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Reviews, processes, and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans. Provides prompt feedback to physicians and management regarding pathway documentat
Posted 1 day ago
Performs insurance verification for all scheduled patient services and obtains required precertifications in a multi disciplinary environment. Two of the four skill levels required 1. One year experience in healthcare environment or 2. Completion of healthcare related certificate program 3. One year experience with medical insurance in a hospital or physician office or 4.
Posted 3 days ago
This position is for an Auto Estimator, handling claims resulting in property damage to vehicles. You may be the first point of contact to meet with our insureds, explain coverage, estimate vehicle damage, and help them through the claims process while providing Remarkable service. This includes Utilizing automated estimating systems to prepare repair estimates Providing
Posted 3 days ago
CompQsoft
- Elizabeth City, NC
Job Title Risk Analyst (Junior) Location Elizabeth City, NC Onsite Duration Full time with benefits Client (United State Coast Guard) USCG Certification any IAT Level I or Level II Functional Responsibility The Risk Analyst, under supervision will perform risk analysis/risk assessments and define security requirements for all ISD support IT systems. Design, develop, and i
Posted 5 days ago
Ad Hoc LLC
- Washington, DC / Virginia Beach, VA / Silver Spring, MD
The Vice President is responsible for the go forward vision and execution of the Federal Civilian business unit. The leader must be growth focused and develop a strategy to scale the business in the Federal Civilian market. The VP will develop deep relationships in working with our customers and grow our business through these relationships. They will also develop deep wo
Posted 6 days ago
Encova Insurance
- Baltimore, MD / Virginia Beach, VA
The salary range for this job posting is $94,784.00 $151,654.00 annually + bonus + benefits The above represents the salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, education, experience, and other job related factors. Your recruiter can share more information about the specific salary range during the hiring proces
Posted 10 days ago
Crum and Forster
- Jacksonville, FL / Atlanta, GA / Charlotte, NC / 7 more...
Responsible for risk selection/rejection, pricing, retention, growth, and profitability within scope of authority and per divisional objectives. Receives and analyzes submissions, assesses risk quality and determines terms in accordance with company guidelines. Applies underwriting rules and guidelines, rating manual rules, and insurance laws and regulations. Makes recomm
Posted 11 days ago
Kalman & Company is seeking to hire a mid level Financial Management Analyst to provide support and advisory services in accounting, budget execution, and budget formulation activities. This position will support DoD clients in Stafford, VA with meeting attendance required as needed. Duties/Responsibilities Perform research and analysis of budgets, appropriations and exec
Posted 5 days ago
Internal Revenue Service
- Anchorage, AK / Birmingham, AL / Huntsville, AL / 219 more...
Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International Director Cross Border Activities The following are the duties of this position at the full working level. Serves as a technical expert in examinations of signific
Posted 5 days ago
The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en
Posted 10 days ago
Are you looking for a flexible schedule where you can earn $17.50 $30.00 an hour and earn a $500 signing bonus? This entry level marketing position means no experience is necessary. We will teach you and pay you during your training. Are you a college student looking for flexible schedule? In this role you will be the face of Mr. Rogers Windows and schedule appointments w
Posted 8 days ago
CompQsoft
- Elizabeth City, NC
Job Title Risk Analyst (Junior) Location Elizabeth City, NC Onsite Duration Full time with benefits Client (United State Coast Guard) USCG Certification any IAT Level I or Level II Functional Responsibility The Risk Analyst, under supervision will perform risk analysis/risk assessments and define security requirements for all ISD support IT systems. Design, develop, and i
Posted 19 days ago
Job Title Risk Analyst (Intermediate) Location Elizabeth City, NC Onsite Duration Full time with benefits Client (United State Coast Guard) USCG Clearance Active Secret Clearance Certification Any IAT Level II Functional Responsibility The Risk Analyst will independently perform risk analysis/risk assessments and define security requirements for all ISD support IT systems
Posted 19 days ago
Internal Revenue Service
- Birmingham, AL / Huntsville, AL / Mobile, AL / 219 more...
Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International Director Enterprise Activities The following are the duties of this position at the full working level. If this vacancy includes more than one grade and you are s
Posted 21 days ago
Blue Cross and Blue Shield of North Carolina
- Chapel Hill, NC / Huntsville, AL / Phoenix, AZ / 24 more...
This Consulting Actuary with a Medicare Part D focus on the Medicare Pricing team, will provide pricing, forecasting, and strategic support for all Blue Cross NC Medicare products with a particular emphasis on Medicare Part D. You will identify and evaluate risks and strategic opportunities involving Blue Cross NC's Medicare business through the deployment of actuarial co
Posted 20 days ago
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