- ICW Group (Philadelphia, PA)
- …to provide data analytics and field case management support to the managed care and cost containment team in the execution of the team goals. **ESSENTIAL DUTIES ... trending and to overcome barriers to meeting goals and objectives. Provides cost containment program support. + Provides support to claims and audit teams as… more
- Highmark Health (Harrisburg, PA)
- …all information is available to finalize the payment request. Refers the claim to the cost containment and RxOps departments for review of high dollar charges if ... **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information effectively. +… more