders and claims: pricing, entitlement,... ...the following: # Medical, dental, and vision insurance...MedicalClaimsContract workTemporary workFlexible hoursShift work- Wexner Medical Center is seeking a Lead Instrumentation Coordinator to oversee daily activities between the Operating Room and Sterile Processing Departments, ensuring aseptic handling and timely instrumentation for surgeries across multiple sites within the Enterprise...Medical
- Job Description The Claims Analyst handles complex and high exposure... ...in the claims-handling processes. Requirements Bachelor's degree... ...as well as related medical and legal terminology Requires... ...retained for investigations, cost containment, expert witnesses, and litigation...MedicalClaimsRemote jobWork at office
- The Ohio State University Wexner Medical Center in Columbus, OH, seeks a Lead Instrumentation Coordinator to oversee the orchestration of sterile supplies... ...collaboration with OR operations and Sterile Processing at multiple sites. Applicants must have a high school...Medical
$79.25k - $85k
...program procedures and processes that impact... ...data - drivers of cost impacting assigned... ...liability and disability claims management Strong... .... The statements contained in this document... ...not limited to, medical, dental, vision, 4... ...Sedgwick is the world’s leading risk and claims...MedicalClaimsWork at officeLocal areaFlexible hours- Job Title Lead Instrumentation Coordinator - Eye and Ear Institute - Sterile Processing Department Ambulatory Services | Dublin Central Scope of Position The Lead Instrumentation... ...required for surgeries, examinations, and medical procedures. The Lead Instrumentation...MedicalShift workDay shift
- ## Lead Instrumentation Coordinator - Eye and Ear Institute - Sterile ProcessingApplylocations... ...Workday to use the internal application process.Welcome to The Ohio State University's... ...for surgeries, examinations, and medical procedures. The Lead Instrumentation Coordinator...MedicalShift workDay shift
$29 per hour
...steps, and resolution processes using the designated... ...talking The statements contained in this document are... ...of experience, and cost of specific location.... ...but not limited to, medical, dental, vision, 401k... ...is the world’s leading risk and claims administration partner...MedicalClaimsWork at officeLocal areaFlexible hoursAfternoon shift$97k - $180k
...innovating and simplifying processes and operations to provide the... ...delivering extraordinary care. Medical Cost Containment Consultant responsible for... ...inflation, and preserving claim quality and continuity. RN required... ...! As a Consultant, you'll lead projects to achieve desired...MedicalClaimsFull timeTemporary workPart timeWork experience placementCasual workWork at officeNight shift$75k - $100k
...general liability claims to determine damages... ...Analyzes and processes complex or technically... ...timely and cost effective claims resolution... ...appropriate cost containment techniques... ...principles including medical management practices... ...Sedgwick is the world’s leading risk and claims...MedicalClaimsWork at officeLocal areaFlexible hours- ...At the core of American Medical Administrators Long Term Care is a... ...Medicaid, and Managed Care billing processes within the long-term care... ...accurate billing of all insurance claims, including Medicare, Medicaid,... ...benefits are provided at no cost to employees and are designed...MedicalClaimsContract workWork at office
$135k - $195k
...seeking a Site/Civil Discipline Lead to support our growing Water... ...calculations, specifications, and cost estimates.Coordinate closely with structural, electrical, process, mechanical, and I&C... ...future. Employees have access to medical, dental, vision, and basic life...MedicalFull timeFor contractorsLocal areaRemote work- ...Responsibilities/Accountabilities Coordinates and leads the credentialing team in all physician... ...credentialing with all hospitals, medical boards, and credentialing vendor.... ...payer contract negotiations and ensures claims are adjudicated per our payer contracts....MedicalClaimsFull timeContract workWork experience placementDay shift
- ...industry? Use Dreambound to find a Medical Billing and Coding program that will... ...medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and... ...available for those who qualify Cost : This program is an educational...MedicalClaims
- ...visitors and others upon entry Process prescriptions by performing data entry, adjudication of insurance claims, filling and providing medications to patients at pick-up Support the... ...while being conscious of out-of-pocket costs and exploring ways to provide...MedicalClaimsFull timeTraineeshipWork at officeMonday to Friday
- ...Benefits Specialist to lead the administration... ..., including medical, dental, vision, life... ...questions and claims issues Lead annual... ...benefits utilization, costs, and trends;... ...changes and cost containment strategies Support... ...in the application process and throughout employment...MedicalClaimsCasual workLocal areaWorldwide
$114.1k - $268.18k
...class training facility, and leading market tools, we help our people... ...firewall security exception processes, including risk acceptance,... ...package includes a variety of medical and dental plans, vision... ...local laws. The attached link contains further information regarding...MedicalH1bLocal area- ...take major leaps forward in cost-out, strategic category management... ...category plans and processes to sustain long-term value. You... ...clients shift to the New using leading-edge technologies on the most... ...suite of benefits including medical, dental, vision, life, and long...MedicalFull timeWork experience placementLive inWork at officeLocal areaShift work
$77.1k - $111.9k
...quality, and ethics, our experts lead their fields with dedication,... ...toward closure in the most cost-effective manner. Geographic Information... ...Information System (GIS) processes and capabilities (prior GIS... ...per week) have access to medical, dental, and vision plans, a wellness...MedicalFull timeTemporary workPart timeCasual workLocal areaWorldwideFlexible hours- ...here . As North America’s leading provider of complete temporary... ...associated with the Get Ready process flow (which includes what materials... ...activities in a safe, cost-effective, and high-quality manner... ...Be Well. This includes medical, dental, vision, disability, life...MedicalTemporary workFor contractorsRelocation
$50 - $60 per hour
...Global: PTR Global is a leading provider of information... ..., or selection process. Provide sensitive financial... ...role, as well as the cost of labor in the market;... ...to benefits, including medical, dental, vision, and 40... ..., email, or phone call claiming to be from PTR Global do...MedicalClaimsFull timeContract workTemporary work- ...Siting Lead Arcadis is the world's leading company delivering... ...environmental permitting, and GIS processes into routing and siting... ...opportunities, including scope and cost development. You will be an... ...positions. These benefits include medical, dental, and vision, EAP, 401K...MedicalFull timePart timeWork at officeRemote workFlexible hours
- ...Accenture helps the world's leading enterprises reinvent by... ...and platforms, deep process and industry expertise,... ...Underwriting and Claims through process redesign... ...to materially improve cost, cycle time, and customer... ...of benefits including medical, dental, vision, life,...MedicalClaimsLive inWork at officeLocal area
- ...to translating clinical and claims data into actionable insights... ...improving outcomes and reducing medical cost trends. The VP will work... ...will be expected to build and lead a high-performing team, and within... ...into decision-making processes. Hiring Manager Title Chief...MedicalClaims
$26.54 per hour
...and reviews scopes of work and cost estimates, including code and... ...Makes recommendations regarding claim eligibility. Develops or... ...Public Assistance grant delivery process.• Other duties as assigned. #LI... ...conditions, childbirth and related medical conditions, sexual orientation...MedicalClaimsH1bImmediate startFlexible hours
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