Business Office Manager RiverRidge Outpatient - MEBusiness Office ManagerKennebunk, ME$52,000–$62,000Manages, trains, organizes, evaluates and monitors business office staff, which may include but is not limited to Assistant Business Office Manager, Bookkeeper and Receptionists, as well as delegates administrative authority, responsibility and accountability to other office personnel as necessary and as applicable; 2. Responsible to meet deadlines for approving timecards and requests for time off for direct reports in relation to center’s payroll cycle; 3. Ensures systems and controls are in place and adheres to all policy and procedures outlined in policy manuals and meets established daily, weekly and monthly deadlines; 4. Follows RCM business processes and oversees timely and accurate completion of all business office functions in the areas of census, ancillaries, billing, adjustments, collections, write offs, refunds and deposits; 5. Participates and/or coordinates routine Revenue Cycle Management Reviews and maintains collection notes in the PCC collection module for payers the center is responsible for; keeps Center Executive Director (CED) abreast of collection issues and requests escalation as needed; monitors collection notes on third party accounts; responds timely to CBO requests for assistance or information via the assigned activities in the collection module; 14.
NewTravel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,512 to $1,523 per week in Orono, ME TravelNurseSourceTravel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,512 to $1,523 per week in Orono, MEOrono, ME$1,512–$1,522.80Performs nursing functions and provides care within scope of practice; Coordinates and delegates care as appropriate; Verifies that medical orders are accurately transcribed; Administers medications and performs treatments per physician orders; Communicates and documents interventions and patient response; 4. Managing patient care: Establishes realistic and measurable short and long term goals for the identified health problems and needs; Develops individualized interventions to achieve goals; Determines timelines within the care plan; Conducts a systematic and ongoing evaluation of patient outcomes; Reviews and revises plan of care as indicated; 3. Implementing Care:
NewTravel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,260 to $1,296 per week in Camden, ME TravelNurseSourceTravel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,260 to $1,296 per week in Camden, MECamden, ME$1,260–$1,296Summary: Under the direction of the RN Nursing Supervisor, Unit Manager, ADON or ADON – Unit, or Center Nurse Executive (Nurse Leader), the Registered Nurse (RN) delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction. He/she operates within the scope of practice defined by the State Nurse Practice Act and delegates aspects of patient care to LPNs and CNAs consistent with their scope of practice.
NewTravel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,368 to $1,404 per week in Scarborough, ME TravelNurseSourceTravel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,368 to $1,404 per week in Scarborough, MEScarborough, ME$1,368–$1,404Summary: Under the direction of the RN Nursing Supervisor, Unit Manager, ADON or ADON – Unit, or Center Nurse Executive (Nurse Leader), the Registered Nurse (RN) delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction. He/she operates within the scope of practice defined by the State Nurse Practice Act and delegates aspects of patient care to LPNs and CNAs consistent with their scope of practice.
Safety Administrator Misti PettSafety AdministratorParisFull timeResponsible for conducting field, shop, and office safety training, performing field and shop safety audits, investigating safety issues at job sites, ensuring compliance with IIPP and other safety initiatives, contractor’s safety programs and all applicable federal and state regulations applicable to safety. Responsible for ensuring compliance with company safety program, contractor’s safety programs, and with all applicable federal and state regulations applicable to safety and reporting any significant safety related issues to Branch Manager and Regional Safety Manager.
