17 ltc claims operations manager jobs found

Project Engineer The future you want is within reach. Let's build it together. At PCL Construction Services, Inc., part of the PCL Family of Companies (PCL), we don't just build projects-we build opportunities, careers and communities. We are 100% employee-owned, every employee has a stake in our success, and that shared commitment drives how we work, grow and lead in the construction industry. We're a team of builders who care deeply about what we create and who we build it with. That includes you. We are not only investing in what's next in construction, we are investing in what's next for your career. As a Project Engineer for PCL Construction Services, Inc. in North Dakota, you'll have the opportunity to be part of innovative infrastructure projects that shape the future of your community. Why Choose PCL? Choose a career with rewards that matter. PCL's total rewards are designed to support your growth, well-being and future success-because when you succeed, we...

Total Number of Openings 1 Chevron North America Exploration and Production Company is accepting online applications for the position of Production Specialist - Subsurface, located in Minot, ND, through March 4th, 2026 at 11:59 p.m. (Central Standard Time) Responsibilities for this position include by are not limited to: Attend workovers to inspect/witness equipment coming out of hole to assist in mid-job decision making Observe subsurface related tasks/procedures and assure all work performed adheres to Chevron's Operational Excellence standard and regulatory requirements Work collaboratively with Field Specialists and ALCRs to optimize artificial lift, including run times and cycle time management Assisting IOC Subsurface Specialists in troubleshooting Rod Pumps Responsible for killing wells Rod Pump Optimization including POC/VFD adjustments and resolving alarms from IOC, on unit adjustments by vendors Conduct PSSRs on all well...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr. IT Systems Analyst (Data Analyst) Remote Job Description As a Senior IT Systems Analyst (Data Analyst) , you will play a key role in managing and optimizing system and data integrations that support Prime's clinical vendor hub, PartnerIQ . In this role, you will serve as a technical and analytical subject-matter expert responsible for driving seamless data flow between internal platforms, external vendors, and client partners. You will lead end-to-end integration processes including intake, requirements gathering, source-to-target (STT) mapping, SFTP configuration, environment and data readiness, testing, and ongoing IT service management . This position will support and enhance Prime's internal data pipelines...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr. IT Systems Analyst (Data Analyst) Remote Job Description As a Senior IT Systems Analyst (Data Analyst) , you will play a key role in managing and optimizing system and data integrations that support Prime's clinical vendor hub, PartnerIQ . In this role, you will serve as a technical and analytical subject-matter expert responsible for driving seamless data flow between internal platforms, external vendors, and client partners. You will lead end-to-end integration processes including intake, requirements gathering, source-to-target (STT) mapping, SFTP configuration, environment and data readiness, testing, and ongoing IT service management . This position will support and enhance Prime's internal data pipelines...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr Health Informatics Analyst - Remote Job Description The Sr. Health Informatics Analyst leads advanced data initiatives that support clinical programs, cost containment strategies, and operational effectiveness. This role partners with cross-functional teams, including clinical services, pharmacy operations, product management, and client services, to transform complex healthcare data into actionable insights. The position applies advanced statistical, analytic, and business acumen, and champions evidence-based decision-making, regulatory compliance, and improved patient and business outcomes. Responsibilities Analyze large-scale healthcare claims, eligibility, provider, and clinical data to identify trends,...

Job TypeFull timeBenefits EligibilityBenefits EligibleSchedule12-monthsSalary RangeGroup 9 from $26.87 to $32.56 per hour Summary: The Business Operations & Rentals Manager serves as the operational and business lead for Trollwood Performing Arts School and the Bluestem Center for the Arts. This position oversees facility rental administration district-wide and provides full operational management of rentals and revenue-generating activities at Bluestem. This position ensures compliance with district policies, supports revenue goals, and maintains accurate financial and operational records while providing support to the Director. Business Office And Trollwood Operations Management Responsibilities Director Support & Organizational Operations. Priority: Essential | Percent of Time: 30% Examples of this work include: Provide comprehensive operational, administrative, and project-based support to the Director in support of the operations and initiatives of...

Position Scope The Director of Construction is responsible for the strategic leadership, operational oversight, and financial performance of nationwide medium and high voltage electrical construction projects within the Renewable and Utility industries. This role oversees the full project lifecycle including estimating support, contract negotiation, preconstruction planning, construction execution, and project closeout. The Director of Construction drives consistency, operational excellence, risk mitigation, and profitability across all projects while developing and leading high-performing project teams. Location & Travel: This is a remote-based position. Company Overview PACK Power was founded in 2023 to meet a growing demand for specialized High Voltage and Medium Voltage expertise within the Renewable, Power Delivery, Utility, and Data Center markets. The company was built by industry veterans, bringing decades of hands-on experience and a shared vision of...

The future you want is within reach. Let’s build it together. At PCL Construction Services, Inc., part of the PCL Family of Companies (PCL), we don’t just build projects—we build opportunities, careers and communities. We are 100% employee-owned, every employee has a stake in our success, and that shared commitment drives how we work, grow and lead in the construction industry. We’re a team of builders who care deeply about what we create and who we build it with. That includes you. We are not only investing in what’s next in construction, we are investing in what’s next for your career. As a Project Engineer for PCL Construction Services, Inc. in North Dakota, you’ll have the opportunity to be part of innovative infrastructure projects that shape the future of your community. Why Choose PCL? Choose a career with rewards that matter. PCL’s total rewards are designed to support your growth, well-being and future success—because when you succeed, we all do. Our Offerings...

