2039 manager claims operations jobs found

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Interventional Cardiology and Vascular Research section within the Richard A. and Susan F. Smith Center for Outcomes Research at BIDMC is seeking a Lead Biostatistician.   The Smith Center (Richard A. and Susan F. Smith Center for Outcomes Research (bidmc.org)) is devoted to addressing the most pressing issues in cardiovascular care through innovative and rigorous analysis of diverse data sources, including large national registries, administrative claims data, survey-based data, and EHR data. The Lead Biostatistician will contribute to a wide range of collaborative research projects, working closely with clinician investigators, statisticians, administrative staff, and trainees in the nationally recognized Section for Interventional Cardiology and Vascular Research. In this role, you will partner with fellow statisticians, with opportunities for supervision...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Denial Specialist 3 role specializes in high-dollar claims, aged claims, and denied claims for complex specialties. This role identifies and works to resolve denials to uncover the root cause and accurately appeal claims to ensure successful initial submission. The Denial Specialist 3 will be responsible for charge and claim review to ensure the correct information is on the claim and it was billed appropriately. The Denial Specialist 3 will work directly with Supervisors and Managers to obtain the required information. Additional tasks include researching medical policies, payer billing guidelines, claim requirements, and written letters of medical necessity when required. This role also researches and resolves escalated, disputed self-pay balances. The Denial Specialist 3 will educate Supervisors & Managers on workflows to help optimize denial processing...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Designs, develops, and implements proactive patient safety and risk management activities to meet the requirements of the BIDMC Patient Care Assessment Program, MA Department of Public Health, the MA Board of Registration in Medicine, The Joint Commission,, CMS Conditions of Participation, and other organizational/regulatory requirements. Job Description: Essential Responsibilities: Maintains current knowledge of BRM, DPH, TJC and other regulatory standards and disseminates information to the appropriate individuals. Identifies risk events, situations posing risk, and near-miss incidents through review of data received through the BIDMC Incident Reporting System. Attends Morbidity and Mortality conferences for assigned clinical areas, as well as other meetings where patient safety issues are discussed, as appropriate. Provides communication with...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Development and maintenance of procedures, systems and tools required to enhance and track the effective performance of the Capital Facilities and Engineering Department in the planning, design, construction and commissioning of capital projects in a team leadership role within the Program Controls Group. Job Description: Primary Responsibilities: 1.    Develops and maintains a department-wide project controls system for tracking and management of schedules, budgets, construction progress and other key project metrics. Provides ongoing training to project management staff on control procedures, administration of design and construction contracts and other key business processes. (essential) 2.    Develops and maintains standardized documents, policies and procedures for the procurement and ongoing administration of agreement, and construction front-end...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Job Description: Anna Jaques Hospital – Radiology Department ✨ Clinical Secretary II – Radiology Be part of a fast‑paced, team‑centered Radiology department where your organization and communication skills make a real difference for patients and staff every day. Schedule : Saturdays 8am -12pm 🩻 What You’ll Do -Perform a variety of administrative and front desk duties -Verify patient eligibility and insurance benefits -Coordinate referrals and prior authorizations -Follow up with patients, providers, and insurance companies - Support billing, denials, data entry, audits, and reports - Assist the Clinical Manager and Director with daily operations - Help train new team members and support staffing coverage - Communicate clearly with patients, families, and care teams 🌟 What We’re Looking For ✅ Self‑directed and detail‑oriented ✅ Strong...

MEDHOST, a division of Harris; is seeking a Billing Representative who is responsible for the timely and accurate submission of hospitals' primary, secondary, and tertiary patient bills to Medicare, Medicaid, Blue Cross, commercial, and other government insurance payors. This remote role welcomes candidates anywhere in the US. Preference will be given to candidates who can work in CST or EST timezone. Wage: $18 - $26/hr AI & Innovation Mindset We are committed to leveraging emerging technologies to improve how we work, serve our customers, and drive business outcomes. The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency. Candidates should be comfortable using AI enabled technologies, including copilots, chat based AI assistants, and automation tools, as part of their everyday work while maintaining appropriate judgment, security,...

MEDHOST, a division of Harris; is seeking an Account Follow-up Representative I who is responsible for reviewing and resolving outstanding insurance balances for hospital patient accounts. The Account Follow-up Representative I is required to learn multiple hospital systems, conduct research, and work basic outstanding insurance claims in pursuit of resolving unpaid claims.  The primary goal of an Account Follow-up Representative I is to complete tasks related to the timely resolution of accounts receivable. This remote role welcomes candidates anywhere in the US. Preference will be given to candidates who can work in CST or EST timezone. Wage: $18 - $26/hr AI & Innovation Mindset We are committed to leveraging emerging technologies to improve how we work, serve our customers, and drive business outcomes. The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and...