NewTravel Nurse RN - Geriatrics / Skilled Nursing Facility - $912 to $936 per week in Camden, ME TravelNurseSourceTravel Nurse RN - Geriatrics / Skilled Nursing Facility - $912 to $936 per week in Camden, MECamden, ME$912–$936Performs nursing functions and provides care within scope of practice; Coordinates and delegates care as appropriate; Verifies that medical orders are accurately transcribed; Administers medications and performs treatments per physician orders; Communicates and documents interventions and patient response; 4. Managing patient care: Establishes realistic and measurable short and long term goals for the identified health problems and needs; Develops individualized interventions to achieve goals; Determines timelines within the care plan; Conducts a systematic and ongoing evaluation of patient outcomes; Reviews and revises plan of care as indicated; 3. Implementing Care:
NewLocal Contract Nurse RN - Long Term Care - $43 per hour TalentBurst, IncLocal Contract Nurse RN - Long Term Care - $43 per hourOrono, MEPerforms nursing functions and provides care within scope of practice; Coordinates and delegates care as appropriate; Verifies that medical orders are accurately transcribed; Administers medications and performs treatments per physician orders; Communicates and documents interventions and patient response; 4. Managing patient care: Establishes realistic and measurable short and long term goals for the identified health problems and needs; Develops individualized interventions to achieve goals; Determines timelines within the care plan; Conducts a systematic and ongoing evaluation of patient outcomes; Reviews and revises plan of care as indicated; 3. Implementing Care:
NewLocal Contract Nurse RN - Med Surg - $42 per hour TalentBurst, IncLocal Contract Nurse RN - Med Surg - $42 per hourOrono, MESummary: Under the direction of the RN Nursing Supervisor, Unit Manager, ADON or ADON – Unit, or Center Nurse Executive (Nurse Leader), the Registered Nurse (RN) delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction. TalentBurst Health & Life Sciences is an established provider of healthcare workforce solutions, servicing healthcare facilities across the United States for over 15 years.
NewLocal Contract Nurse RN - Med Surg - $39 per hour TalentBurst, IncLocal Contract Nurse RN - Med Surg - $39 per hourCamden, MESummary: Under the direction of the RN Nursing Supervisor, Unit Manager, ADON or ADON – Unit, or Center Nurse Executive (Nurse Leader), the Registered Nurse (RN) delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction. TalentBurst Health & Life Sciences is an established provider of healthcare workforce solutions, servicing healthcare facilities across the United States for over 15 years.
NewLocal Contract Nurse RN - Long Term Care (LTC) Long Term Care - $39 per hour TalentBurst, IncLocal Contract Nurse RN - Long Term Care (LTC) Long Term Care - $39 per hourScarborough, MESummary: Under the direction of the RN Nursing Supervisor, Unit Manager, ADON or ADON – Unit, or Center Nurse Executive (Nurse Leader), the Registered Nurse (RN) delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction. TalentBurst Health & Life Sciences is an established provider of healthcare workforce solutions, servicing healthcare facilities across the United States for over 15 years.
Senior Manager, Stop Loss & Health Claims Sun Life Financial IncSenior Manager, Stop Loss & Health ClaimsPortland, ME$68,200–$102,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
NewSenior Provider Experience Program Manager - Healthcare Claims CVS Health CorpSenior Provider Experience Program Manager - Healthcare ClaimsME$106,605–$284,280 / yearWhat you will do: Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Provider Experience / Provider NPS program, supporting all lines of business. Drive Agile delivery of Provider Experience / Provider NPS initiatives, supporting business process and technology improvements across multiple lines of business.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEAugusta, MERemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Senior Claims Representative - REMOTE Ryder System IncSenior Claims Representative - REMOTEAugusta, MERemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEAugusta, MERemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
NewSr. Claims Specialist, Commercial Casualty - Remote CSAA Insurance GroupSr. Claims Specialist, Commercial Casualty - RemoteMERemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices.
NewSenior Disability Claims Examiner (Virtual) Prudential FinancialSenior Disability Claims Examiner (Virtual)Portland, MaineProficient in proactive communication through various channels, such as phone, email, letters, Teams messaging, group Teams calls, and one-on-one video calls, to deliver exceptional service. This role is virtual, so candidates must meet the following requirements: Subscribe to an internet service provider plan with at least 25 Mbps download speeds and be willing to troubleshoot any connectivity issues.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistMERemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Director , Product Management - AI Claims Platform CVS Health CorpDirector , Product Management - AI Claims PlatformME$144,200–$288,400 / yearThis is a rare opportunity to own a flagship AI product in healthcare from strategy through delivery - partnering closely with Business executives, Operations teams, Enterprise technology, Data science and Engineering, with strong visibility to senior leadership. A&BC leverages advanced analytics, machine learning, modeling, and a hypothesis-driven approach to transform data into actionable, customer-centric insights to drive growth, improve health outcomes and access to health care across all our businesses in CVS Health.
