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PAE
- Washington, DC
The Claim Review Assessor's responsibilities include Pre screen Responsible for "pre screening" claims at the eligibility, compensation, and amendment stages. This includes deactivating claims and dispositioning amendments as needed, and identifying and entering appropriate missing information requests and placing claims on feeds. Feed management Responsible for compiling presence and compensation
Posted Today
Q.B.E North America
- Topeka, KS / Marblehead, MA / Missoula, MT / 68 more...
Deliver prompt and accurate claims service to policyholders and agents for both multi peril crop insurance (MPCI) and crop hail claims by completing field inspections, communicating with involved parties, performing investigations, determining appropriate adjustments and administering insurance policies to ensure compliance with state and federal regulations. Partner with Field Claims Manager to e
Posted Today
Under the direction of the Risk Manager, oversees the daily operations of the Risk Management Division's administration operations area and performs specific tasks that are essential for adhering to county policies and insurance laws. Performs financial analyses through the collection of information utilizing various data systems including but not limited to Fairfax County Unified System (FOCUS) a
Posted Today
Requirements Lead Job ID 2020 1945 Job Locations US MD Rockville Overview TISTA Science and Technology Corporation, is seeking a Requirements Manager to TISTA staff and clients. Success within our diverse range of clients. The ideal candidate will be responsible for identifying and analysing the client's and stakeholders' system requirements and decomposing those needs into actionable system requi
Posted 4 days ago
Change Healthcare
- Lombard, IL / Baltimore, MD / Lexington, KY / 47 more...
Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact. As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities. Here at Change Healthcare, we're using our influence to drive positive changes across t
Posted Today
Senior Risk Analyst Job Locations US VA Arlington ID 2020 4643 Category Program Analysis Type Regular Full Time Overview Systems Planning and Analysis, Inc. (SPA) is constantly expanding our capabilities to meet the ever evolving needs of our clients while adhering to our core values, which include national service, trustworthiness, integrity and candor, broad expertise, stability and security,
Posted 18 days ago
Risk Analyst Job Locations US VA Arlington ID 2020 4644 Category Program Analysis Type Regular Full Time Overview Systems Planning and Analysis, Inc. (SPA) is constantly expanding our capabilities to meet the ever evolving needs of our clients while adhering to our core values, which include national service, trustworthiness, integrity and candor, broad expertise, stability and security, and tea
Posted 18 days ago
United Educators’ Claims Department is looking for a talented professional experienced in the area of employment law. We are looking for candidates from various backgrounds with a minimum of five (5) years of demonstrated working experience to help us adjust claims and actively work with counsel defending schools and colleges against all of the current and emerging equal opportunity and civi
Posted 25 days ago
NRI, Inc.
- Washington, DC
5 YEAR CONTRACT POSITION! Our utilization review teams conduct medical necessity reviews for medical, dental, and other healthcare services under Medicaid. This position support them by Perform follow up on denials, missing payments, correct claims, post payments, post charges, etc. Helping providers to submit documentation of requests for case management, utilization review, and other medical man
Posted Today
NRI, Inc.
- Washington, DC
5 YEAR CONTRACT Our utilization review teams conduct medical necessity reviews for medical, dental, and other healthcare services under Medicaid. This position support them by Helping providers to submit documentation of requests for case management, utilization review, and other medical management services. Loading cases submitted via the web, fax, or phone into the care management system for cli
Posted Today
The Part 3 Regulatory Staff, is a part of the broader Compensation Service Procedures Staff which is responsible for proposing legislation, writing and publishing administrative law, creating procedural guidance, and providing policy recommendations to senior leadership. The Part 3 Regulatory Staff is responsible for researching, writing, and processing regulatory amendments for the Code of Federa
Posted 3 days ago
The Part 3 Regulatory Staff, is a part of the broader Compensation Service Procedures Staff which is responsible for proposing legislation, writing and publishing administrative law, creating procedural guidance, and providing policy recommendations to senior leadership. The Part 3 Regulatory Staff is responsible for researching, writing, and processing regulatory amendments for the Code of Federa
Posted 3 days ago
VBA is responsible for the administration of a variety of benefits to Veterans and their dependents. Compensation Service Is responsible for the development. Implementation, and oversight of the VA disability compensation program to eligible Veterans and their dependents.. Responsibilities Duties Applies Veterans' benefits laws and regulations that pertain to CS benefit programs. Monitors program
Posted 3 days ago
VBA is responsible for the administration of a variety of benefits to Veterans and their dependents. Compensation Service Is responsible for the development. Implementation, and oversight of the VA disability compensation program to eligible Veterans and their dependents. Responsibilities Duties Applies Veterans' benefits laws and regulations that pertain to CS benefit programs. Monitors programs
Posted 3 days ago
The Part 3 Regulatory Staff, is a part of the broader Compensation Service Procedures Staff which is responsible for proposing legislation, writing and publishing administrative law, creating procedural guidance, and providing policy recommendations to senior leadership. The Part 3 Regulatory Staff is responsible for researching, writing, and processing regulatory amendments for the Code of Federa
Posted 3 days ago
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