Medicare Audit & Appeals Supervisor Job at Baxter (Saint Paul)

Medicare Audit & Appeals Supervisor

Supervise employees in the Revenue Cycle Management function while acting as a r...

Location

United States , Saint Paul

Salary:

5666.67 - 7791.67 USD / Month ▼

Baxter

Expiration Date

Until further notice

Requirements

Respiratory Therapist (RT), Licensed Practical Nurse (LPN), or Registered Nurse (RN) or Paralegal required
Current professional licensure or certification as required by the state of residence
3+ years’ experience in Medicare Audits, Medical Claims, Appeals or Third-Party Reimbursement
1+ years leadership or supervisory experience
Strong critical thinking and problem-solving skills
Knowledge of the various contractors Medicare Fee for Service audits, preferred
Knowledge of Medicare Regulations preferred
Experience with Third Party Compliance preferred
Experience with Durable Medical Equipment provider preferred
Six Sigma Green Belt preferred

Job Responsibility

Directly supervise assigned staff, including on-going performance feedback
Apply corrective measures as appropriate to ensure standards are maintained and goals are achieved
Provide work direction and content expertise to direct reports
Supervise medical reimbursement including Clinical Review for coverage and Medicare Appeals
Prepare and submit pre- and post-payment Audits to Medicare programs
Evaluate and process daily adjustment requests as needed
Assist staff in career development and training
Provide training and mentorship to new team members
Monitor workloads, including daily performance metrics, overdue activities and pending files
Identify and resolve issues on complex patient files

What we offer

Medical and dental coverage starting on day one
Basic life insurance
Accident insurance
Short-term and long-term disability insurance
Business travel accident insurance
Employee Stock Purchase Plan (ESPP)
401(k) Retirement Savings Plan with company matching
Flexible Spending Accounts
Educational assistance programs
Paid holidays

Fulltime

Lead Customer Solution Center Appeals and Grievances RN

The Lead Customer Solution Center Appeals and Grievances RN is responsible for a...

Location

United States , Los Angeles

Salary:

102183.00 - 163492.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses
At least 8 years of clinical appeals and grievances experience in a managed care, utilization management and/or case management setting
At least 2 years in Medicare/ Medicaid in a managed care/ health plan environment
At least 1 year of leading a process, program, or staff experience
Extensive knowledge of healthcare regulations and managed care guidelines
Strong critical thinking and problem-solving abilities to assess complex clinical cases and evaluate medical necessity
Ability to communication, conflict resolution, and motivational skills
Ability to work independently and closely with a team in a collaborative and interactive environment
Ability to adjust to changing circumstances within the team
Good verbal and written communication skills

Job Responsibility

Assist with the development of a successful and cohesive Appeals and Grievance (A&G) clinical unit
Quality review of complex and/or escalated clinical A&G cases for all line of business (LOB)
Assist in identifying areas of improvement in increasing positive audit outcomes and improved Customer Service
Ensure the effective investigation and resolution of clinical grievances, appeals, complaints, and complex issues in alignment with L.A. Care policy and procedures and regulatory guidelines
Lead and work closely with assigned team daily
Mentor, coach, and may provide feedback to management on performance of staff
Review and process complex and/or escalated clinical A&G cases
Analyze patient medical records, clinical documentation, and insurance policies to determine medical necessity
Prepare and review A&G files for submission to providers and internal departments
Work with other departments to ensure all aspects of a case are appropriately managed

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Senior Paralegal, Global Intellectual Property

We’re looking for a Senior Paralegal, Global Intellectual Property (“Senior Para...

Location

United States , Hershey

Salary:

Not provided

The Hershey Company

Expiration Date

Until further notice

Requirements

Bachelor’s Degree preferred
Paralegal Degree or Certification required
At least 7+ years of experience in law firm or corporate setting
Dedicated trademark paralegal experience managing US and global portfolios
Experience supporting enforcement matters and collecting evidence
Outstanding time-management and prioritization skills
Strong organization, communication, and cross-functional collaboration skills
USPTO filings (applications, Office Actions, ITU/SOU, Sections 8/15, renewals) and TTAB support
Experience coordinating and managing foreign associates and domain-name enforcement (UDRP/ICANN)
Technology Proficiency: Microsoft Office 365, Anaqua, TEAS/TMEP, SAEGIS/Corsearch