TEMP-Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers' Compensation Claims AdjusterME$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal.
TEMP-Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Senior Workers' Compensation Claims AdjusterME$48.65–$57.59 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
TEMP- Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Workers' Compensation Claims AdjusterME$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
TEMP- Claims Adjuster Argo Group International Holdings IncTEMP- Claims AdjusterME$37.66–$44.33 / hourCalifornia outside of Los Angeles, San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges: $41.44 - $48.79 per hour. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterME$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Senior Casualty Claims Specialist W. R. Berkley CorpSenior Casualty Claims SpecialistWestbrook, MEBerkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us. Under general direction, handles the most complex cases and those involving the most complex questions of coverage, compensability, legal liability and damages.
Senior Casualty Claims Specialist BerkleySenior Casualty Claims SpecialistWestbrook, MaineBerkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us. Under general direction, handles the most complex cases and those involving the most complex questions of coverage, compensability, legal liability and damages.
Stop Loss Claims Resolution Consultant Sun Life FinancialStop Loss Claims Resolution ConsultantPortland, ME$54,100–$81,200 / yearThis role combines deep technical expertise as a Stop Loss Health Claims Analyst with responsibility for managing end-to-end inquiry resolution, including research, claim determination support, documentation review, and clear customer communication. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.
Technical Analyst(RCM and Claims) Resource Logistics, Inc.Technical Analyst(RCM and Claims)Greene, VARemoteDevelop Revenue Cycle Data product strategy in partnership with product directors, product managers, peers in Clienthitecture and Delivery, and ADDG Leadership Team. Manages the strategy and lifecycle of products, features and/or enhancements from conceptualization through requirements gathering, product specification and roadmap, implementation review, and release.
Claims Representative I (South Portland, ME & Roanoke, VA) Elevance HealthClaims Representative I (South Portland, ME & Roanoke, VA)South Portland, MaineWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
LTD Claims Examiner II Matrix Absence Management, Inc.LTD Claims Examiner IISouth Portland, MERemote$52,450–$65,570 / yearReviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.) to gather pertinent data to analyze the claim. The successful candidate's starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions.
Workers' Compensation Claims Specialist (REMOTE - ME, CT, NJ) Creative Risk SolutionsWorkers' Compensation Claims Specialist (REMOTE - ME, CT, NJ)MaineRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.
NewSafety Claims Specialist Sargent CorporationSafety Claims SpecialistOrono, METhe Safety & Claims Coordinator plays an important role in keeping our programs organized, supporting employees when injuries occur, and helping our teams continuously improve the way we work safely. This position works closely with operations, employees, and the Safety team to coordinate safety initiatives, manage workers' compensation claims, track corrective actions, and maintain key safety programs and documentation.
LTD Claims Examiner II Reliance Standard Life Insurance CompanyLTD Claims Examiner IISouth Portland, MaineRemote$52,450–$65,570 / yearReviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.) to gather pertinent data to analyze the claim. The successful candidate’s starting base pay will be based on several factors including work location, job-related skills, experience, qualifications, and market conditions.
Workers' Compensation Claims Specialist (REMOTE - ME, CT, NJ) Holmes MurphyWorkers' Compensation Claims Specialist (REMOTE - ME, CT, NJ)MaineRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.
Leave And Disability Claims Roles UNUM GroupLeave And Disability Claims RolesPortland, ME$22.12–$24.04 / hourWhether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. When you apply, you'll be considered for positions such as Integrated Paid Leave Specialist, STD Benefits Specialist Trainee, Associate Leave Specialist, Eligibility Specialist and Associate Life Event Specialist.
