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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 2 days ago
Blue Cross and Blue Shield of North Carolina
- Chapel Hill, NC / Huntsville, AL / Phoenix, AZ / 24 more...
The Actuarial Analyst will serve as a key member of our Pharmacy Analytics team. This individual will be expected to leverage foundational actuarial and analytical competencies to help the organization perform all actuarial functions required in support of our Pharmacy strategy. As an integral member of our Pharmacy team this position will be expected to work collaborativ
Posted 3 days ago
Blue Cross and Blue Shield of North Carolina
- Chapel Hill, NC / Huntsville, AL / Phoenix, AZ / 24 more...
This Consulting Actuary will serve as a senior level individual contributor on our Pharmacy Analytics team. This individual will be expected to leverage foundational actuarial and analytical competencies to help the organization perform all actuarial functions required in support of our Pharmacy strategy. As a senior level individual contribution, this position will be ex
Posted 3 days ago
Come join our team at Jefferson Lab, where great minds matter. Posting Date 02/06/2024 Salary Range $144,100 $231,700 (SSA) Work Location Type Hybrid (3 days in the office, 2 days remote) What your job will be like As the Senior Contract Counsel at Jefferson Lab, you will work with Lead Senior Counsel to providelegal adviceandcounsel on contract matters as assigned with a
Posted Today
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 1 day ago
Essential Duties & Job Functions Operates keyboard controlled data entry devices such as computer, key operated magnetic tape, or disc encoder to transcribe data into a format suitable for computer processing. Operates an alphanumeric keyboard and transcribes procedures and relevant data entry equipment. Works under close supervision and follows specific procedures or det
Posted 1 day ago
Valkyrie Enterprises has an immediate need for a Senior Analyst Live, Virtual, Constructive (LVC) Training in Virginia Beach, VA. They will provide key support to oversight of the Navy Continuous Training Environment (NCTE) Program by assisting in the development of Fleet LVC training requirements and appropriate use cases to advise higher headquarters in development and
Posted 3 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 20 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 21 days ago
Facilitate Shipboard Jones Act Personal Injury and Illness Claims Role is responsible for the full life cycle of the claim including Identify need for medical attention and coordinate care through maritime medical consultants and/or agents for shore treatment until the ill or injured mariner is fit for duty or repatriated Ensure availability to globally operated fleet 24
Posted 1 month 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 1 month ago
Internal Revenue Service
- Birmingham, AL / Huntsville, AL / Mobile, AL / 219 more...
Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) 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 Withholding, Exchange, and International Individual Compliance (WEIIC), DFO FPP& AEOI and DFO EOS, EOI The following are the duties of this position at t
Posted 1 month ago
Account Sales Specialist I Location US VA Newport News Company Canon Virginia, Inc. Requisition ID 25867 Category Sales/Business Development Position Type Full Time Overview Do you enjoy sales? Are you wanting to grow in your experience and be challenged daily? Check out this exciting opportunity to join Canon Virginia's Sales Team as the newest Sales Specialist! Our Acco
Posted 30 days ago
Assist in any and all of the functions normally associated with a qualified health actuary including IBNR calculation; the determination of rating factors such as age, sex, location, or industry; development of rates and filings for the BOI; suggestions for periodic group rating changes; development of necessary rates for government programs; assistance with the developme
Posted 6 days 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 11 days ago
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