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Job Overview The LTC Account Manager delivers results by strategically educating key LTC stakeholders including closed door pharmacies, consultant pharmacists, and Tier 1 Nursing Home chains in a compliant and ethical manner, while collaborating with the sales team on educating LTC Healthcare Providers on SMPA product clinical attributes for the LTC resident. They ensure customer satisfaction by understanding...

Position Summary Serves as the key stakeholder and subject matter expert (SME) representing Medical review function in internal audits, and health authority inspections. Being available on-site for inspections, internal audit and critical business activities, including at short notice. Provides oversight of the safety profile of Otsuka products Leads the development and execution of medical review strategies for investigational and marketed products Provides strategic leadership of the Global Medical review function and collaborates with other PV functions, vendors and partners. Serves as a member of the Global Medical Safety (GMS) Leadership Team partnering closely with the GMS Head Meets routinely with product specific GPV team members and acts as principal liaison for medical review matters to engage with regulatory agencies on product safety issues. Key Job Responsibilities Represents GPV Medical Safety department from a...

The DI Underwriting Medical Consultant , reporting to the Manager, Underwriting Policy and Support in the Underwriting Policy area, is a key business partner for DI Underwriting. This position assists in maintaining the DI underwriting guidelines and is responsible for reviewing individual health risk characteristics for complicated applicants, assisting in making recommendations to underwriting. The role combines clinical judgment, analytics, and strong communication. The applicant should be a medical professional who can understand health conditions and personal characteristics, singly and in combination, and how they influence the probability of disability. You will Assist with medical reviews of current underwriting cases Review older underwriting and claims files when needed to support ongoing IDI underwriting policy research projects Medical guideline authorship, drafting, updating and driving change across underwriting Review medical literature...

Responsible for performing the clerical and administrative functions for any or all hub and station operational areas, including linehaul, quality assurance and customer service. Tends to damaged and incorrectly addressed packages in a timely manner to optimize delivery time. Serves as a customer’s first line of contact for a variety of issues. Essential Functions Provides clerical support to various management and operational functions, including, but not limited to, photocopying, filing, faxing, emailing and answering telephone Reviews, researches and/or enters data in various systems to support respective functional area Compiles data and provides various regular and adhoc reports to management for review and determination Serves as frontline customer service to receive, solve and/or escalate customer inquiries and issues Assists management with Business Control Self Assessment (BCSA) audit activity by retrieving data and/or files for review In addition to the...

Position Summary We are seeking a dynamic and experienced Associate Director to lead operations for the relevant therapeutic area Patient Access team, focusing on enhancing patient experience and optimizing support programs. This role will support strategic initiatives, manage across cross-functional teams, and ensure the delivery of innovative patient-centric solutions. This role reports to the Senior Director, Patient Access and serves as the primary day-to-day operational lead for Patient Access programs. The position will work in close partnership with the Director, Market Access Operations, and the Director, Field Reimbursement to ensure seamless execution of access strategies. The individual will act as a key operational advisor and collaborator to drive program excellence. Key Responsibilities The position provides operational and tactical support for the relevant therapeutic area Patient Access team and leads projects collaborating with various cross-functional...

Summary Store Associates work either independently or as part of a team in any assigned retail area of a commissary store within the Defense Commissary Agency (DeCA) system, performing a variety of duties including handling, preparing, and stocking grocery and produce items, and checking-out customer purchases. Specific assignments vary by individual store and store management requirements. Read the entire announcement before starting the application process. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Military spouses Military spouses of active duty service members or whose spouse is 100 percent disabled or died on active duty. Clarification from the agency Additional positions may be filled from this announcement....

The Card Operations team is responsible for all aspects of the UMB card programs. This includes customer loyalty programs, card fraud claims processing, card plastics design and inventory, collateral, card product and program set-up, card network relationships, etc. We are also responsible for ensuring the TSYS TS2 system is configured appropriately to support credit and debit card programs for UMB Consumer, Commercial and Healthcare lines of business. TSYS TS2 platform configuration includes option maintenance requests, service requests, project requests, UATV and production testing, research and remediation. Card Operations also supports TSYS issue management and cardholder complaints. As the Card Operations Specialist, you will be responsible for supporting UMB Card Operations with responsibility for completing operational duties as assigned to ensure smooth and efficient execution of card support services. A primary responsibility of this role will be supporting the...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Supv, Operations - Remote Job Description The Supervisor Operations is responsible for ensuring their team delivers on daily production goals and support of key product offerings (Benefit/Network/FormularyDesign, e-Prescribe, Claims Processing, Integrated Product Solutions, Consumer Directed Health Plan, Medicaid and Medicare plans). This position is responsible for talent management efforts, maintenance of processes and procedures, and providing subject matter expertise for escalated issues or project support. Responsibilities Monitor and manage team workload and capacity, quality metrics, cost, and efficiency to ensure performance guarantees, turnaround times and other internal and external service levels are met...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Supervisor - Remote Job Description The Supervisor is responsible for overseeing daily production goals and supporting key product offerings, including Benefit/Network/Formulary Design, e-Prescribe, Claims Processing, Integrated Product Solutions, and Consumer Directed Health Plans. This role encompasses talent management, maintaining processes and procedures, and serving as first tier support for escalated issues. The position also provides project support for new and existing clients, including contributions to clinical program initiatives. Responsibilities Lead, prioritize, and delegate tasks across the Benefit Configuration team, providing clear direction, setting measurable performance expectations, and...