Leave and Disability Claims Roles Unum GroupLeave and Disability Claims RolesPortland, ME$22.12–$24.04 / hourWhether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. When you apply, you''ll be considered for positions such as Integrated Paid Leave Specialist, STD Benefits Specialist Trainee, Associate Leave Specialist, Eligibility Specialist and Associate Life Event Specialist.
Disability Claims Examiner - Short-Term Disability/Absence (Virtual) Prudential Financial IncDisability Claims Examiner - Short-Term Disability/Absence (Virtual)ME$53,300–$88,000 / yearYou will manage a caseload of Short-Term Disability and Absence claims, applying sound judgment, analytical expertise, and empathy to deliver timely, accurate, and fair claim decisions. Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development.
Senior Director, Claims & Payment Integrity - Remote Martin's Point Health Care LLCSenior Director, Claims & Payment Integrity - RemotePortland, MERemoteActs as business owner for claims processing and edit vendors, ensuring oversight of vendor, including day-to-day management, roadmap reviews and joint operating committee management. Oversees the research, development, implementation, ongoing operational maintenance and administration of provider payment methodologies and fee schedules for all provider types in support of provider contractual arrangements.
NewClaims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryME$70,000–$80,000 / yearTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge & NY Licensing Required | Dedicated Public Entity Client & Capped Caseloads Sedgwick Claims Management Services, Inc.Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge & NY Licensing Required | Dedicated Public Entity Client & Capped CaseloadsMERemote$80,000–$90,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze New York Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Workers Compensation Claims Examiner | Dedicated Client | NY Jurisdiction Knowledge & NY Licensing Required Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Dedicated Client | NY Jurisdiction Knowledge & NY Licensing RequiredME$90,000–$95,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. To analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Adjuster Trainee The Progressive CorpClaims Adjuster TraineeSouth Portland, ME$54,000–$57,500 / yearYou must reside within a commutable distance of Progressive's South Portland, Maine OR Bedford, NH Claims office at 600 Sable Oaks Dr., South Portland, ME 04106 or 43 Constitution Dr, Bedford, NH 03110. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ .
Commercial Senior Auto Claims Adjuster- Remote CSAA Insurance GroupCommercial Senior Auto Claims Adjuster- RemoteMERemote$27.55–$30.61 / hourAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 19 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices.
Mgr, Business Consultant CVS Health CorpMgr, Business ConsultantME$60,300–$132,600 / yearThe Manager will be responsible for ensuring the accuracy, completeness, and timeliness of encounter data submissions while partnering closely with internal business and technical teams, as well as external vendors, to meet regulatory and operational requirements across multiple states. As the Dual Special Needs Plan (DSNP) business continues to expand, we are seeking an experienced Manager, Encounter Data & State Submission Operations to lead the end-to-end management of encounter and claims data submissions to state agencies.
Personal Lines Client Service Manager GallagherPersonal Lines Client Service ManagerPortland, MaineRemoteFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. You’ll apply practical experience in client-facing customer service (preferred) and use Microsoft Office tools like Excel, PowerPoint, Outlook, and Word proficiently.
Senior Case Manager I, LTD Sun LifeSenior Case Manager I, LTDPortland, MaineAt Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.
NewAssociate Claim Specialist Opportunities at MEMICAssociate Claim SpecialistPortland, MEIn this role, you will investigate, evaluate, and manage medical-only and low-complexity lost time claims, ensuring injured workers receive appropriate care and benefits while supporting policyholders and agents. Ongoing Learning : Stay updated on state laws and workers’ compensation trends through MEMIC-provided training and external certifications like WCP or Claims Law (AEI).
Case Manager, Registered Nurse CVS Health CorpCase Manager, Registered NurseME$54,095–$155,538 / yearApplies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license.
Senior Case Manager I, LTD Sun Life Financial IncSenior Case Manager I, LTDPortland, ME$72,500–$108,800 / yearAt Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.
Pharmacy Manager Walgreen CoPharmacy ManagerWindham, ME$67.05–$90.55 / hourWalgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).