FULL_TIME

FEED

UNKNOWN

About Us: Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation’s top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Working collaboratively with Care Management leadership, physician advisors, and Revenue Cycle teams, the Clinical Denials Supervisor analyzes denial trends, educates staff on documentation and follow-up practices, and implements strategies to reduce reimbursement risk and organizational write-offs.

Care New England Health System

Clinical Denials and Utilization Review Supervisor

[AW]-iCims

The salary ranges for this role are as follows: $146,000 - $348,000 USD annually (Geographical Tier AA - Sample Locations: NY Metro, San Franscisco, San Jose, Seattle) $134,000 - $322,000 USD annually (Geographical Tier A - Sample Locations: Irvine CA, Middlesex NJ, Tacoma WA, Boston, Alexandria) $123,000 - $295,000 USD annually (Geographical Tier B - Sample Locations - Baltimore, Chicago, Anchorage, Portland) $112,000 - $268,000 USD annually (Geographical Tier C - Sample Locations - Atlanta, Charlotte, Cincinnati, Miami) $107,000 - $255,000 USD annually (Geographical Tier D - Sample Locations - Mississippi, Mobile AL, Bowling Green KY, Tulsa) Time away matters—so we provide a generous paid time off program, including vacation, sick time, and paid holidays (with prorated options for eligible part-time employees). Responsible for supporting assigned manager in meeting or exceeding the defined annual budget for the entire practice area (including proactive creation of work product to meet or exceed defined utilization targets, oversight of execution of profitable technical assignments, and communication with clients as assigned or requested).

YEAR

The Vertex Companies, LLC

Forensic Engineer - Mechanical

Jobvite Talemetry Organic Easy Apply

The salary ranges for this role are as follows: $174,000 - $419,000 USD annually (Geographical Tier AA - Sample Locations: NY Metro, San Franscisco, San Jose, Seattle) $161,000 - $386,000 USD annually (Geographical Tier A - Sample Locations: Irvine CA, Middlesex NJ, Tacoma WA, Boston, Alexandria) $147,000 - $354,000 USD annually (Geographical Tier B - Sample Locations - Baltimore, Chicago, Anchorage, Portland) $134,000 - $322,000 USD annually (Geographical Tier C - Sample Locations - Atlanta, Charlotte, Cincinnati, Miami) Time away matters—so we provide a generous paid time off program, including vacation, sick time, and paid holidays (with prorated options for eligible part-time employees). Responsible for supporting assigned manager in meeting or exceeding the defined annual budget for the entire practice area (including proactive creation of work product to meet or exceed defined utilization targets, oversight of execution of profitable technical assignments, and communication with clients as assigned or requested).

Senior Forensic Engineer - Mechanical

Responsible for supporting assigned manager in meeting or exceeding the defined annual budget for the entire practice area (including proactive creation of work product to meet or exceed defined utilization targets, oversight of execution of profitable technical assignments, and communication with clients as assigned or requested). Effectively coordinate with other team members as requested or assigned, able to provide technical work product review, and monitor own progress on assigned tasks or projects, and ensure work product produced by self is consistently high quality.

The Vertex Co Inc

Forensic Engineer - MechanicalNEW

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Settles claims by determining clients coverage''s, liability, client''s instructions and authority levels required by obtaining demands and making offers to claimants, issuing settlement checks, making filings with regulatory agencies,disposing of salvage, pursuing subrogation when appropriate. To determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours.

Based in Atlanta, Georgia, Crawford &amp; Company is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with an expansive global network serving clients in more than 70 countries. 

The Crawford System of Claims Solutions(SM) offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines, including property and casualty claims management, workers compensation claims and medical management, and legal settlement administration 

The Company's shares are traded on the NYSE under the symbols CRDA and CRDB.

Crawford & Co

Sr Casualty General Adj

The Director of Total Rewards opportunity at Ocean State Job Lot (“OSJL” or “Company”) is a crucial leadership position responsible for leading three teams: the Company’s Benefits team, which ensures that benefits offerings are implemented and serviced effectively and efficiently as part of the Company’s total compensation program; the Claims Team, which oversees all aspects of the Company’s claims programs- primarily workers’ compensation and general liability -to mitigate risk and control cost; and the Compensation Team, providing leadership oversight for the team that executes benchmarking, structure and strategy design, pay-for-performance cycle increases, minimum wage auditing, and pay decisions in partnership with Talent Acquisition and Human Resources Business Partners. Leads the risk management function with full ownership of worker’s compensation, general and property liability, claims administration, insurance program design and renewals, and enterprise safety including oversight of third-party administrators, brokers, and carrier relationships to control the cost of risk across the enterprise.

