- CareFirst (Baltimore, MD)
- …used for configuration in benefits & pricing for claims processing, claims editing configuration set-up and maintenance. Analyzes business requirements and ... Assesses alternatives to different designs and chooses best solution to fit business needs. Performs complex data modeling and database design with minimal… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …application systems according to provided technical specifications, design and business requirements + Configures AQS policy Administration System to adhere to ... we do, providing the best professional service to our business partners, allowing them to achieve their goals. Our...subject matter experts of the various upstream and downstream systems in the design and development of solutions to… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …in all that we do, providing the best professional service to our business partners, allowing them to achieve their goals. Our talented team delivers actuarial, ... + Provides incident support during emergencies, which may occur outside of standard business hours and require extended shifts depending on the severity and duration… more
- BrightSpring Health Services (Louisville, KY)
- …and sets up pricing and plan parameters in the pharmacy practice systems to support PharMerica client contracts and 3rdparty plans. Responsible for the ... resolving client issues, working in LTC400 and RxExact pharmacy systems for standard and complex plan designs. May work...*Position will be posted for a minimum of 5 business days. Responsibilities + Maintains client pricing and pharmacy… more
- CareFirst (Baltimore, MD)
- …healthcare payor industry, insurance products, and regulation. + Knowledge of CareFirst operations, claims systems , and policies. + Microsoft Power BI and Power ... and maintaining reports, dashboards and data repositories to meet the business intelligence requirements of the organization. Provides data, analysis and… more
- Centene Corporation (Jefferson City, MO)
- …data being collected, resolves complex data quality problems, and collaborates with the business and ETL database developers to improve systems and database ... and provides quality assurance oversight (data error detection and correction) on business processes where data is collected, stored, transformed, or used. Examines… more
- AIG (Chicago, IL)
- …Insurance businesses. Effective Catastrophe Management is integral to the success of the business and our catastrophe modelers play a critical role in managing our ... for the individual in this role is to be the catastrophe modelling business partner for AIG's Retail Property business , and other select portfolios… more
- Molina Healthcare (Racine, WI)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to support the department's goals. + Develops and generates… more
- AIG (Parsippany, NJ)
- …network. Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to be a market leader in critical ... lines of the insurance business . Corporate Finance - Investment Accounting The Investment Accounting...relates to invested assets, the implementation of new accounting systems as it relates to invested assets, and management… more
- Koniag Government Services (Vienna, VA)
- …when inventory reaches reorder points. + Imaging workstations to the latest operating systems . + Installing COTS software. + Installing virus updates on stand-alone ... systems . + Supporting hourly monitoring checks and escalating issues...include assessing system health, replacing components and submitting warranty claims with the vendor. **Requirements** + Shall have four… more