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Certifications Analyst Responsibilities: Contract Certifications, Representations, and Disclosures. Investigations and background check responses. Coordinating responses from Legal on a wide variety of questions. Categories include past litigation, EEOC claims, OSHA claims, ..
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Director of Claims The candidate will be responsible ... the overall function of the Claims units for the Agency. Serves ... and coordinates large and complex claims and key client..
A law firm in Des Moines is seeking a Bankruptcy and Creditors' Rights Attorney with 3+ years of experience. The candidate will represent a broad range of clients in out-of-court restructuring, ..
Description The Pharmacy Claims Lead - Overpayment works on ... moderate to substantial. The Pharmacy Claims Lead will lead the development ... D and review of pharmacy claims containing invalid..
Overview Entry level law associate for established multi office firm in northeast Iowa. Practice primary in rural ag issues, including estate planning, business formation real estate, probate, tax prep and planning, ..
Description The Bilingual Claims Research and Resolution Representative 2 ... you Come In The Bilingual Claims Research & Resolution Representative 2 ... services in the settlement of claims. Comprised of..
Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals leveraging the latest tools and methods to solve complex business problems. In this ..
Description The Lead Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Lead Data Scientist works on problems ..
Description The Senior Business Intelligence Engineer (Claims Strategy) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer ..
Brokerage Claims Advocate The candidate will be responsible for ensuring that superior claims service is delivered for all clients. Will act as the liaison between our client and the insurance carrier ..
Description The Associate Actuary analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes unit cost metrics, provides competitive data and ..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description The Claims Research & Resolution Representative 2 ... & Resolution Representative 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
Description The Senior Claims Research & Resolution Professional manages ... Research & Resolution Professional manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and..
Description The Senior Business Intelligence Analyst (Claims Strategy) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Analyst ..
Description The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex to ..
Job OverviewA law firm seeks a full-time Associate Attorney to join its practice in Maine. This role offers the opportunity to engage in a diverse range of consumer protection legal matters, ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Cedar Rapids office of a BCG Attorney Search Top Ranked Law Firm seeks bankruptcy and creditors. rights attorney with 3+ years of experience. The candidate will be representing a broad range ..
Job Information Humana Claims Research & Resolution Representative 2 ... Davenport Iowa Description The Bilingual Claims Research and Resolution Representative 2 ... for well-being Responsibilities The Bilingual Claims Research &..
Description The Actuary role on the Medical Modeling and Specialty Strategies team within Pharmacy Analytics and Consulting (PAC) is an opportunity to provide analytics in support of Humana Pharmacy Solutions infusion ..