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Keywords: Claim, Claims, Adjuster, Examiner, Counsel, Claim Manager, Claims Specialist, Attorney, J.D., Juris, JD, Claims Attorney, Claims Counsel, Claim Counsel, Claim Attorney, GL, Liability, Commercial Claims, Litigation.
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The Supervisor, Sterile Processing will provide onsite support, training, Customer Service, and communication regarding the processing of surgical instruments and staff management to contracted facilities in compliance with STERIS Standard Work or QMS, the Department of Health, TJC, DNV, OSHA, CDC, AAMI and AORN standards, and facility goals and policies.
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The role sits within the Group Claims function and reports to the Group Claims Data and Insights Manager, the data scientist will be part of a global agile scrum delivery team and will be expected to work with the team to meet the sprint goals, which drive towards the data platform product vision.
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Good knowledge and working experience on US Health-care Payer E2E Claims Adjudication Provider Data Management, Member Enrollment, Care Management, HEDIS, Poupulation Health, and Billing.
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Knowledge and experience with Medicaid, managed care, MMIS, health claims payment and processing, population health management, or other similar areasHighly desired. Knowledge and experience with Medicaid, managed care, MMIS, health claims payment and processing, population health management, or other similar areasHighly desired.
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Maintaining a continual feedback loop with claims, underwriters and actuaries on segmentation/trend analysis and portfolio monitoring and optimisation – Trilogy Forum Group. Reporting to the Group Claims Data & Insights Manager.
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Tasking will be assigned to leverage the existing skills of the candidate, to include physics-based modeling, application of advanced mathematical techniques for data processing, digital signal processing, image processing, signals analysis, radar system modeling, and radar performance prediction.
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Assist residents with daily bath, dressing, grooming, dental care, bowel and bladder functions, preparation for medical tests and exams, ear and eye care and positioning in and out of beds, chairs, bathtubs, etc.
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The AVP Business Development & Managed Care will drive company development, expansion and diversification of profitable national and regional contracted business solutions within the acute and post acute care continuum for home health services.
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Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area. Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.
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Familiarity with CPT, HCPCS, ICD-10 coding, revenue codes, and hospital billing/claims processing. Five or more years of experience in revenue/accounts receivable financial analysis, claims or billing analysis, decision support, or economics in a healthcare setting.
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The Sr. Procure To Pay Business Analyst position will play a vital role in leveraging Oracle cloud suite of products and SaaS solutions (Invoice and Expense Processing) to optimize our business processes and drive efficiency in the business-owned system requirements and partnership with the IT organization.
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The Department of Biomedical Informatics is a highly dynamic and multidisciplinary environment that has strengths in bioinformatics, global health informatics, imaging informatics, machine learning, mHealth informatics and signal processing.
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Our researchers have a broad range of expertise related to computer science and electrical engineering, such as AI/ML, algorithms, digital signal processing, audio engineering, image processing, computer vision, data science & analytics, distributed systems, cloud, edge & mobile computing, computer networking, and IoT.
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Federated Insurance has a career opportunity for you in this office-based Commercial Litigation Claims Adjuster position. 5 years of Commercial Claim experience in handling auto or general liability claims.
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claims processing managed care jobs in Atlanta, GA
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