Philadelphia Claims Examiner Jobs (TN)

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  • Quality ExaminerThe Judge Group(Chattanooga, Tennessee)

    Our client is currently seeking a Quality Examiner in Chattanooga, TN. The Quality Examiner will be doing quality assurance and auditing for the annual enrollment technicians. Responsibilities: • Review processed items to determine if handled accurately, documentingsources of findings as part of evaluation sheet • Evaluate telephone and written customer service inquiries foraccuracy, presentation,...
    Full job description at Monster

    Posted Tue 12th August

  • Quality ExaminerThe Judge Group(Chattanooga, Tennessee)

    The Quality Examiner will be doing quality assurance and auditing for the annual enrollment technicians Responsibilities: • Review processed items to determine if handled accurately, documenting sources of findings as part of evaluation sheet • Evaluate telephone and written customer service inquiries for accuracy, presentation, follow-up actions and timeliness • Ensure compliance with MTM and Int...
    Full job description at Monster

    Posted Tue 12th August

  • Quality ExaminersThe Judge Group(Chattanooga, Tennessee)

    Judge Healthcare is currently seeking a Quality Examiner in the area of Chattanooga, TN. Responsibilities: • Review processed items to determine if handled accurately, documenting sources of findings as part of evaluation sheet • Evaluate telephone and written customer service inquiries for accuracy, presentation, follow-up actions and timeliness • Ensure compliance with MTM and Internal quality g...
    Full job description at Monster

    Posted Tue 12th August

  • Claims Representative Associate - Brentwood, TNUnitedHealth Group(Nashville, Tennessee)

    Description: Energize your career with one of health care's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading health care companies, UnitedHealth...
    Full job description at Monster

    Posted Fri 29th August

  • Pharmacist In Charge - Nashville TN AreaCompound Rx Group LLC(Memphis, Tennessee)

    Compounding Pharmacist In Charge - Location: Nashville TN Area The company is a full POC Management Company serving orthopedic and pain management physicians and is expanding rapidly and is looking for a Compounding Pharmacist in Charge to support a new independent pharmacy in the Nashville, TN area. This pharmacy will have a significant volume of non-sterile compounds, including mail order. Our p...
    Full job description at Monster

    Posted Tue 12th August

  • Pharmacist In Charge - Nashville TN AreaCompound Rx Group LLC(Knoxville, Tennessee)

    Compounding Pharmacist In Charge - Location: Nashville TN Area The company is a full POC Management Company serving orthopedic and pain management physicians and is expanding rapidly and is looking for a Compounding Pharmacist in Charge to support a new independent pharmacy in the Nashville, TN area. This pharmacy will have a significant volume of non-sterile compounds, including mail order. Our p...
    Full job description at Monster

    Posted Tue 12th August

  • Pharmacist In Charge - Nashville TN AreaCompound Rx Group LLC(Chattanooga, Tennessee)

    Compounding Pharmacist In Charge - Location: Nashville TN Area The company is a full POC Management Company serving orthopedic and pain management physicians and is expanding rapidly and is looking for a Compounding Pharmacist in Charge to support a new independent pharmacy in the Nashville, TN area. This pharmacy will have a significant volume of non-sterile compounds, including mail order. Our p...
    Full job description at Monster

    Posted Tue 12th August

  • Senior Healthcare Economic Analyst - Franklin, TNUnitedHealth Group(Nashville, Tennessee)

    Description: What makes your career greater with UnitedHealth Group? Growth opportunities among the variety of product lines and making an impact on the healthcare system ensures it will always be challenging and exciting. The Senior Healthcare Economic Analyst will be responsible for working in conjunction with Data Analysts to identify new trends, develop, test and implement new production audit...
    Full job description at Monster

    Posted Thu 21st August

  • RN PharmacyCapital Placement Agency(Memphis, Tennessee)

    Job Order Number: 10510 Job Title: RN Pharmacy Location: Memphis, Tennessee Duration: Contract to Hire or Permanent Pay Rate: $20.00-$30.00 Contract/ $45K-$55K Job Description: PRIMARY PURPOSE: To utilize evidence based tools to evaluate the prescribed medications to ensure patient safety and quality standards are in alignment with best practice standards. ESSENTIAL FUNCTIONS and RESPONSIBILITIES ...
    Full job description at Monster