The County of Riverside Department of Veterans Services is seeking an experienced Executive Assistant III - At-Will to provide high-level administrative and executive support at the Riverside location. This position serves as a key support role to departmental leadership, primarily assisting the Assistant Director while also providing support to the Administrative Manager and other staff as assigned. The Executive Assistant III will be responsible for managing incoming calls and inquiries, ensuring timely and professional handling and appropriate routing. In addition, this role will manage complex calendars, coordinate meetings, prepare agendas and supporting materials, and ensure follow-up actions are completed. The incumbent will also coordinate travel arrangements, including scheduling, itineraries, and related documentation. This position will play an important role in supporting departmental coordination efforts, including involvement with the Veterans Advisory Committee and...

Job ID: 525935 The Dolomite Group, a CRH Company, was founded in 1920 as an aggregate mining business. Over 100 years later, Dolomite continues to be the preferred supplier of Construction Aggregates, Hot Mix Asphalt, and Ready-Mix Concrete for customers throughout the Greater Rochester Region and Southern Tier. Our high-quality Products, Culture of safety, and the strong dedication of our employees have always been the key to our success. If you're looking for a challenging, stable, and rewarding career in a thriving industry, apply today! Compensation & Company Benefits: Base Salary is $60,000-$70,000 per year Annual Bonus Potential Medical/Dental/Vision/Prescription Paid Time Off Paid Holidays 401k with Competitive Company Match Employee Assistance Program Company Paid Life Insurance Short- & Long-Term Disability Opportunities for Internal Mobility Professional Development Opportunities Company Discounts on products, goods, or...

At Compu Dynamics, we dont just build infrastructurewe create the backbone of the digital future. As North Americas premier technology infrastructure design-build partner, we design, construct, and maintain mission-critical data centers for some of the worlds most innovative companies. With roots in one of the fastest-growing data center markets in the world, our growth is as intentional as our impact. Join our growing Project Management Team! Compu Dynamics has an immediate opening for an Assistant Project Manager in Northern Virginia. Summary/Objective: The Assistant Project Manager (APM) bridges technical and managerial responsibilities, providing tactical project execution and administrative support to Project Managers (PMs) and Senior Project Managers (Sr. PMs). This role executes tasks with increasing ownership, helping ensure projects are delivered on time, within budget, and to the highest quality and safety standards. The APM will engage with vendors, partners,...

Full-Time | Immediate Openings We're growing throughout the Charleston area and are looking for motivated individuals to join our team as  Site Manager Trainees . This is an entry-level management training opportunity designed for candidates who want to develop leadership skills while learning a valuable trade in the automotive service industry. No experience is required. We provide all training, tools, and support needed to help you succeed. With millions of vehicles on the road, windshield damage is a common issue, creating consistent demand for our services and long-term career opportunities for our team members. What You'll Do: Train in windshield replacement services Remove and install windshields and automotive glass Learn site operations and team leadership responsibilities Assist with shift management and daily workflow coordination Travel to customer locations and complete mobile service appointments Explain replacement procedures, warranties, and...

Overview About the Role The Epic Resolute Professional Billing Senior Analyst functions as the primary support contact and expert for the Epic Resolute application. Works under the direction of the Supervisor/Manager to configure, build and install the application. The Epic Resolute Billing Analyst coordinates all issues that arise during the application build phase. Key operational activities include primary responsibility for analyzing workflows and understanding policies, procedures, and constraints of the clinical or business operations supported by the application. In depth and precise investigation and documentation of operational specifications and application functionality is required. Key technical activities include the analysis of new releases to determine how workflow should be modified, building and populating databases and tables during initial system configuration, conducting system testing and conversion data...

This Jobot Job is hosted by: Christian Aviles Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $100,000 - $120,000 per year A bit about us: We’re a global manufacturer and distributor of advanced comfort products, specializing in innovative foam technologies. Why join us? We believe great products start with great people. Here, you’ll join a team that’s passionate about delivering comfort, improving lives, and raising the bar for quality and safety across the industry. You’ll have the freedom to innovate, collaborate with diverse teams, and see the real-world impact of your work every day. Job Details Position Summary The Product Compliance Manager serves as the subject matter expert for all aspects of product compliance. In this role, “compliance” covers the entire commercialization process — from raw material sourcing and supplier management to product delivery and customer satisfaction. The position ensures that all...

The Mechanical Design Engineer II position is part of Global Repair & Overhaul Engineering (GROE) team within the Chief Technology Office (CTO) organization, supporting Aerospace Technology Integrate Supply Chain (ISC) Repair & Overhaul organization. The Mechanical Design Engineer II will be part of the Overhaul Engineering (OHE) Group that is responsible for engineering operations in support of an OEM-affiliated, FAA-certified aerospace repair station in Phoenix, AZ. The OHE Group consists of engineers who are responsible for repair and overhaul support requirements for various aircraft components as well as test systems support and improvements. The ideal candidate would be an experienced engineer with strong interpersonal skills, as the position demands frequent interaction with both internal and external customers. The candidate must be capable of exercising initiative and sound judgment. You will report directly to our Engineering Manager, and you’ll work out of our...

