- City of New York (New York, NY)
- …149 bargaining units. 1.Monitor Health Plan Compliance: Review and audit of self - funded health plan financial processes to ensure compliance with ... health plan administrators to develop and execute audit of City self - funded health plan . Coordinate review of audit reports outlining findings,… more
- City of New York (New York, NY)
- …for overseeing staff responsible for the reconciling of claims payments within the City's self - funded health plan effective January 1, 2026. Key ... Responsibilities: o Monitor health plan processes to ensure compliance with contractual obligations, regulatory requirements, and internal policies related to … more
- CVS Health (Carson City, NV)
- …PowerPoint - Exceptional communication skills - 20% Travel required **Preferred Qualifications** - Self - funded Health plan experience - Experience ... Qualifications** - 4-6 Years of Industry Experience - Strong understanding of health plan market (Group Health Insurance) - Strong knowledge of Excel… more
- City of New York (New York, NY)
- …and agency/union contact on all matters relating to the administration of the City's self - funded health plan . Key Responsibilities: - Assist employees ... with new NYCEPPO health plan benefits - Assist employees navigating both ESS and application Forms - Liaison to Agency HR, Unions and active employees - Conduct… more
- Publix (Lakeland, FL)
- …analytics tool and collaborate with external healthcare vendors to optimize our self - funded Group Health Benefit Plan . About Publix Publix is committed ... 5 years of experience managing others + Experience with self -insured healthcare claims within a data warehouse + Microsoft...in healthcare administration + 10 years of experience in health , welfare, or voluntary benefit plan administration… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …HIPAA, ACA, CAA transparency requirements, Mental Health Parity Act, and all self - funded plan regulations + Oversee Form 5500 preparation, PCORI fees, ... ERISA, HIPAA, ACA, CAA, Mental Health Parity, Form 5500, self - funded plan compliance **Leadership Capabilities** + Strategic thinker who translates… more
- Prime Healthcare (Ontario, CA)
- …(7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in a Managed Care, Self - Funded or hospital setting is ... Business Objectives, Healthcare Payers, Claim Operations Strategies, Claim Process Automation, Self - Funded Plans, and Employee Health Plans. Qualifications… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …your authentic self to work with all your unique abilities. Brighton Health Plan Solutions partners with self -insured employers, Taft-Hartley Trusts, ... the HealthCare Payer domain and or Third-party Administration of self - funded clients + Documents scope, objectives and...with Internal and external teams preferred. About At Brighton Health Plan Solutions, LLC, our people are… more
- Pacific Northwest National Laboratory (Richland, WA)
- …and adoption assistance, and fertility support. Employees are automatically enrolled in our company- funded pension plan * and may enroll in our 401 (k) savings ... to accelerate electrochemical energy-storage R&D by building and operating self -driving laboratory capabilities. You will combine AI/ML, robotics, and instrument… more
- UnityPoint Health (Cedar Rapids, IA)
- …Will actively participate in patient staffing as an IDT member. If a Mental Health Worker revises the care plan other than interventions he/she will collaborate ... or mental health professional when appropriate. + Implements the treatment plan by orienting patient/family to environment and treatment plan and performing… more