    Posted Sun 24th August

  • Title Legal Assistant(Memphis, Tennessee)

    Law firm in the Memphis area is seeking a title examiner or defect legal assistant. Candidate will be responsible for reviewing and clearing defective title issues to achieve clear and marketable title. Duties for this position include, but are not limited to opening title files when notified of a title issue, updating clients regarding the resolution of the title defect, preparation of legal docu...
    Full job description at Monster

    Posted Mon 25th August

  • Health Care Data Mining Analyst - Wauwatosa, WI Or Franklin, TNUnitedHealth Group(Nashville, Tennessee)

    Description: Some people take things as they come. Others relentlessly push themselves to go farther. Combine health care and technology, which are two of the fastest-growing fields on the planet, with UnitedHealth Group's culture of performance, collaboration and opportunity and this is what you get: industry-leading health care services at a company that's improving the lives of millions. As a H...
    Full job description at Monster

    Posted 3 days ago

  • Government Data Mining Auditor - Franklin, TNUnitedHealth Group(Nashville, Tennessee)

    Description: Position Description: The Government Data Mining Auditor will work with a team on researching issues to determine feasibility of reducing medical costs through prospective solutions of claim system processes and claim business rules. Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health ...
    Full job description at Monster

    Posted Tue 26th August

  • Director Data Mining Analytics - Wauwatosa, WI Or Franklin, TNUnitedHealth Group(Nashville, Tennessee)

    Description: Director of Data Mining Analyt - Wauwatosa, WI or Franklin, TN Are you ready to analyze data and deliver bold, business-savvy solutions to help millions live healthier lives? UnitedHealth Group is where some of the most innovative ideas in health care are created every day. As the Director of Data Mining Analytics, you will lead a team responsible for the development of data mining an...
    Full job description at Monster

    Posted Fri 22nd August

  • 563669: Associate Director, Healthplan Fraud Operations - Eden Prairie MN Or Franklin TNUnitedHealth Group(Nashville, Tennessee)

    Description: Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), health care fraud, waste and abuse strips nearly $70 billion from the in...
    Full job description at Monster

    Posted Tue 26th August

  • RN PharmacySedgwick CMS(Memphis, Tennessee)

    Pharmacy RN Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick Claims Management Services, Inc. has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick CMS is the place for you. As th...
    Full job description at Monster

    Posted Thu 21st August

  • Senior Recovery Resolutions Representative - Franklin, TNUnitedHealth Group(Nashville, Tennessee)

    Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. The Senior Recovery Resolution Representative handles information about patient services and how th...
    Full job description at Monster

    Posted Thu 21st August

  • Pre-Pay Facility Audit Supervisor - Eden Prairie, Franklin, TN Or TelecommuteUnitedHealth Group(Nashville, Tennessee)

    Description: Position Description: You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work. Primary res...
    Full job description at Monster

    Posted Thu 21st August

  • Manager Recovery - Resolutions - Franklin,TNUnitedHealth Group(Nashville, Tennessee)

    Description: Position Description: You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work. The Clinica...
    Full job description at Monster

    Posted Thu 21st August

  • Senior Recovery - Resolutions Representative - Franklin,TNUnitedHealth Group(Nashville, Tennessee)

    Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. The Senior Recovery/Resolution Representative handles information about patient services and how th...
    Full job description at Monster

    Posted Thu 21st August

  • Recovery Resolutions Supervisor - Franklin, TNUnitedHealth Group(Nashville, Tennessee)

    Description: Position Description: You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work. Primary Res...
    Full job description at Monster

    Posted Fri 22nd August

Philadelphia TN Job Search Tip

Philadelphia has been a leading cultural and commercial city since the 18th century. The key to the city's economy is its diversified industrial base. Plastics, foods, textiles, machinery, chemical, electronics, transportation, furniture and scientific instruments are its leading manufacturers. New industries to the city include many biotechnology and healthcare firms. Installations of the Internal Revenue Service and the U.S. Mint are based in the city, along with the U.S. Naval Shipyard. The shipyard was closed in 1995 and has since gone commercial.

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