52 ltc claims operations manager jobs found

Boston - Massachusetts - United States of America About The Role As a CBRE Lead Building Engineer, you will be responsible for monitoring complex building system operations and the performance of various areas including plumbing, electrical, painting, roofing, heating, and cooling. This job is part of the Engineering and Technical Services job function. They are responsible for providing support, preventive maintenance, and repairs on equipment and systems. What You’ll Do Assign work orders and estimate the time and materials needed to complete repairs. Maintain an inventory of adequate supplies and tools. Perform maintenance and repairs to advanced mechanical, plumbing, structural, furniture, fire, life safety, and control systems. Keep facility and building systems up to applicable standards as assigned. Comply with all applicable codes, regulations, governmental agency, and company directives related to building operations and work safety. Develop an...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries. Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You'll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for?free medical coverage in our?Health Investment Plan (HIP) PPO?medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution Tuition reimbursement, the Freedom 2 Save...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Job Description Day To Day: An Insight Global client is hiring Building Maintenance Engineers for a 3-month contract to hire to ensure the reliable operation, maintenance, and repair of all mechanical, electrical, and building systems across an industrial manufacturing facility with military presence. This role focuses heavily on troubleshooting HVAC, chiller, and boiler systems, while also maintaining refrigeration, chilled water, air conditioning, plumbing, pumps, valves, piping, controls, fire/life safety systems, and electrical infrastructure including UPS, generators, switchgear, and power distribution. Collaboration with team members to improve building operations and efficiency is expected, alongside occasional overtime work. This role will be either 1st or 2nd shift. Responsibilities: Monitor, inspect, and adjust equipment to maintain optimal performance. Troubleshoot and repair HVAC, mechanical, electrical, and plumbing systems. Respond to BMS/BAS...

About the Role: As a CBRE Chief Building Engineer, you will perform complex preventive maintenance and corrective repairs of buildings, industrial systems, vehicles, equipment, and grounds. This job is part of the Engineering and Technical Services job function. They are responsible for providing support, preventive maintenance, and repairs on equipment and systems. What You'll Do: Follow all applicable codes, regulations, governmental agency, and company directives related to building operations and work safety. Lead operations, assign work orders, and provide technical and procedural training of coworkers and subcontractors. Arranges for subcontractors as needed. Consult with clients to schedule preventive maintenance during downtime to cut business interruption and inconvenience. Plan a preventive maintenance program to ensure that building machinery and systems meet or exceed their rated life. Check building systems including fire alarms,...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Job Title: Software Engineer - Virtual Appraisals Company: Snapsheet Job Location: Remote Job Type: Full-time About Snapsheet : Snapsheet is claims technology the way it should be: purposeful, precise, and designed to deliver outcomes. Where others bolt things on, we engineer them into our core systems and processes across cloud-based claims management, virtual vehicle appraisals, and elite loss and recovery services. Trusted by over 170+ P&C Carriers, MGAs, MGUs, TPAs, and logistics companies, our open architecture is built to fit how our companies work, not the other way around. What you'll get: Remote working environment - your new commute is however long it takes to walk to your desk! Flexibility - empathy is ingrained in who we are and we are happy to offer a flexible PTO policy, casual dress code, and more! Development - Mentorship programs, 1-on-1 management, promote when ready culture, quarterly internal promotion opportunities, and goal...

The Commissioning Engineer II is responsible for but not limited to Level 1, 2, 3, 4 and 5 commissioning of base building systems, security systems, life safety systems, Electrical, Mechanical, and EPMS/BMS systems of a Data Center environment. This role will oversee, document, and track various aspects of commissioning activities. Activities will include but are not limited to testing and/or validation of connectivity, network infrastructure, security, life safety, other building subsystems and finishes, transformers, electrical switchgear, UPS (Uninterrupted Power Supply), STS (Static Transfer Switch), PDU (Power Distribution Unit), electrical distribution equipment, Chillers, water loops/components, Cooling distribution equipment, Electrical Power Monitoring Systems, and Building Management and automation systems. This role will also serve as a project manager and liaison to a third-party commissioning agent. This role requires work hours to support construction/commissioning...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Pittsburgh - Pennsylvania - United States of America About The Role As a CBRE Building Sr. Engineer, you will be responsible for supervising complex building system operations and the performance of various areas including plumbing, electrical, painting, roofing, heating, and cooling. This job falls within the Engineering and Technical Services job function. They are responsible for providing support, preventive maintenance, and repairs on equipment and systems. What You'll Do Assign work orders and estimate the time and materials needed to complete repairs. Maintain an inventory of adequate supplies and tools. Perform maintenance and repairs to advanced mechanical, plumbing, structural, furniture, fire, life safety, and control systems. Keep facility and building systems up to applicable standards as assigned. Follow all applicable codes, regulations, governmental agency, and company directives related to building operations and work safety. Develop an energy...

Job Title: Software Engineer - Virtual Appraisals Company: Snapsheet Job Location: Remote Job Type: Full-time About Snapsheet : Snapsheet is claims technology the way it should be: purposeful, precise, and designed to deliver outcomes. Where others bolt things on, we engineer them into our core systems and processes across cloud-based claims management, virtual vehicle appraisals, and elite loss and recovery services. Trusted by over 170+ P&C Carriers, MGAs, MGUs, TPAs, and logistics companies, our open architecture is built to fit how our companies work, not the other way around. What you'll get: Remote working environment - your new commute is however long it takes to walk to your desk! Flexibility - empathy is ingrained in who we are and we are happy to offer a flexible PTO policy, casual dress code, and more! Development - Mentorship programs, 1-on-1 management, promote when ready culture, quarterly internal promotion opportunities, and goal...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...

Become a part of our caring community and help us put health first The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records. The Director contributes to the investigations of fraud, waste and abuse. The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment. The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. The Director contributes to overall cost reduction, by increasing the accuracy of provider payments via a complex array of medical record audit programs performed by coders and...