Job Responsibility

Manage the global trademark lifecycle for assigned brands: search & clearance (U.S./international), filings and prosecution, watch services, renewals/maintenance, and portfolio reporting
Review packaging, labeling, and advertising to reinforce brand usage standards and risk mitigation
Support enforcement: draft cease‑and‑desist letters, coordinate platform takedowns, assist TTAB oppositions/cancellations, manage UDRP/ICANN actions, and compile evidence
Own docketing, deadlines, and matter coordination
prepare IP evidence (use, sales, marketing)
Assist in IP aspects of M&A diligence, including assignments and recordals
Drive portfolio governance: audit IP records and SOP adherence
build KPI dashboards
Design and deliver training and practical playbooks for non‑legal stakeholders
Assist the Sr. Counsel, Global Intellectual Property as the business and brand team’s initial point of contact

Fulltime

New

Team Lead, Commissioning

The Commissioning Team Lead is responsible for leading the Commissioning Special...

Location

United States

Salary:

101000.00 - 138600.00 USD / Year

Symbotic

Expiration Date

Until further notice

Requirements

Bachelor's degree in electrical engineering, Automated Production Management, or equivalent work experience
Minimum 5 years of experience leading automated commissioning teams
Proficiency in PLC systems (Allen Bradley, Rockwell Automation, Siemens) and HMI systems
Experience with industrial robotics (ABB, Fanuc) and industrial networking (Ethernet/IP, ProfiNet)
Strong ability to read and interpret electrical plans and troubleshoot automated systems
Self-starter with the ability to take on increasing responsibility in a fast-paced environment
Strong problem-solving skills and a willingness to deepen expertise in complex systems
Excellent teamwork and collaboration across engineering disciplines
Adaptability to work in a rapidly evolving startup environment
Must have a valid driver’s license

Job Responsibility

Patriciate in the preparation, planning, and coordination of the site commissioning schedule
Responsible for the progress of commissioning activities, such as preparing reports on the progress of commissioning and testing
Be the lead at a site at the commission stage while ensure projects have proper resources allocation in order to meet target timelines and budgets
Participated in the preparation of performance reports for commissioning and testing to site support team and cross functional business partners
Coach and mentor site team members and provide technical support for daily activities
Lead daily scrum meetings for the operational team and participate in the site scrum meeting for team leaders and site managers
Participate in various initiatives of continuous production improvement, standardization and improvement of the installation and start-up processes, while ensuring compliance with all health and safety policies
Other duties assigned

What we offer

medical
dental
vision
disability
401K
PTO

Fulltime

New

Cell Operator

Symbotic is seeking a Cell Operator, you will be responsible for system upkeep a...

Location

United States , Woodland

Salary:

23.00 USD / Hour

Symbotic

Expiration Date

Until further notice

Requirements

Associate degree or equivalent experience or certification in electronics, automotive, automation, manufacturing or equivalent field preferred
A minimum of 1 year of experience with mechanical automation systems, educational or training equivalent
Be proficient in performing all System Inspection functions including: cleaning, lubrication, tolerance checking, current measurements, and checking electrical systems
Ability to prioritize work to gain maximum uptime and throughput from an automated cell
Demonstrates commitment and ability to work safely
Ability to work independently of supervisor following procedures and manuals
Ability to Multi-task and perform multiple job functions at once

Job Responsibility

Perform pre-production checks on automated adapters ensuring equipment is in ‘ready to run’ state
Process and monitor the flow of the automated storage and retrieval system, through means of the adapters, including manual inbound, automatic inbound, automatic outbound, to achieve maximum throughput and cases per hour
Prepare pallets for induction into the Symbotic storage and retrieval system
Assess cause of system stoppage and return to service using Human/Machine Interface (HMI) and manual intervention
Communicate and escalate all issues impacting production immediately to operational leadership
Contribute to overall system uptime through system preservation, robot recovery, suspect removal, and bot health actions
Perform periodic system inspections including cleaning, lubrication, tolerance checking, component validation
Report all out of spec conditions and perform root cause corrective action and maintain continuous operation of system components
Monitor and utilize common radio etiquette while obtaining instructions from leadership and operational leads
Perform rover bot upkeep to include, but not limited to, replacing wheels, cleaning, ESD brushes, sensors, etc

What we offer

medical
dental
vision
disability
401K
PTO

Fulltime

New

Editor

We’re Fever, the world’s leading tech platform for culture and live entertainmen...

