Investigate questionable first and third party P&C insurance claims to protect the organization from fraud. Collect evidence through interviews and database searches to prepare comprehensive investigative reports and recommendations.
Online Jobs (206,743)
Manage small sales market client accounts by building strong relationships and delivering solutions aligned with business objectives. Drive revenue growth through upselling, cross-selling, and managing the sales pipeline within CRM systems.
Oversees the daily operations of the Reimbursement Specialist team to ensure accurate processing of prior authorizations and insurance follow-ups. Provides guidance, coaching, and performance management while optimizing workflows to meet revenue collection goals.
Patient Financial Clearance Representative - One Capital Square - Remote
VCU Health
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Full Time
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3 Days Ago
VCU Health
Responsible for the full scope of financial clearance activities, including insurance verification, procuring authorizations, and communicating financial responsibility to patients. The role ensures streamlined clinical workflows and improves revenue cycle performance through accurate data collection and liability estimation.
The Director provides therapeutic expertise in GU-Prostate Cancer to execute medical strategies and engage with healthcare providers in Southern California and Arizona. They serve as a scientific resource, lead advisory boards, and collaborate with R&D to identify clinical trial sites.
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Develop and deliver strategic enablement programs, training, and tools to empower client-facing Network Solutions teams. Create sales playbooks and learning resources while collaborating cross-functionally to drive go-to-market readiness and productivity.
Develop and deliver strategic enablement programs, training, and tools to empower client-facing Network Solutions teams. Create sales playbooks and learning resources while collaborating cross-functionally to drive go-to-market readiness and productivity.
Contract Technical/Corporate Recruiter - Remote
Progressive Leasing
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Full Time
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3 Days Ago
Progressive Leasing
Manage the full-cycle recruitment process for a diverse range of corporate and technical roles, from intake to offer. Partner with hiring managers to calibrate talent and implement AI-enabled workflows to modernize recruiting efficiency.
Social Programmer BR Betting (Temporary)
Warner Bros. Discovery
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Full Time
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3 Days Ago
Warner Bros. Discovery
Produce and program daily content across B/R Betting's social channels including Instagram, TikTok, X, and YouTube. Collaborate with the team to develop original content strategies and monitor social trends to maintain the brand's voice.
Drive overall modality strategy and revenue growth for Magnetic Resonance products across the assigned district. Lead and influence cross-functional teams to maximize market share and provide deep clinical and technical expertise to customers.
Execute and approve various types of funds transfers and manual transactions using multiple processing platforms. Perform high-level financial reconciliations, investigate exceptions, and ensure compliance with the control framework.
Lead the design and implementation of scalable, reliable systems and automation to reduce operational toil. Drive root cause analysis, improve observability, and partner with engineering teams to embed SRE best practices.
Advanced Inside Sales Representative - Business Development Representative
Wolters Kluwer
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Full Time
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3 Days Ago
Wolters Kluwer
The role focuses on qualifying inbound leads and conducting outbound prospecting to generate sales opportunities for the CT Corporation team. Responsibilities include managing the Salesforce CRM, performing account research, and supporting subscription renewals and cross-sell initiatives.
The Treasury Analyst manages daily client payroll funding, processes payments, and performs bank reconciliations to ensure efficient cash movement. Additionally, the role monitors client credit portfolios and risk exposure to mitigate financial losses.
Engage with existing customers to drive retention, expansion, and revenue growth through relationship building and identifying upsell opportunities. Collaborate with retention teams to schedule qualified appointments and assist in resolving past-due invoices.
Engage with existing customers to identify opportunities for retention, expansion, and revenue growth. Collaborate with retention teams to schedule qualified appointments and assist in resolving past-due invoices.
Regulatory Business Analyst - Regulatory Technology (Contract)
Vertex Pharmaceuticals
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Full Time
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3 Days Ago
Vertex Pharmaceuticals
The role involves eliciting and translating business requirements into system enhancements for Veeva Vault RIM to optimize regulatory operations. The analyst will serve as a functional SME, managing data models, system integrations, and reporting dashboards to support Global Regulatory Affairs.
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ITOM – Azure ServiceNow Developer (contract) 323232
Vertex Pharmaceuticals
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Full Time
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3 Days Ago
Vertex Pharmaceuticals
Design and implement ServiceNow ITOM solutions with a focus on Azure cloud integrations for infrastructure visibility. Develop custom scripts, workflows, and manage MID Server connectivity for on-prem and cloud environments.
Lead the solution strategy for high-priority opportunities by designing scalable, mission-aligned solutions and aligning stakeholders. Act as a trusted advisor and internal thought leader by coaching peers and improving presales frameworks and processes.
The role focuses on advancing process standardization and continuous improvement initiatives across various engineering disciplines. Key duties include establishing engineering metrics and KPIs, streamlining workflows, and informing training initiatives.
Lead discovery and technical demonstrations to map idealized customer journeys and develop actionable plans for digital experiences. Act as a strategic technical resource throughout the sales cycle to create combined solutions of services and technology for government agencies.
Conduct virtual consultations to evaluate patients for qualifying medical cannabis conditions. Provide recommendations in accordance with Georgia state regulations using a secure healthcare platform.
Facility Manager
EMCOR Facilities Services, Inc.
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Full Time
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3 Days Ago
EMCOR Facilities Services, Inc.
Oversee the seamless operation of a facility portfolio with a focus on vendor management, financial accountability, and emergency response. Build strong stakeholder relationships and conduct site assessments to ensure asset inventory accuracy and effective capital planning.
Analyze and process complex workers' compensation claims to determine benefits and negotiate settlements. Manage the litigation process and implement cost containment techniques to reduce overall claim costs for clients.
Abuse Hotline Counselor - Remote for applicants who live in Greater Louisville area - Part-Time
Seven Counties Services
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Full Time
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3 Days Ago
Seven Counties Services
Provide telephone services to report alleged neglect, abuse, and exploitation of children and adults in Kentucky. Document interventions and screen callers for suicide or homicide risk to connect them with crisis services.
Sales Development Specialist, Shaw Contract
Shaw Industries
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Full Time
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3 Days Ago
Shaw Industries
Partner with Account Executives to drive sales growth by identifying key players in targeted accounts and generating business intelligence. Provide comprehensive sales support including Salesforce training, reporting, and managing customer claims and onboarding.
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The coordinator develops career readiness services and facilitates linkages between students, parents, and industry partners to support transitions to postsecondary education. They also ensure program funding, compliance, and the integration of work-based learning opportunities into the curriculum.
Lead Application Engineer - Grid Integration and Stability
GE Vernova
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Full Time
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3 Days Ago
GE Vernova
Perform technical analysis and modeling of power electronic and power systems control for renewable generation and energy storage. Support customers with engineering expertise, evaluate grid code compliance, and contribute to industry standards groups.
Provide end-to-end commercial and risk leadership for a portfolio of high-risk projects within the Power Conversion and Storage business. Manage contractual activities from sales handover through close-out, including negotiations, claims, and dispute avoidance.
Develop and maintain documentation and data control processes to support quality and project delivery for commercial nuclear power plants. Coordinate configuration management processes with internal IT teams and external suppliers to ensure regulatory compliance.
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