- CVS Health (Harrisburg, PA)
- …And we do it all with heart, each and every day. **Position Summary** As part of the Stop Loss Center of Excellence, this role will be supporting the Stop ... through effective underwriting. Identifies and manages risk, focused on stop loss risk, to maximize revenue, membership, and earnings. Performs underwriting… more
- Highmark Health (Topeka, KS)
- …**Job Description :** **JOB SUMMARY** This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with ... big impact for those we serve. **ESSENTIAL RESPONSIBILITIES** + Processes daily incoming Stop Loss claims including initial entry claims or subsequent claims as… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …and maintain strong client relationships with employee benefit brokers and consultants, stop loss carriers, and various clinical point solutions providers. ... stop - loss . In-depth knowledge of Self-funded employee benefit plans, stop loss insurance, and risk management principles. CERTIFICATIONS, LICENSES,… more
- CRC Insurance Services, Inc. (Charlotte, NC)
- …Coordinates and executes comprehensive internal and external marketing plans which would assist with current and future business development of the company. ... **The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one.** _If you have a disability and need assistance with the application, you… more
- Elevance Health (Boston, MA)
- …Auditor II** is responsible for audits of high dollar claims across the stop loss business, including specialized claims, working independently and without ... is responsible for auditing of high dollar claims across the stop loss business, including complex specialized claims within Service Experience. Serves as… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …segments such as Marketing, Product Portfolio, Infrastructure Planning and Network Planning. The Stop Loss Underwriter II will underwrite accounts of a variety ... of Stop Loss programs for self-funded accounts. This role is eligible for our Flex Persona. Your Day to Day Responsible for the accurate and timely calculation… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …semi-annually to University Board **Risk Management & Actuarial Oversight** + Restructure stop - loss insurance program for $1.3B scale (specific and aggregate ... **Vendor Management & Cost Optimization** + Lead negotiations with TPA, PBM, stop - loss carriers, and specialty vendors managing $50M+ administrative spend +… more
- Medical Mutual of Ohio (OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- WTW (Stamford, CT)
- …on funding strategies, underwriting pools, credibility methods, pooling point analysis, and stop - loss solutions to optimize risk management. + Carrier and Market ... + Deep understanding of employer health risk management strategies, including stop - loss , credibility, and rating mechanics. + Experience advising small… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …with a strong emphasis on pharmacy pricing, carve-in/carve-out strategies, and stop - loss evaluations. The position requires strategic thinking, data-driven ... fully insured and self-insured environments. They bring expertise in pharmacy pricing, stop - loss strategies, and analyzing complex data to build competitive… more
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