Business Consultant - Commercial Claims Data Mining

(BRD) and able to perform Concept Verification for low to high complexity projects. Engage key stakeholders (RAC, Vendors... processing or adjustments is required. In-depth knowledge of WGS Pricing Arrangements is preferred. Provider Contract...

Lugar: Saint Louis, MO | 16/01/2026 19:01:44 PM | Salario: S/. $92064 - 100832 per year | Empresa: Elevance Health

Utilization Management Specialist

to prepare for RAC audits. Manages RAC requests for records, appeals, and revenue adjustments through a tracking system database... of all denials including all initiatives associated with Recovery Audit Contractors (RAC) implementation at Genesis HealthCare System...

Lugar: Ohio | 16/01/2026 19:01:16 PM | Salario: S/. No Especificado | Empresa: Genesis HealthCare System

Denials Management Specialist

updated on payer guidelines and requirements for denials and appeals. The position involves monitoring RAC accounts for adjustments... for denials and appeals. Monitors RAC accounts for AB rebills and post recovery or denial adjustments as needed. Identifies...

Lugar: Grand Forks, ND | 15/01/2026 21:01:50 PM | Salario: S/. No Especificado | Empresa: Altru Health System

Territory Sales Manager (Lexington, KY)

reviews and suggests adjustments as necessary to achieve results Key company liaison within assigned market..., RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit...

Lugar: Lexington, KY | 13/01/2026 21:01:00 PM | Salario: S/. No Especificado | Empresa: Allstate

RAC Mechanic/ Refrigeration/AC

are determined to make life better for people around the world. Job Description Job Description RAC Mechanic Refrigeration/AC... Engineering – Maintenance – B1-B3 RAC Mechanic- Refrigeration/AC – Engineering Lilly is currently constructing a cutting-edge...

Lugar: Lebanon, IN | 09/01/2026 18:01:17 PM | Salario: S/. No Especificado | Empresa: Eli Lilly

Territory Sales Manager (Sacramento, CA area)

short term and long-term strategic business plans, periodically reviews and suggests adjustments as necessary to achieve..., RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit...

Lugar: USA | 08/01/2026 01:01:29 AM | Salario: S/. No Especificado | Empresa: Allstate

Payer Specialist- Cancer Center- FT/Days

in RAC activity/adjustments to processes to ensure compliance w/federal regulations Participates in other Revenue Cycle... of denied cases w/follow up Works w/RAC Coordinator to identify RAC issues/risk areas. Instructs case management department...

Lugar: USA | 04/01/2026 00:01:29 AM | Salario: S/. No Especificado | Empresa: Centra Healthcare