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Managing coverage counsel and litigation costs as well as collaborating and working with the litigation and vendor management teams ensuring cost management and the development and enhancement of the coverage counsel panel.
$128,500 - $215,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Deputy Chief Operating Officer (DCOO) is a member of MetroPlusHealth’s Senior Management team and is vital in providing assistance with the oversight, management, and supervision of Operations, in a matrix organizational structure including: PMO, Process Improvement, Provider Network Operations, Call Center, Credentialing, Facilities, Enrollment & Membership, Vendor Management, Customer Success, and Claims.
$260,000 - $287,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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This role involves inventory management of B-Good products, warranty claim audits and processing vendor invoices. You will support with minimizing return loss by analyzing, auditing and reconciling vendor invoices and warranty claims.
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Responds to all Plan and vendor OPL inquiries including ones submitted via FEP Hub. Directs and executes activities for the internal Medicare Primary Denial Workgroup to include initiation of new central claims processing controls, in response to OPM and Office of Inspector General (OIG) audit findings, and management of the long-term effectiveness of those changes.
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The Safety Coordinator works closely with the Risk Management Department to mitigate claims by ensuring Safety is a priority on the project and when necessary will assist with incident investigations.
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Support with minimizing return loss by analyzing, auditing and reconciling vendor invoices and warranty claims. Review and process vendor invoices, chargebacks, deductions and submission timely.
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Manage and administer leaves of absence programs and workers’ compensation claims, including payroll coordination and vendor oversight. Managing Processes, Data Entry Management, Reporting Skills, Compensation and Wage Structure, Benefits Administration, Worker Compensation, Employment Law, Developing Standards, Financial Skills, Accounting.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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This role will provide support to the Director of Risk Management in the maintenance of the insurance portfolio for the company and its affiliates in the areas of loss control, incident reporting, third party vendor insurance compliance, claims administration and insurance policy negotiation.
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Coordinate vendor referrals for additional investigation and/or litigation management. Review, evaluate, negotiate and processes WC Claims of moderate/severe/catastrophic complexity, provide recommendations and strategies for resolution, and litigation management as appropriate.
$58,000 - $115,000ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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About Us: CoventBridge Group is the global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs.
$25 - $30 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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In addition to promoting fiscal stability through the production of the ACFR, the Bureau of Accountancy ensures that the City's vendor database is accurate and up to date to allow for efficiency in the processing of payments for businesses and individuals who are in contract with the City, as well as claims, workers' compensation, labor law, line of duty, certificate of residency and all vendor payments in general.
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Manages the relationship with both new and established vendors, including but not limited to customer service, claims processing, enrollment, medical management, credentialing and grievance and appeals.
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TPA & Programs Claims Shared Services Lead AXIS is seeking a TPA & Programs Claims Shared Services Lead to join our TPA, Litigation and Vendor Management Services North America Claims team.
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3rd Party Vendor and Supplier Management/ negotiation experience from selection to implementation. AIG’s Information Technology functions include application development and management, enterprise architecture, and technology risk and compliance.
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The Benefits Coordinator will be responsible for the daily administration of employee benefits programs, including Disability and FMLA claims management, ensuring accuracy in record-keeping, and providing excellent customer service to employees regarding their benefits inquiries.
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claims vendor management jobs in Bronx, NY
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