- AdventHealth (Maitland, FL)
- … claims analytics Managed Care, Patient Financial services, health insurance claims processing, contract management , or medical economics Proficiency in ... through converting raw data into meaningful applications to support executive decision making. Character traits to include: Strong work...understanding professional and facility claims and managed care concepts such as … more
- AIG (Charlotte, NC)
- …+ Ensure compliance with global regulatory standards and contribute to audit and risk management processes. Preferred Domain Expertise: + Deep knowledge of US ... of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with...knowledge in Systems Development Life Cycle (SDLC), Quality Governance, Risk Management , Vendor Management , and… more
- Robert Half Finance & Accounting (Los Angeles, CA)
- …the project accounting level. + Act as a liaison between project teams and executive management , providing updates on project financials and risks. + Perform ... for complex construction initiatives and delivering actionable insights to executive leadership. Key Responsibilities: + Oversee and review project accounting,… more
- CVS Health (Springfield, IL)
- … management /consulting, financial strategic planning and analysis, mergers and acquisitions, risk management . + Track record of success driving major ... goals. + Lead operational activities across service operations and medical management , including Claims , Encounters, Provider Services, Data Management… more
- Commonwealth Care Alliance (Boston, MA)
- …goals. * Familiarity with CRM systems (eg, Salesforce) and provider relationship management tools. * Understanding of claims operations, utilization ... engagement, delegation partnerships, provider services, contracting, quality, compliance, medical management , and analytics teams to advance provider network operations,… more
- Fairview Health Services (Shoreview, MN)
- …and operational leader responsible for overseeing all aspects of pharmacy benefit management services. This executive has overall responsibility for business ... opportunities. + Operational Oversight Oversee end-to-end PBM operations including claims adjudication, formulary management , rebate contracting, network… more
- Lundbeck (Deerfield, IL)
- …analytical summaries and visual presentations for review by the Compliance Committee and Executive Leadership Team. + ** Risk Management :** Assist with the ... employees. Provide support for compliance communications program. + **Field Compliance Risk Mitigation** **:** Identify and implement strategic projects designed to… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …aim to provide insights that inform pricing, financial planning, reserving, medical management initiatives, and executive decision making. In addition, the ... improve members health and health care quality and moderate claims trends + Design, implementation, and measurement of account...customer service to internal and external clients + Solid risk assessment and management skills with the… more
- Cabela's (Cedar, KS)
- …as a liaison and professional resource to operations management for overall risk , claims management , and safety-related matters. + Performs Resort Safety ... Division (The TACS team is a focus group that manages the safety, compliance, risk management , and mitigation of Resort Operations). The Safety Officer Lead will… more
- EMCOR Group (Highland, IN)
- …injuries (report to workman's comp, track workers comp cases, maintain reports from claims management ) + Submit incidents into EMCOR ACTS system (reporting and ... comprehensive solutions, including design-build, design-assist, value engineering construction, project management , commissioning/startup, and more. **Job Summary** EMCOR Hyre Electric… more