and construct novel analytical and operational solutions for payers Participate in client and vendor relationships Collaborate... Qualifications: 10+ years of experience working within the US healthcare industry / claims experience 10+ years of experience...
information and models. Develops and implements effective/strategic business solutions through research and analysis of data... for matrix partners such as claims, call center, state complaints, appeals & grievances, Office of the Inspector General Audits...
-oriented leader who can deliver innovate solutions to our clients. The successful candidate for Director, Implementation...., claims data structure/contents, claim types, payment concepts) and analyzing claims and enrollment data Broad understanding...
-oriented leader who can deliver innovate solutions to our clients. The successful candidate for Director, Implementation...., claims data structure/contents, claim types, payment concepts) and analyzing claims and enrollment data Broad understanding...
and outside health care agencies; Investigates and documents rejected insurance claims; Participates in and provides... claims; May perform the above duties and provide medical case management primarily in relation to patients under the...
as one for a healthier today and tomorrow. Counsel II, Medical Malpractice Claims Primary Location Pasadena, California Worker Location... business and/or clinical operations, proposing solutions. Conducts legal research, interprets laws and rules, and regulations...
with constructive dialogue about their business and technology. Collaborates with partners to provide innovative solutions. · Operate... and solution architecture including Intapp solutions, existing client solutions, and potential third-party solutions...
Job Summary: The GEICO Claims Product Management Organization is seeking a highly strategic and organized Chief... of Staff to join our Product Management leadership team for Claims. As Chief of Staff, you will serve as a key partner to the...
of business. Primary Responsibilities Establish methods and procedures to manage, supervise, and direct the claims operations..., denied or pending claims Maintain current knowledge of products and services to provide direction and respond to issues...
and prepare reports and analysis on complex matters involving professional liability claims, including but not limited to claims..., including strategic recommendations, to business leaders where appropriate Work with claims management to provide expert legal...