- City of Eugene (Eugene, OR)
- …cost and trend impacts; reviews comprehensive claims data and recommends premium rates, stop loss levels, and provides input for internal fund development. + ... Works collaboratively with the Employee Resource Center (ERC) Director to develop strategy in managing self-funded health claims fund to ensure well-balanced, cost-effective benefits programs. + Coordinates the selection process for outside consultants;… more
- CVS Health (Albany, NY)
- …time management, and organizational skills. + Self-funded insurance experience. + Stop - loss knowledge. + Resides in northeastern United States, specifically ... Connecticut, Pennsylvania, New York, or New Jersey. + Active Life and Health License in state of residence. **Education** + Bachelor's degree or equivalent experience (HS diploma + 4 years relevant experience). **Anticipated Weekly Hours** 40 **Time Type**… more
- Henry Ford Health System (Troy, MI)
- …group pain points and buying needs. + Manage and support prospect intake, stop loss quoting, and competitive proposal development for prospective self-funded ... and/or shared-funded clients. + Collaborate with team members and accurately forecast sales. + Understand the competitive landscape and work with counterparts across the company to position the sales team effectively to drive new business. + Conduct regular… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …or related field or equivalent work experience\. _Experience_ + 2 Years \- Stop Loss UWg, Financial UWg, Actuarial, or Fin\. Mgmt\. experience ... _Skills\\Certifications_ + Excellent oral and written communication skills + Proficient in Microsoft Office \(Outlook, Word, Excel and PowerPoint\) + Effective analytical, planning, interpersonal, organizational and research skills with the ability to handle… more
- Army National Guard Units (Richmond, VA)
- …Identifiers (SQI), Military Occupational Specialty (MOS) identifiers (primary or secondary), Stop Loss programs, and National Guard Bureau (NGB) waivers, ... casualty assistance, and requests for retention beyond mandatory removal date. Reviews and determines eligibility upon accepting military technicians (dual status) or AGR positions. Assists other organizations and agencies/units in development of battle roster… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …to the analyses of existing and proposed products and benefits, provider risk pools, stop loss , and administrative costs, as required. + Conduct peer reviews of ... technical work of analyst team. + Monitor and review analytical data from various departments, for content, accuracy, associated problems, and action recommendations to correct. + Provide detailed documentation of corrective actions including discussions of… more
- Insight Global (Austin, TX)
- …complete scheduled preventative maintenance in a timely manner to minimize stop loss , troubleshoot complex problems, and monitor equipment processes. ... Day-To-Day: - Experience with the following tools is desired: AMAT (DPSII, DPS, MxP, MxP+, IPS, Super E & 5200s), Ulvac, Gasonics, Fusion Gemini & LAM (4400 & Coronus) Dry Etch tools. - Troubleshoot and repair all hardware and process failures for above tools.… more
- Rhythm Pharmaceuticals (Boston, MA)
- …decision-making and/or + Commercial self-insured employer segment, including TPAs, PBMs, and stop - loss carriers + Demonstrated success in building and managing ... relationships with employers, PBMs and national payers and securing favorable coverage decisions. + Proven record of persistence to finding avenues to overturn complex patient access cases + Strategic thinking with a collaborative mindset and ability to… more
- Scholastic (Newark, NJ)
- …Surest, and Express Scripts to analyze costs while complying with HIPPA regulations + Stop loss analysis + Collaboration with Corporate Benefits + Tracking and ... analysis of other health & welfare expenses + Booking journal entries to accurately reflect financial transactions and researching variances against the AOP/forecasts in conjunction with coordinating these jobs with Malaysia + Consolidation and analyzing… more
- WTW (Boston, MA)
- …fully-insured arrangements and understanding of self-funded funding arrangements, including stop loss contracts and provisions + Intermediate/advanced knowledge ... of health & welfare vendor/carrier landscape + Proven ability to manage multiple projects simultaneously and produce quality deliverables on time and within budget + Strong client service orientation and ability to manage expectations and relationships both… more
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