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Benefits Administration: Handle day-to-day activities associated with US & Canada benefits programs including support for resolving escalated benefits claims issues, supporting the open enrollment process, staying up to date with benefits compliance-related requirements, managing leave of absence administration.
$135,000 a yearFull-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Works collaboratively with other plan functions that interface with medical management, such as provider relations, member services, appeals and grievances, and claims management; Participates in the retrospective review and analysis of plan performance from summary data of paid claims, encounters, authorization reports, grievances/appeals/disputes, and other sources.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Utilize electronic health records and claims processing systems. Collaborating with internal teams, including claims, provider relations, and customer service, you will effectively resolve issues.
RemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Experience in core Hi-tech industry SM business processes areas such as warranty claims management, service repair models and service contract management. We are looking for someone with in-depth knowledge of SAP Customer Service modules with awareness of end to end service contract sales, warranty claims, service logistics and financial processes.
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The Risk Management and Conflicts Attorney will work closely with both the firm’s General Counsel and Risk Management team on complex conflict matters, including lateral attorney clearances, preservation holds, claims against the firm, document review and ethical screen issues.
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ARM will serve as the key contact and lead for access and reimbursement support-related matters and is responsible for being the local market access expert on payer policy coverage, multi-channel acquisition pathways, billing and coding, claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows.
RemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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You will handle complex and diverse matters, including internal investigations, trade secret misappropriation claims, contract disputes, and high-profile employment-related litigation. Litigate employment law cases, including claims involving trade secrets, covenants not to compete, and employee non-solicitation.
$365,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Liaise with the Compliance Officer and Director of Corporate Operations on enterprise risk management topics and claims. This position shall serve as the Deputy General Counsel, North America and report to the Country General Manager, Comet Technologies USA Inc. and dotted line to the General Counsel of Comet Group located in Flamatt, Switzerland.
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Immediate need for a PT Claims Investigator within the largest worldwide investigative solutions company. Experienced in investigation of product/auto/general liability claims, Workers Compensation, disability claims, life insurance and contestable death claims.
$25 - $30 an hourPart-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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As a Senior, the position will help implement new grants management software on the pre-award side in coordination with the unit's compliance and claims staff, assist in updating standard operating procedures, and work with the Unit Manager to clearly define rationale for which grants to pursue.
$171,350.41 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Current exemplary matters include claims of anticompetitive conduct, potential mergers and the impact on market competition, the impact of intellectual property infringement, allegations of misleading marketing or false claims, allegations of manipulation of financial markets, evaluation of fair merger prices, securities litigation, claims in consumer finance, anticompetitive conduct in financial markets, and corporate governance issues.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Work with varied data types, including insurance claims data, electronic health records, imaging data, and clinical study or registry data. Experience with analytical software tools such as R, SAS, Python, SQL. Familiarity with cloud platforms such as Databricks is a plus.
$190,900 a yearFull-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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We are fully delegated by all major health plans to provide services including utilization management, quality improvement, credentialing, committee and board support, contracting with both health plans and providers, claims processing, provider and member services, marketing, IT support, and finance.
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The Associate Director of Real-World Evidence (RWE) will provide scientific and strategic leadership for RWE using administrative claims data/EMR, reporting to the Head of Medical Affairs Statistics, Epidemiology and RWE. The Associate Director of RWE will function on a team responsible for establishing rigorous assessments of administrative claims data/EMR to evaluate real-world outcomes for all Jazz products.
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Duties and Responsibilities:Provide comprehensive legal counsel to digital health clients on regulatory compliance issues, including HIPAA, Anti-Kickback Statute, Stark Law, and False Claims Act. Draft and negotiate agreements related to digital health technology, including vendor contracts, licensing agreements, and compliance policies.
Full-timeExpandApply NowActive JobUpdated 9 days ago
claims job in Sunnyvale, CA
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