Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Medical Claims Team Lead

Expired Job

State Of North Dakota Bismarck , ND 58502

Posted 2 months ago

Summary of Work

This position is responsible for the following:

  • Oversee day to day functions of the claim auditors.

  • Reviews and ajust claims along with reviewing provider emails.

  • Review and approve claim auditor time off requests.

  • Put together agendas for team meetings and trainings.

  • Process all claim types.

Minimum Qualifications

Requires high school diploma or GED and five years of medical claims processing work experience.

Application Procedures

  • Please provide details in the employment history sections of the application form on how your education, experience and skills will qualify you for this position. Supplemental information such as a cover letter and resume may be included, but the initial review and score will be based on the information provided in your online application.

  • Please fill in all information requested on the application form, such as dates of employment, hours worked per week, credits earned, etc. INCOMPLETE SECTIONS WILL NOT BE GIVEN CREDIT.

  • The Department's Human Resource Division staff will score applications against the minimum qualifications and preferences listed on the job announcement and qualifying military service. After the scoring is completed, a certified list of eligible candidates and the applications will be forwarded to the hiring manager for further consideration and possible interview, based on the final scores.

  • The Department of Human Services does not offer or provide sponsorships. Applicants must be legally authorized to work in the United States.

  • All application material must be received on the closing date by 11:59 pm or before the closing date.

  • A copy of your qualifying degrees transcript and any applicable certifications or licensures must be provided at the time of an interview.

For more information or if you need an accommodation, Please Contact: Cheryl Nelson

Employing Unit: DHS IT Claims

Telephone Number: 701-328-2087

TTY Number: ND Relay Service 1-800-366-6888 (text); 1-800-366-6889 (voice)

If you are experiencing technical difficulties with the Application Process or uploading attachments , please contact or (701)328-3290

Equal Employment Opportunity

The State of North Dakota and this hiring agency do not discriminate on the basis of race, color, national origin, sex, genetics, religion, age or disability in employment or the provisions of services and complies with the provisions of the North Dakota Human Rights Act.

As an employer, the State of North Dakota prohibits smoking in all places of state employment in accordance with N.D.C.C. 23-12-10.

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Natural Resources Team Lead

Swca Inc

Posted 1 week ago

VIEW JOBS 11/9/2018 12:00:00 AM 2019-02-07T00:00 About the opportunity Do you thrive in the pursuit of ensuring excellence in environmental consulting services for your clients? SWCA Environmental Consultants is expanding their team and looking for dynamic individuals who are following their passion in delivering the highest-quality project work. Our Bismarck office is looking for Natural Resources Team Lead to support office goals by pursuing project opportunities, managing projects and clients, directing biological field studies, and supervising and mentoring staff. You will primarily assist clients with projects related to the Endangered Species Act (ESA), the Clean Water Act (CWA), and other federal, state, and local environmental regulations. SWCA offers an enthusiastic, supportive, and casual work environment with flexible schedules and a competitive total compensation and benefits package, including a stock ownership program. What you will accomplish * Serve as a project manager for a variety of natural resource projects * Manage the financial performance of individual projects and effectively coordinate with clients and agencies * Manage client relationships and conduct business development with new and existing clients * Supervise, mentor and instruct project managers, technical staff and field personnel * Network within industry organizations to establish and expand the regional client base and revenue in the areas of environmental planning, permitting, and broad-based natural resources services. * Prepare and review stand-alone biological resources reports, biological assessments, wetland reports, and biological portions of NEPA and/or North and South Dakota state permit documents (PSC, PUC) * Prepare protocols and supervise surveys for sensitive habitats and species; including general surveys for report writing, focused or protocol-level surveys, and pre-construction surveys * Prepare reports related to National Environmental Policy Act, Endangered Species Act, Clean Water Act, technical documents, proposals and other written deliverables related to various permitting/planning and compliance projects as required * Provide management plan/action plan for projects that are on an overrun track and ensure that the plan is implemented to avoid overruns * Primary responsibility for QA/QC oversight of field data to support report-writing, land use planning, State (DEP, EPA, DNR) and Federal reports (Fish and Wildlife Service, USACE, etc.), and permitting * Develop recommendations for mitigation measures, monitoring, and permitting specific to biological resources * Work closely with SWCA's other staff in both natural and cultural resources throughout the company to promote SWCA's business interests in adherence to its mission, vision, and values Experience and qualifications for success * A minimum of a Bachelor's degree (B.A. or B.S.) in Natural Resource Management, Biology, Environmental Science, Fish and Wildlife Science, Ecology, or related field required; graduate degree preferred * Minimum of five (5) years of progressively responsible experience in biological fieldwork, consulting, and project management, including developing and implementing budgets, schedules, and scopes of work from pre-field tasks to final report preparation * Established credibility with federal and state reviewing agencies and clients * Demonstrated experience in supervising, mentoring, and providing leadership for other professionals * Advanced skills and knowledge in one or more specialty scientific areas (e.g., keying rare plants, conducting protocol surveys for special-status species, etc. * Previous experience with environmental surveys, research design, and field implementation on a variety of projects * Previous experience with federal, state, and local laws and regulations in the Western U.S., with experience in North and South Dakota preferred * Experience in wetland delineation following the USACE 1987 Wetland Delineation Manual; Wetland Certification is a plus but not required * Prior primary report authorship in a natural resources consulting context for a variety of project types, in a variety of regions, and with a variety of agencies * Advanced skills and knowledge in one or more specialty scientific areas (e.g., keying rare plants, conducting protocol surveys for special-status species, etc.) * Ability to take initiative, resolve problems, and ensure that tasks are completed in the most effective manner * Flexibility and willingness to learn company procedures, and ability to try new, improved techniques * Excellent communication and interpersonal skills * Ability for overnight travel up to 15% of time. SWCA Environmental Consultants is a growing employee-owned firm, providing a full-spectrum of environmental services. With offices across the United States, SWCA is one of the largest environmental compliance firms and ranks among Engineering News-Record's Top 200 Environmental Firms. If you would like to contact SWCA regarding the accessibility of our website or need assistance completing the online application process due to a disability, please email or call 800-828-8517. This contact information is for disability accommodation requests only. All other inquiries will not receive a response. EOE - women, minorities, individuals with disabilities and veterans are encouraged to apply. Swca Inc Bismarck ND

Medical Claims Team Lead

Expired Job

State Of North Dakota