• Director, TPA & Dental Service Operations

    Medical Mutual of Ohio (Brooklyn, OH)
    …related to the role may substitute for a degree. . 8 years progressive experience in health insurance operations or related field, 5 years of which are in ... Mutual is the oldest and one of the largest health insurance companies based in Ohio. We...installations and implementations. This position ensures smooth and efficient operations to achieve customer satisfaction by overseeing all activities… more
    Medical Mutual of Ohio (05/03/25)
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  • Senior Customer Implementation Analyst - HNAS

    Highmark Health (Atlanta, GA)
    …working with logical data structures **Preferred** + 5 - 7 years of experience in health insurance operations , benefits operations , or other related ... In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
    Highmark Health (04/03/25)
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  • Benefit Administration Analyst - Sharp…

    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 (05/11/25)
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  • Manager Benefit Administration - Sharp…

    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
    Sharp HealthCare (05/11/25)
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  • Senior Strategy Analyst - Pharmacy Programs

    Highmark Health (Honolulu, HI)
    …in business, Economics, Engineering or Life Sciences or related field + Experience in Health Insurance operations and technology + Experience in operational ... In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
    Highmark Health (05/14/25)
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  • Senior Manager, Audit and Advisory Services

    Manulife (Boston, MA)
    …Minimum 2 years of life insurance experience, strong understanding of life and health insurance operations and products is required. + Good understanding ... of life and health insurance operations , applicable regulations, and risks. + Knowledge of SOX/MAR, Corporate Pricing and Valuation Standards, and financial… more
    Manulife (05/14/25)
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  • Associate Manager, Audit and Advisory Services

    Manulife (Boston, MA)
    … industry experience. + Life insurance experience, understanding of life and health insurance operations and products is preferred. + Knowledge of ... and objective assurance and consulting activities to add value and improve the operations of the Company. Audit and Advisory Services assist the Company in achieving… more
    Manulife (03/08/25)
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  • Lead Corporate Project Manager

    Point32Health (Canton, MA)
    …+ Minimum 5 years' experience in process management + Minimum 5 years' experience in health insurance operations or healthcare setting if PMP certified or 7 ... **Who We Are** Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized...+ Paid time off + Employer-paid life and disability insurance with additional buy-up coverage options + Tuition program… more
    Point32Health (04/26/25)
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  • Coordinator, Physicians Group Practice - Neuro…

    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
    Queen's Health System (05/03/25)
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  • Senior Project Manager

    CGI Technologies and Solutions, Inc. (Knoxville, TN)
    …10-15 years of project management experience. * Prior Heath Care Payor business and/or health insurance operations experience * Minimum 2 years' experience ... opportunities and tuition assistance *Wellness and Well-being programs **Skills:** + Health - Medicaid + Health Insurance + PMI Project Management Prof +… more
    CGI Technologies and Solutions, Inc. (04/11/25)
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