- Point32Health (Canton, MA)
- …in personnel management and compliance related activities, legislative and regulatory 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
- UPMC (Pittsburgh, PA)
- … practices meet applicable regulatory requirements and assist mitigating risks within our health insurance operations . The ideal candidate must be ... UPMC Health Plan has an exciting opportunity for a...of working from home and in office. The UPMC Insurance Services Divisions (ISD) Corporate Compliance and Ethics Program… more
- Queen's Health System (Kamuela, HI)
- …(4) years experience in any and/or combination of the following: physician's practice, health clinic operations , medical insurance , and physician practice ... business operations of the Ambulatory Clinics to ensure high-quality health care services and excellent customer service. * Works collaboratively with management… more
- Queen's Health System (Ewa Beach, HI)
- …(3) years experience in any or combination of the following: physician's practice, health clinic operations , medical insurance , physician practice services. ... 02/25 Effective Date: 02/22 I. JOB SUMMARY/RESPONSIBILITIES: * Supervises the daily operations of the assigned area. * Works collaboratively with management to… more
- System One (Dayton, OH)
- …will focus on designing and governing secure, scalable Azure solutions that support health insurance operations , digital member experiences, and data ... identity, access management, and network security + Experience working in health insurance or regulated healthcare environments + Strong knowledge of HIPAA… more
- IQVIA (ME)
- …knowledge of complex statistical methods * Familiarity with retail pharmacy and/or health insurance operations * Previous experience working collaboratively ... Physics, or another related field with at least ten years relevant pharmaceutical/ health insurance /retail experience * Masters-level degree in Statistics, Data… more
- CVS Health (DE)
- …. Minimum 5 years' experience in plan setup, benefits administration, account management, operations , and/or enrollment . Health insurance or TPA experience ... At CVS Health , we're building a world of health...regulatory compliance. **What you will do** . Directs support operations for plan sponsors, ensuring timely and effective resolution… more
- CareFirst (Baltimore, MD)
- …of a health care system, payer organization, health plan and/or health insurance operations (eg networks, eligibility, benefits) . + The incumbent ... planning and coordination to address members medical, behavioral and/or social determinant of health needs to promote a safe transition to the appropriate level of… more
- CareFirst (Washington, DC)
- …a health care system, payer organization, health plan and/or health insurance operations (eg networks, eligibility, benefits). **Salary Range:** ... planning and coordination to address members medical, behavioral and/or social determinant of health needs to promote a safe transition to the appropriate level of… more
- CareFirst (Baltimore, MD)
- … care system or payor organization, as well as health plan or health insurance operations (eg networks, eligibility, benefits). + Excellent verbal and ... Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager...care and positive member experience that leads to optimal health and cost-effective outcomes. We are looking for an… more