Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination o

The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and address non contracted provide

REQUIRED EXPERIENCE Take on a significant role within a world class health organization. Elevate the operational and financial effectiveness of a complex health system. Take your professional expertise to the next level. You will leverage your extensive theoretical revenue cycle knowledge as you take on a vast range of critical revenue issues. This will involve applying d

The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and address non contracted provide

Associate Director Project Delivery Real Estate Full Time 74301BR Job Summary UCSF Campus Design and Construction is seeking a dynamic Associate Director to lead a professional team including project managers and assistant project managers in the delivery of Campus Design and Construction Projects with a value of up to $70M. Under the general direction of the Campus Desig

The Claims Consultant will provide claim advocacy and oversight services for Tier 1, 2 & 3 clients for property and casualty and workers compensation losses including, but not limited to, assuring complete and sound claim settlements, legal reviews, and investigation, providing clients and/or carrier adjusters with leadership, direction, and problem resolution, as well as

Job Posting Special Investigator (Non Peace Officer) Department of Cannabis Control JC 428083 Special Investigator (Non Peace Officer) SPECIAL INVESTIGATOR $5,314.00 $8,686.00 per Month Final Filing Date 5/1/2024 Job Description and Duties Under the supervision of the Supervising Special Investigator (SSI) I, the Special Investigator conducts inspections, investigations,

Your Role The Federal Employee Program (FEP) Care Management team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with their care including a multidisciplinary team and the member's treating physicians . The Registered Nurse Case Manageme

Job Posting Special Investigator (Non Peace Officer) Department of Cannabis Control JC 428119 Special Investigator (Non Peace Officer) SPECIAL INVESTIGATOR $5,314.00 $8,686.00 per Month Final Filing Date 5/1/2024 Job Description and Duties Under the supervision of the Supervising Special Investigator (SSI) I, the Special Investigator conducts inspections, investigations,

Job Posting Special Investigator (Non Peace Officer) Department of Cannabis Control JC 428101 Special Investigator (Non Peace Officer) SPECIAL INVESTIGATOR $5,314.00 $8,686.00 per Month Final Filing Date 5/1/2024 Job Description and Duties Under the supervision of the Supervising Special Investigator (SSI) I, the Special Investigator conducts inspections, investigations,

This position is for an Auto Estimator, handling claims resulting in property damage to vehicles. You may be the first point of contact to meet with our insureds, explain coverage, estimate vehicle damage, and help them through the claims process while providing Remarkable service. This includes Utilizing automated estimating systems to prepare repair estimates Providing

Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians . The Behavioral Health Registered Nurse Case Manager will report to th

Analyzes, configures, develops, tests, implements, supports and maintains Epic revenue cycle applications, solutions and business processes to meet operational and technical requirements. Obtains and maintains in depth knowledge of software functionality and acquires as well as utilizes knowledge of operational workflows to be implemented. Areas of responsibility may be H

Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management. Ensures timely, accurate documentation of claim activity. Selects, trains, coaches and mentors unit personnel. Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accor

Responsible for providing customer service and supporting the insured and broker with commercial property claims. ESSENTIAL DUTIES AND RESPONSIBILITIES Communicates with vendors, producers, policy holders, clients and insurance companies to communicate claim status; Provides initial and on going advocacy on losses including reserve, coverage analysis, and communication; R