- UTMB Health (Galveston, TX)
- …care functions for assigned clinical areas. Please note: This position is grant- funded and dependent upon continued available funds. Job Duties: * Assists with ... * Performs technical and supportive patient care skills, incorporating the patient's plan of care and following approved policy and procedure. o Obtains vital… more
- Crown Cork & Seal USA, Inc. Careers (Crawfordsville, IN)
- …life insurance and income protection benefits as well as a company funded pension plan , 401(K), stock purchase, tuition reimbursement and gain ... maintenance support groups internal and external to the facility. Self motivation and ability to make decisions in a...Total Safety Culture, Crown is committed to the safety, health and well-being of all of our employees and… more
- 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
- 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
- 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
- Henry Ford Health System (Troy, MI)
- …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan 's (HAP's): Commercial, Medicare Advantage, Medicare-Medicaid Program… more
- Northwell Health (New York, NY)
- **Req Number** 173504 Job Description The AVP for Health Plan Performance will be responsible for driving the performance of our network solution across ... and administration of policies, services and programs that optimize health plan performance for Northwell Direct. Collaborates...and measure the performance of our network solution for self - funded employers on an ongoing basis, such… more
- Geisinger (Danville, PA)
- …(Medicare) + Individual and Small Group ACA products (ACA) + Fully insured, level- funded , and self - funded products (Commercial) + Develops flexible design ... development, and implementation of innovative commercial and/or government program health insurance products that meet end-user needs (employer groups, individual… more