Location

United States , New York

Salary:

90000.00 - 98000.00 USD / Year

Fever

Expiration Date

Until further notice

Requirements

3+ years experience working for a newsroom, content agency, creative agency, or digital media property
Proficient level of English
Deep passion for journalism, social media, and digital marketing
Ability to adapt to the ever-changing and fast-moving world of a digital startup business
Strong attention to detail
Critical-thinker and a problem-solver
Leader comfortable managing a team and supporting them to help achieve their goals
An understanding of basic SEO best practices and keyword targeting
Hands-on knowledge and understanding of the current social media landscape
Avid consumer of platforms such as Instagram, TikTok, YouTube, Facebook, Twitter

Job Responsibility

Finding brilliant stories and generating lots of content ideas for the NYC market
Writing engaging, accurate and informative articles, at pace
Monitor all site content, including daily news, features, and local reporting
Have a strong grasp of the city culture and things to do in NYC
Manage an editorial calendar
Occasional appearances across Reels, TikTok, consumer-facing videos and other brand mediums
Oversee the creation and strategy of Twitter, Facebook, Instagram, TikTok, and Secret NYC newsletters
Make sure all site copy and headlines are proofread
Make sure all posts are SEO friendly
Conduct keyword research

What we offer

Attractive compensation package
Opportunity to have a real impact in a high-growth global category leader
40% discount on all Fever events and experiences
Home office friendly
Responsibility from day one and professional and personal growth
Great work environment with a young, international team of talented people
Health and Dental Insurance
Gympass membership
401K enrollment

Fulltime

New

Machine Learning Scientist Intern

The Summer Intern session is a 12-week, full-time (40 hours Monday-Friday) progr...

Location

United States , Wilmington

Salary:

29.00 - 45.00 USD / Hour

Symbotic

Expiration Date

Until further notice

Requirements

Currently pursuing PhD or Masters degree in Computer Science or other related discipline required
Strong programming skills in Python and/or C++ (Python is preferred)
Experience with ML frameworks such as PyTorch and/or Tensorflow (PyTorch is preferred)
Experience with image processing such as OpenCV
Enjoys learning new technologies, skills, and techniques as well as teaching them to others

Job Responsibility

Research and experiment with traditional computer vision methods and deep learning methods for object detection, classification, segmentation, pose estimation, anomaly detection on images or videos
Evaluate and benchmark computer vision methods on production data
Deploy software to production on robot hardware
Design data pre and post processing methods
Document designs, code, experiments, evaluations
Identify high-impact scenarios where AI Planning and machine learning can be applied to optimize the Symbotic robotics software
Adapt state-of-the-art approaches or develop high-performance algorithms to solve real-world multi-robot problems
Conduct simulations and experiments to validate the performance of the multi-robot algorithms
Present results in verbal and written communications internally, and in top-tier academic venues

What we offer

medical
dental
vision
disability
401K
PTO

Fulltime

New

New Grad- Integration Specialist

The Integration Specialist role is to startup, commission, test PLC (Programmabl...

Location

United States

Salary:

82000.00 - 113300.00 USD / Year

Symbotic

Expiration Date

Until further notice

Requirements

Bachelor's degree in electrical engineering, robotics, industrial engineering, or a related field required
Familiarity with PLC systems and industrial networks
Strong teamwork, communication, and organizational skills with the ability to adapt in fast-paced environments

Job Responsibility

Support the commissioning of PLC and HMI systems, ensuring proper configuration and communication across customer systems
Conduct hardware and functionality testing to verify performance against project specifications and industry standards
Assist with system integration testing, including WMS connectivity, adapter cells, storage, and safety systems
Troubleshoot hardware and software issues using diagnostic tools to maintain timelines and system performance
Collaborate with engineering, software, and customer support teams to ensure smooth commissioning and go-live support
Execute tasks outlined in the Commissioning Services Scope of Work (SOW), including cabinet startup, software loading, configuration, and validation

What we offer

medical
dental
vision
disability
401K
PTO

Fulltime

Medicare Audit & Appeals Supervisor

Baxter

Location:
United States , Saint Paul

Category:
-

Contract Type:
Employment contract

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
March 21, 2025

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