External Ocean State Job Lot

Director of Total Rewards

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Walgreens has approximately 211,000 team members, including roughly 85,000 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. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.

HOUR

Founded over a century ago in 1901, we have a rich and colorful history of continuous improvement and innovation at Walgreens. From inventing the world’s first chocolate malted milkshake to the creation of one of the most popular and sophisticated mobile applications in retail shopping today, we have transformed ourselves into a leader within the retail and drug industry.
Walgreens, one of the nation’s largest drugstore chains, is included in the Retail Pharmacy USA Division of Walgreens Boots Alliance, Inc., the first global pharmacy-led, health well being enterprise.
At Walgreens you'll find a team positively energized by the unique talents, ideas, experiences and aspirations of every individual. In other words, you can be your authentic self in our stores, offices and other workplaces, and be comfortable and confident that what matters most here is doing your best to make health and well-being within reach for everyone on a daily basis.
Walgreens has a proud legacy of valuing diversity and fostering inclusion more than 100 years-strong, and we're still living that commitment. We intend to be recognized as a “Next Practices” company for diversity and inclusion – one whose cultures, people, perspectives and workplaces reflect the current and future customers we serve while delivering superior business performance.
Walgreens has over 9,500 stores in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands.

Walgreen Co

Pharmacist - $50,000 Sign-On Bonus

Pharmacist - Sign-On Bonus Available

Pharmacist

Pharmacist - $50,000 Sign-on Bonus

Specialized experience includes experience in two or more of the following areas, or other work related to the position to be filled: Comprehensive knowledge of administrative laws, policies, regulations, and precedents applicable to the administration of major VA health benefits and business programs, including enrollment and eligibility, beneficiary travel, veterans transportation services, clinic administration, and associated patient administration activities. Please make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50s (current/former Federal employees), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees).

U.S. Department of Veterans Affairs

Medical Administration Officer

Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation's top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Demonstrates knowledge of accounts receivable payment policies and hospital contracts as they relate to billing, collection, follow-up, claim reimbursement, patient liability, and local, state and federal programs.

Accounts Receivable Coordinator

Brown University Health employees are expected to successfully role model the organization''s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Performs patient insurance billing duties such as researching claims in system, including review and verification of patient account information against insurance program specifications.

Brown University Health

Sr. Billing Specialist

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Performs patient insurance billing duties such as researching claims in system, including review and verification of patient account information against insurance program specifications.

Brown Health Medical Group

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Works with Product, Protection, Law, and Claims on new products introduced to the Field and the sales force, and develops Claim Bulletins to provide new forms and/or endorsements that impact claim handling practices. Client Counseling, Complex Claims, Complex Litigation, Conflict Management, File Reviews, Industry Trend Analysis, Insurance, Insurance Claims, Large Loss Claims, Licensing, Litigation, Multitasking, Negotiation, Prioritization, Referrals, Time Management.

Who We Are The Allstate Corporation is the nation's largest publicly held personal lines insurer. A Fortune 100 company, with $131 billion in total assets, Allstate sells 13 major lines of insurance, including auto, property, life and commercial. Allstate also offers retirement and investment products and banking services. Allstate is widely known through the ";You're In Good Hands With Allstate®"; slogan. Allstate was founded in 1931 and became a publicly traded company in 1993. Our People The Allstate Corporation encompasses more than 70,000 professionals. Of our employees, 33 percent are minorities; 58 percent are women. Our Customers Allstate helps individuals in approximately 16 million households protect what they have today and better prepare for tomorrow, and is committed to serving customers how, when and where they choose to be served. Corporate Governance Allstate has always had an exemplary governance program. Our commitment to strong principles and the highest ethical standards is critical to our goal of driving sustained shareholder value. Diversity As a company with a diverse population of employees, agents and customers, Allstate embraces diversity in everything we do - not only the customers we serve and the communities in which we invest, but also the people we hire and the businesses we use as suppliers. It's a testament to the company's corporate citizenship and a sound business strategy. Culture Our high performance work environment encourages individual accountability, innovative thinking and continuous learning and improvement. Our work environment is fast-paced, challenging, and collaborative. It's our goal to provide challenging work that is interesting and meaningful and to reward employees' efforts based on a pay for performance approach. Allstate offers a comprehensive total compensation package. Our Network Allstate has more than 12,500 local agency owners in the United States. Customers can access Allstate products and services such as auto insurance and homeowners insurance through Allstate agencies, or in select states at allstate.com and 1-800 Allstate®. Encompass® Insurance brand property and casualty products are sold exclusively through independent agents. The Allstate Financial Group provides life insurance, supplemental accident and health insurance, annuity, banking and retirement products designed for individual, institutional and worksite customers that are distributed through Allstate agencies, independent agencies, financial institutions and broker-dealers. <iframe width="560" height="315" src="http://www.youtube.com/embed/GhVUDiGkE8M" frameborder="0" allowfullscreen></iframe> Our Economic Impact In 2010, Allstate reported $19 billion in total property-liability insurance claims and claims expense. The Allstate Foundation donated $17.8 million to support social impact programming, with emphasis on teen safe driving and economic empowerment of domestic violence survivors. Allstate currently holds $16 billion in municipal bonds. Learn more about careers at Allstate. Visit <a href="http://allstate.com/careers/life-at-allstate.aspx" target="_blank">allstate.com/careers/life-at-allstate.aspx</a>

