- The Cigna Group (Franklin, TN)
- …business areas such as employer healthcare, individual and family plans (IFP), pharmacy, stop loss , and dental. Potential rotations for program associates could ... be within: + Healthcare Pricing + Healthcare Reserving + Pharmacy Economics + Financial Planning & Analysis + Data & Analytics + Underwriting + Investment Management + Medical Management **We're** **looking for motivated and curious individuals** to join our… more
- Army National Guard Units (Madison, WI)
- …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
- HUB International (Denver, CO)
- …consulting, ideally with in-depth knowledge of various funding types, underwriting, pharmacy and stop loss contracts, as well as cost management solutions like ... direct provider contrasts, value based payments, onsite/near site clinics, and captives + Extensive knowledge of employee benefits, alternative risk management techniques, and the local market + Previous broker experience and management experience required +… more
- Access Dubuque (Dubuque, IA)
- …people that specialize in compliance, HR consulting, analytics, client communications, worksite products, stop loss and technology. + **Tools & Resources** - You ... will have assessments, checklists, audits, etc. that you can use to tailor custom strategies for each client. You will also have access to partner companies that will provide you with additional resources, such as ThinkHR and Zywave, etc. Ultimately, we like… more
- Access Dubuque (Dubuque, IA)
- …people that specialize in compliance, HR consulting, analytics, client communications, worksite products, stop loss and technology. + **Tools & Resources** - You ... will have assessments, checklists, audits, etc. that you can use to tailor custom strategies for each client. You will also have access to partner companies that will provide you with additional resources, such as ThinkHR and Zywave, etc. Ultimately, we like… more
- Highmark Health (Bismarck, ND)
- …for someone who has leadership experience along with experience with TPA, Stop loss , and self funded clients.** **ESSENTIAL RESPONSIBILITIES** + Understand ... and utilize economic, financial, market and industry segment data to accurately diagnose business strengths and weaknesses, identify key issues and implications for potential strategies and plans. + Utilize appropriate financial strategies and systems to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …benchmarks and internal targets, identifying emerging risks related to claims volatility, stop - loss and value-based care programs. + Manages end-to-end processes ... for financial reconciliation of claims data received from third party administrators. + Identifies trends in utilization, including in-network vs out-of-network patterns and highlight cost drivers and opportunities for optimization. + Identifies and implements… more
- HCA Healthcare (Nashville, TN)
- …Accounts (HRA), vision, LTD, STD, life insurance, benefits administration fees, EAP, COBRA, Stop Loss and various voluntary plans and make reporting available ... for all facilities by way of Atlas. + Provide support for executive reporting for various components of $6.0B in annual benefits spend. + Facilitate reconciliation of monthly payments and cost allocation to facilities for accuracy and completeness and maintain… more
- Staffing Solutions Organization (Albany, NY)
- …Setting** **Item 1032** **50% Onsite 50% Remote** **Responsibilities:** + Adjudicate and process Stop loss payment requests + Run SQL code against the Office ... of Health Insurance Program's database + Ensure health plan submissions match database's encounter diagnoses and procedure codes + Develop and maintain procedures and processing methods + Update and maintain public website information + Run weekly inventory… more
- HUB International (Denver, CO)
- …preferred, ideally with in-depth knowledge of various funding types, underwriting, pharmacy and stop loss contracts, as well as cost management solutions like ... direct primary care, value based payments, onsite/near site clinics, and captives + Extensive knowledge of employee benefits, alternative risk management techniques, and the local market + Bachelor's degree required + Ability to travel to all Colorado office… more