- US Tech Solutions (Columbia, SC)
- …program interventions. **Responsibilities:** + Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, ... medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness. +… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... Apprentice including an Associate Degree and 8 or more years of experience in the Claims or Unde rwriting Support areaAND + Knowledge of Microsoft Office… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …seek to shape and implement best practices, ensure efficient processes, and support the delivery of high-quality medical plans. This role ensures alignment between ... planning teams to enhance collaboration across Otsuka + Consider technology and AI to support workflow improvement + Serve as a key point of contact for senior… more
- Iowa Department of Administrative Services (Denison, IA)
- …a CURRENT employee for the State of Iowa (executive branch) how many months of full-time experience as a Workforce Associate do you have? + Not applicable + Six ... reach their goals and reduce their dependence on welfare support systems. You will provide directed, supported pre-employment, and...workshops. + Group and individual job search. + Work experience . + Unpaid Community Services. + HiSet study or… more
- Zurich NA (Indianapolis, IN)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support area OR + Zurich Certified Insurance Apprentice including an ... including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support area Preferred Qualifications: + Bachelor's Degree… more
- CareFirst (Baltimore, MD)
- …to the required work experience . ** Experience :** 5 years experience in business development, operational technology support , Utilization Management (UM) ... and critical work to help design, launch, and execute programs that support initiatives in the changing healthcare environment. This role will focus specifically… more
- ICW Group (CA)
- …present large account service proposals. + Performs accident investigations as needed in support of claims and underwriting. Delivers risk management services to ... help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the… more
- CareFirst (Baltimore, MD)
- …risk score calculation, enrollment, submissions, premiums, medical and pharmacy claims , and provider data. Incumbent is responsible for performing complex ... the Company, as well as external entities, providing coordination and support as required. **ESSENTIAL FUNCTIONS:** + Accurately monitor and reconcile submitted… more
- US Tech Solutions (Columbia, SC)
- …provides health management program interventions. + Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to ... coordinate, monitor, and evaluate medical necessity, options, and services required to support members in managing their health, chronic illness, or acute illness.… more
- AON (New York, NY)
- …Practice is a premier team of casualty brokerage professionals with extensive experience in representing buyers of primary and umbrella/excess liability. We are ... and insurance marketplace, a Broker II reviews clients' exposures and loss experience and develops solutions for clients' needs. + Understands distinctions of… more