- CVS Health (Chicago, IL)
- …Support CVS Health's financial integrity with sound pricing and risk management practices. The Medicare Actuarial Pricing team is responsible for anticipating ... estimate future healthcare costs, revenue, and profitability. + Analyzes claims data to assess patterns, trends, and cost drivers...of areas of concern and recommends corrective actions to management for review and resolution. **For this role you… more
- UNC Health Care (Morrisville, NC)
- …system. **Requires working knowledge of hospital billing standards and claims processing guidelines. Strong multitasking skills required to navigate fast-changing ... 2. Develops and maintains clear, understandable documentation to describe program development and modification, as well as troubleshooting. Updates system… more
- Centene Corporation (Jefferson City, MO)
- …solutions and assist with implementation + Identify ways to enhance performance management and operational reports related to new business implementation processes + ... preferably healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Knowledge of managed care information systems… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …implements plans, processes, policies and procedures for emergency management , crisis management and contingency planning program elements + Leads incident ... legal, and payroll expertise to our customers. Job Summary: Develops crisis management , emergency management and contingency plans for Tokio Marine North… more
- AIG (Chicago, IL)
- Make your mark in Catastrophe Risk Management The North American Catastrophe Risk Management team is responsible for catastrophe modelling and portfolio exposure ... management for AIG's North American Insurance businesses. Effective Catastrophe Management is integral to the success of the business and our catastrophe… more
- City of New York (New York, NY)
- …of Finance has central responsibility and authority for policy analysis, program development, performance tracking and improvement, financial management , ... to ensure compliance and assist programs in more efficient/effective approaches to program administration. - Utilizes automated systems and tools to support public… more
- Subaru of America (Lebanon, IN)
- …design and approval of packaging specifications, reviewing of damage and defect claims data and continuous improvement projects. CORE RESPONSIBILITIES + Develops and ... suppliers. If not able to get a resolution, escalates disputed invoices to management or as directed to respective internal department that would best resolve the… more
- BrightSpring Health Services (Louisville, KY)
- …living, IDD/behavioral health, home infusion, specialty pharmacy, and hospital management programs. ThePlan Administrative Analystestablishes and sets up pricing and ... setups. The ideal candidate will have Long Term Care, Pharmacy Practice Management System setup, Healthcare Billing, Retail Pharmacy Tech, Insurance and/or PBM… more
- AIG (Atlanta, GA)
- …administration system enhancements as well as involvement in testing and release management . Work with business partners to develop acceptance criteria and a plan ... meets the business needs. + Policy administration system change management support for Underwriting teams, helping them to navigate...required. + Experience as an underwriting assistant or in claims for insurance a plus. + Must have significant… more
- NTT DATA North America (NE)
- …disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits. ... handled calls from policy holders inquiring about payments, policy information, or claims to support callers with various questions on different life insurance… more
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