Audit Reviewer I As a dynamic, fast-growing provider of workers' compensation insurance and services we are seeking creative, goal-oriented individuals willing to put their ideas to work. We offer a positive, challenging work environment and an opportunity to grow your career as you help us grow our business. We believe our team of skilled insurance professionals is our greatest asset. We are always looking for mo ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Experienced (Non-Manager)
EMPLOYERS
Los Angeles, CA 91203
Jun 30
Clinical Appeals Reviewer - Philadelphia, PA UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most m ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Employee
Job Status:
Full Time
UnitedHealth Group
philadelphia, PA 19019
Jun 24
Premium Audit Reviewer Premium Audit Reviewer MEADOWBROOK INSURANCE GROUP, Inc. (NYSE:MIG) is a publicly traded company that employs 950 associates in 24 offices throughout the United States, Bermuda and Barbados. Meadowbrook operates insurance agencies, a risk management company that provides services to self-insured groups, funds and pools, and operates 4 domestic and 2 foreign insurance companies. We are currently lo ...[more]
Relevant Work Experience:
1+ to 2 Years
Career Level:
Experienced (Non-Manager)
Education Level:
Bachelor's Degree
Job Type:
Employee
Job Status:
Full Time
Meadowbrook Incorporated
Overland Park, KS 66210
Jun 15
Life and Disability Medical Reviewer Position Overview: This position is responsible for the clinical evaluation of medical documentation and claim files as it relates to disability and life claim processing, and for providing clinical consultative assistance to the claim department. Essential Job Functions: 1. Serve as a Clinical resource for claim department to evaluate medical documentation and its relationship to the claimant, an ...[more]
Relevant Work Experience:
2+ to 5 Years
Job Type:
Employee
Job Status:
Full Time
Fort Dearborn Life Insurance
Downers Grove, IL 60515
Jun 2
Provider Bill Audit Nurse Reviewer Highlights AIG Job ID: DC-SW-PBA Nurse Reviewer-0509 Position Type: Full Time - Regular Location: GA-Alpharetta Relocation: Not Indicated Education: Some College Experience: 1-2 years Description: What You’ll Be Doing: Review billing submitted to AIGCS by medical service providers to ensure the charges are medically appropriate according to the relationship of treatment to injury and diagnosis. Re ...[more]
Career Level:
Experienced (Non-Manager)
Education Level:
Associate Degree
Job Type:
Employee
Job Status:
Full Time
AIU Holdings
Alpharetta, GA 30022
May 22
Assoc Director Advertising and Promotional Review (Regulatory Affairs) Provides strategic regulatory advice on advertising and promotion materials and activities for assigned products in accordance with business goals and objectives, FDA regulations/guidances, PhRMA guidelines and company policy. Serves as a primary regulatory advertising and promotion reviewer for assigned products on Material Approval Process (“MAP”) teams. Liaison with DDMAC regarding advertising a ...[more]
Career Level:
Manager (Manager/Supervisor of Staff)
Job Type:
Employee
Job Status:
Full Time
Novartis Pharmaceuticals
New Jersey, NJ
May 22
Director Advertising and Promotion Review (Regulatory Affairs) Provides strategic regulatory advice on advertising and promotion materials and activities for assigned products in accordance with business goals and objectives, FDA regulations/guidances, PhRMA guidelines and company policy. Serves as a primary regulatory advertising and promotion reviewer for assigned products on Materials Approval Process (“MAP”) teams. Liaison with DDMAC regarding advertising ...[more]
Relevant Work Experience:
5+ to 7 Years
Career Level:
Manager (Manager/Supervisor of Staff)
Education Level:
Master's Degree
Job Type:
Employee
Job Status:
Full Time
Novartis Pharmaceuticals
New Jersey, NJ
May 21
MR Clinical Reviewer-Reference Highmark Medicare Services, Inc., a Camp Hill, PA based company, is responsible for the combined administration of Medicare Part A and Part B fee-for-service claims for the states of Pennsylvania, Delaware, Maryland, New Jersey and the District of Columbia. Like its parent company, Highmark Inc., Highmark Medicare Services, Inc. embraces workforce diversity as a means to best serve its increasingl ...[more]
Job Type:
Employee
Job Status:
Full Time
Highmark
Camp Hill, PA
May 20
Property and Auto Damage Desk Reviewer Property and Auto Damage Desk Reviewer The Doan Group seeks an experienced Property and Auto desk claims reviewer. This position will involve field work when needed. Marketing experience is a must. The candidate must possess experience in the following estimating systems. · Xactamate 25 · CCC Pathways · ADP · Mitchell This position also requires field appraisal experience. Large opportunities for g ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Employee
Job Status:
Full Time
The Doan Group
Atlanta, GA 30314
May 11
Medical Claims Reimbursement Case Mgmt Analyst As the world's largest healthcare services company with more than $100 billion in annual sales, McKesson Corporation is a Fortune 15 company that provides pharmaceutical supply management and information technologies across the entire continuum of healthcare. Information management so powerful that it supports peace of mind. At McKesson Technology Solutions, it takes knowledge and experience. And p ...[more]
Career Level:
Experienced (Non-Manager)
Job Status:
Full Time
McKesson Provider Technologies
Atlanta, GA 30350
May 11
Medical Claims Reimbursement Case Mgmt Analyst As the world's largest healthcare services company with more than $100 billion in annual sales, McKesson Corporation is a Fortune 15 company that provides pharmaceutical supply management and information technologies across the entire continuum of healthcare. Information management so powerful that it supports peace of mind. At McKesson Technology Solutions, it takes knowledge and experience. And p ...[more]
Career Level:
Experienced (Non-Manager)
Job Status:
Full Time
McKesson Provider Technologies
Greenville, TX 75402
May 11
Medical Claims Reimbursement Case Mgmt Analyst As the world's largest healthcare services company with more than $100 billion in annual sales, McKesson Corporation is a Fortune 15 company that provides pharmaceutical supply management and information technologies across the entire continuum of healthcare. Information management so powerful that it supports peace of mind. At McKesson Technology Solutions, it takes knowledge and experience. And p ...[more]
Career Level:
Experienced (Non-Manager)
Job Status:
Full Time
McKesson Provider Technologies
Wheeling, IL 60090
May 11
Medical Claims Reimbursement Case Mgmt Analyst As the world's largest healthcare services company with more than $100 billion in annual sales, McKesson Corporation is a Fortune 15 company that provides pharmaceutical supply management and information technologies across the entire continuum of healthcare. Information management so powerful that it supports peace of mind. At McKesson Technology Solutions, it takes knowledge and experience. And p ...[more]
Career Level:
Experienced (Non-Manager)
Job Status:
Full Time
McKesson Provider Technologies
Charleston, SC 29406
May 7
Supervisor The 1199SEIU Benefit & Pension Funds is one of the largest self-administered labor-management Taft-Hartley funds in the country with almost 450,000 members and half a million covered lives. If you’re ready for the brightest career future, join us in this excellent opportunity to showcase your talents. We are currently seeking an experienced Supervisor f or our Medical Claims - Quality Assurance de ...[more]
