Position Summary Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider refunds and returned checks. May handle customer…
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Senior Game Developer Jobs
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Position Summary The Senior Analyst, Compliance COE will be a key member of the Compliance Monitoring team and will execute assigned compliance monitoring activities. This role applies healthcare compliance, billing, coding, and risk adjustment knowledge to execute assigned…
Job Description Summary Develops and manages a team to address matters regarding complaints and appeals, ensuring compliance with federal and/or state regulations. Leads the development of policies, procedures, and programs to ensure compliance with policies of all applicable…
Position Summary Leverages cutting-edge AI techniques to develop agents or tools for automation and augmentation use cases in operations Executes AI projects from conception to completion, ensuring adherence to timelines, quality standards, organizational priorities, and…
Senior Claims Benefit Specialist at CVS Health in Work From Hom, Work From Hom, United States.
Position Summary Designs, develops, and implements digital solutions and systems by applying advanced technical expertise to architect and code software applications, conduct system testing and debugging, collaborate with cross-functional teams, and contribute to the overall…
Position Summary The Senior Practice Manager’s role is a full time position working at least 40 hours a week. This leadership role reports to the Area Director (AD) and leads a team of NPs, PAs, and/or LVNs/LPNs in achieving clinical quality standards and business and financial…
Position Summary Reporting to the Finance Director, this position (Sr Accountant) assists in the preparation of financial statements, journal entries and supporting documentation specifically for Federal Grants and Non-Title funds from the State of AZ. This position’s…
Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and…
Senior Manager, Reporting & Insights – Service Operations ✅ Role Summary The Senior Manager, Reporting & Insights is responsible for delivering and continuously evolving critical reporting, analytics, and decision-support capabilities that enable Service Operations leaders to…
Position Summary We are seeking a highly skilled and experienced Senior UX Designer to join our dynamic team. As a Senior UX Designer, you will be responsible for leading the user experience design initiatives within the Outreach & Execution product organization. In partnership…
Senior Design and Analysis Engineer — USA - Berkeley, MO. Apply via Workday.
Who We Are Verkada is transforming how organizations protect their people and places with an integrated, privacy-sensitive AI-powered platform that includes solutions for video security, access control, air quality sensors, alarms, intercoms, and visitor management. We’ve got…
Cologix is seeking a Senior Revenue Accountant to join our Accounting organization. Reporting to the Controller, this role will be responsible for lease and other revenue accounting, with a focus on accurate revenue recognition, billing support, accounts receivable analysis,…
Shield AI is a venture-backed defense-tech company with the mission of protecting service members and civilians with intelligent systems. Its products include Hivemind autonomy software, V-BAT and X-BAT aircraft, and Aechelon simulation and synthetic reality technologies. With…
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