Job ID: 525910 CRH is the largest building materials company in North America. We develop sustainable solutions that build, connect, and improve our world. Our products are everywhere you live, go and work! Montana Materials & Construction, A CRH Company, is a leading supplier of aggregates, asphalt, and ready-mixed concrete in Anaconda, Butte, Great Falls and Helena, MT. Summary The Safety and Health Manager is responsible for implementation, oversight, and leadership with the division, region or operating company safety/health, risk management, and employee development programs. They will foster a collaborative relationship to be a seamless strategic business partner to the region president. Key Responsibilities Routinely visit jobsites, plants, shops and/or pits to assist field personnel and conduct hazard awareness and correction sessions with operations personnel. Ensure all lines of business have the tools necessary to safely perform tasks....

Job ID: 525910 CRH is the largest building materials company in North America. We develop sustainable solutions that build, connect, and improve our world. Our products are everywhere you live, go and work! Montana Materials & Construction, A CRH Company, is a leading supplier of aggregates, asphalt, and ready-mixed concrete in Anaconda, Butte, Great Falls and Helena, MT. Summary The Safety and Health Manager is responsible for implementation, oversight, and leadership with the division, region or operating company safety/health, risk management, and employee development programs. They will foster a collaborative relationship to be a seamless strategic business partner to the region president. Key Responsibilities Routinely visit jobsites, plants, shops and/or pits to assist field personnel and conduct hazard awareness and correction sessions with operations personnel. Ensure all lines of business have the tools necessary to safely perform tasks....

Landscape Coordinator The Landscape Coordinator is responsible for ensuring the efficiency and effectiveness of the landscape management/maintenance program. The community standards require a first-class level of maintenance and operations at all times. Well maintained common areas and boulevards are major assets of the Association and their protection and improvement must be paramount. RESPONSIBILITIES Provided assistance and support to the Landscape and Community Managers. Visually inspect landscape daily and issue repair or maintenance work orders as directed related to trees, shrubs, turf, irrigation, drainage and seasonal color. Coordinate with the landscape contractor and Landscape Manager for turf care, plant and shrub replacement, trimming and follow through of contract per HOA and District guidelines. Monitor irrigation systems and equipment to ensure proper irrigation levels and efficient use of water. Investigate and reduce false alerts....

JOB DESCRIPTION Relationships & Scope: The Data Financial Analyst plays a key role within the Corporate Accounting & Finance (CAF) team, with a strong focus on leveraging financial data and technology solutions. This position supports the monthly and quarterly close processes, supports global internal and external reporting using advanced financial systems, and helps deliver solutions that provide senior leaders with the tools to present data-driven insights as well as methods to automate the reporting of results. Success in this role requires a commitment to data quality, timely deliverables, understanding accounting and finance concepts, assisting the manager with implementing financial system solutions, and collaborating across all areas of Chubb, utilizing strong analytical skills and a passion for continuous learning in a technology-driven environment. Responsibilties: Perform data and financial analysis utilizing finance technology platforms for journal...

JOB DESCRIPTION Join Chubb as a Product Services Manager and bring your Commercial Lines expertise to the forefront! If you have a passion for navigating the complexities of commercial insurance products and thrive in a dynamic environment, this is the perfect opportunity for you. The ideal candidate will sit in our Philadelphia, PA office. Other Chubb locations may be considered. Legal & Compliance (L&C) - Philosophy and Culture Statement: The L&C is committed to providing best-in-class legal and compliance services to our business partners. The L&C emphasizes teamwork, expertise, and a "can-do" attitude. Operating as a best-in-class organization requires a commitment to constant improvement and an on-going commitment to adding value - every day, by every team member. The group takes pride in delivering consistent customer satisfaction, advancing self-development among team members, participating in company and team initiatives - all with a focus on...

JOB DESCRIPTION Relationship & Scope: The Senior Financial Accountant, Stock Compensation and Benefit Plans role is an excellent opportunity to work closely with the Finance and Human Resources departments, including senior leaders within the company, on a variety of stock compensation process improvement projects and processes. This role will interact with a diverse group of internal personnel, including other financial analysts, divisional finance and business leadership, and functional staff to interpret financial data and operational performance. Duties & Responsibilities: Assist manager with the preparation of annual stock compensation expense plans and quarterly expense reporting, including performing data validation checks of confidential information and expense variance analysis. Prepare monthly/quarterly stock compensation expense journal entries for Chubb's multiple regions/segments in PeopleSoft. Prepare key equity general ledger account...