Allstate Insurance Company

Large Loss Adjuster

With AI-enabled solutions that span practice management to electronic medical records and e-prescribing to billing, we help eliminate administrative complexity and create harmony between therapists, their clients, and the whole healthcare community. At Ensora Health, our Revenue Cycle Management team plays a vital role in helping behavioral health providers focus on what matters most: delivering quality care to their clients.

Therapy Brands

RCM Specialist II

Counsels patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).

Walgreens

Pharmacy Intern Grad

CONTRACTOR

Responsible for the timely and accurate processing of all providers including NPs/PAs/MDs Re-credentialing applications according to the Minute Clinic Provider Credentialing Program Monitor Expired licensure reporting, data base tasks and maintain system updates and weekly reporting to leadership Manage Epic access for any providers that have out of compliance licensure and/or board certification. Responsible for the timely and accurate processing of all providers including NPs/PAs/MDs Re-credentialing applications according to the Minute Clinic Provider Credentialing Program.

Apidel Technologies

Coordinator III-Credentialing Analyst / Coordinator

partner Conrep

Cooperate in construction of strong cross-functional teams (support staff assignments of self) to achieve success in shared goals, understanding that multiple perspectives and talents build stronger teams and results. Working knowledge and ability to read and interpret construction drawings, performed schedule analyses, understand construction means/methods/duties under the contract and perform cost estimating for varying types residential, commercial, and industrial structures.

Subject Matter Expert, Construction Contract Disputes

Leave Workers Compensation Administrator About CharterCARE CharterCARE Health of Rhode Island is a nonprofit healthcare system serving communities across the state through Roger Williams Medical Center, Our Lady of Fatima Hospital, CharterCARE Physicians, and CharterCARE Home Health and Hospice. Youll own complex and escalated cases from start to finish, partner with Safety, vendors, carriers, and legal counsel, and use data to show leadership where programs are working and where they need to improve.

Claims Manager Jobs in Rhode Island

Clinical Denials and Utilization Review Supervisor Care New England Health System

Forensic Engineer - Mechanical The Vertex Companies, LLC

Senior Forensic Engineer - Mechanical The Vertex Companies, LLC

Forensic Engineer - MechanicalNEW The Vertex Co Inc

Sr Casualty General Adj Crawford & Co

Director of Total Rewards External Ocean State Job Lot

Pharmacist - $50,000 Sign-On Bonus Walgreen Co

Pharmacist - Sign-On Bonus Available Walgreen Co

Pharmacist Walgreen Co

Pharmacist - $50,000 Sign-on Bonus Walgreen Co

Medical Administration Officer U.S. Department of Veterans Affairs

Accounts Receivable Coordinator Care New England Health System

Sr. Billing Specialist Brown University Health

Sr. Billing Specialist Brown Health Medical Group

Large Loss Adjuster Allstate Insurance Company

RCM Specialist II Therapy Brands

Pharmacy Intern Grad Walgreens

Coordinator III-Credentialing Analyst / Coordinator Apidel Technologies

Subject Matter Expert, Construction Contract Disputes The Vertex Companies, LLC

Administrator, Absence and Injury Management CharterCare Health Partners

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