- State of Georgia (Fulton County, GA)
- …and posting, and plan data change management post-open enrollment. Manages day-to-day health insurance carrier operations related to plan offerings ... in Georgia and nationally related to the individual and small group health insurance marketplace. Develops the annual certification criteria, application… more
- University of Utah Health (Salt Lake City, UT)
- …management, financial and performance analysis, organizational development, telehealth strategies, health insurance operations , and employee relations. ... **Overview** _As a patient-focused organization, University of Utah Health exists to enhance the health ...for project work include, but are not limited to: operations , finance, strategic planning, new business development, ambulatory services,… more
- Sharp HealthCare (San Diego, CA)
- …to bring Benefit Administration into compliance. **Knowledge, Skills, and Abilities** + Knowledge of health insurance or HMO operations with emphasis in the ... claims testing activities. **Required Qualifications** + 3 Years in HMO or Health Insurance Management. + Experience working collaboratively across multiple… more
- Sharp HealthCare (San Diego, CA)
- …to bring Plan Administration into compliance. **Knowledge, Skills, and Abilities** + Knowledge of health insurance or HMO operations with emphasis in the ... absence of the Director. **Required Qualifications** + 5 Years in HMO or Health Insurance Management. + 2 Years leadership experience working collaboratively… more
- Robert Half Office Team (Eden Prairie, MN)
- …detail. * Proficiency in managing databases and conducting data reviews. * Familiarity with health care and insurance industry operations . * Knowledge of ... an excellent opportunity to support critical business functions within the health insurance sector. Responsibilities: * Coordinate licensure processes, ensuring… more
- Integra Partners (Troy, MI)
- …SKILLS: + Certification in Utilization Review or Case Management + Experience with health insurance operations and claims processing + Familiarity with ... training methods, tools, and techniques. + Experience training for call center or Operations areas in the health care industry preferred. + Adequate knowledge… more
- Blue Cross and Blue Shield of Louisiana (Alexandria, LA)
- … operations is required **Skills and Abilities** + Must have a working knowledge of health insurance operations . + Valid Louisiana Life and Health ... travel occasionally. **Licenses and Certifications** + Valid Louisiana Life and Health insurance license is preferred **ACCOUNTABILITIES AND ESSENTIAL… more
- Point32Health (Canton, MA)
- …Experience + Required (minimum): 5-8 years of regulatory, compliance and legislative activities, health insurance operations or legal research or equivalent ... **Who We Are** Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving… more
- Queen's Health System (Honolulu, HI)
- …(3) years experience in any or combination of the following: physician's practice, health clinic operations , medical insurance , physician practice services. ... RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Supervises the daily operations of the assigned area. * Works collaboratively with management to ensure … more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …* Minimum 3 years experience in process management. * Minimum 3 years experience in health insurance operations (if PMP certified) or 5 years (if not). ... and Well-being programs **Skills:** + Health - Medicaid + Health Care Payers + Health Insurance + Project Management + PMI Project Management Prof… more
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