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Compile medical expense and statistical data for a variety of projects such as producing monthly variance analysis reports, medical expense forecasting, identifying medical trends and performing premium and membership trend analysis Perform expense cost projections and unpaid claim reserve cost estimates Compile various financial reports Are you ready to use your creativi
Posted 2 days ago
include but not limited to Manage all aspects of case underwriting for in force plans Effectively utilize underwriting guidelines, tools and models to develop appropriate renewal rates; complete plan design analyses and supporting renewal documentation Manage incoming requests for plan changes, making appropriate decisions and offers; support growth initiatives by leveragi
Posted 10 days ago
Develop and foster working relationships with internal and external business colleagues and counterparts to facilitate productive exchanges of information Manage and own 340B communications for Genoa Healthcare both internally and externally as main POC Own the responsibility of optimization activities including claim capture, program expansion, providing sales/product in
Posted 2 days ago
Arch Insurance Group, Inc.
- New York, NY / Jersey City, NJ / St. Paul, MN / 3 more...
Actuarial Director Entity Arch Insurance Group Inc. Job Locations US NY New York | US NJ Jersey City | US MN St. Paul | US IL Chicago | US CT Hartford | US MO Kansas City Job ID 2021 4913 Business Segment Insurance # of Openings 1 Category Actuarial The Position Arch Insurance Company is seeking a motivated actuarial candidate to join a dynamic reserving and loss analytic
Posted 1 month ago
We are actively seeking a talented and credentialed Actuary to lead and provide financial management leadership for the Affinity Solution Group's life and health products. At Securian Financial the internal title for this position is Actuarial Consultant or Actuarial Sr. Consultant. The title is based on qualifications, experience and exams. Responsibilities include but n
Posted 10 days ago
Change Healthcare
- Atlanta, GA / Philadelphia, PA / Providence, RI / 45 more...
Mergers & Acquisitions Integration Senior Analyst Overview of Position The Mergers & Acquisitions Integration Senior Analyst provides project management support for the Mergers & Acquisitions Integration Separation team including mergers, acquisitions, divestitures, joint ventures, and related activities . What will be my duties and responsibilities in this job? Support t
Posted 7 days ago
The Director, Claims Operations oversees the following functional areas claims processing, claim payment recovery, claim analysis & issue resolution and provider appeals, ensuring the highest level of service is provided to customers, members and providers across all business/product lines in an environment of geographic expansion and growth. The Director of Claims will h
Posted 1 month ago
As an Insurance Denials Specialist you will investigate and determine the reason for a denied or unpaid claim, and take necessary steps to expedite the medical billing and collections of the accounts receivable. At CDI our passion for our patients, customers and purpose requires teamwork and dedication from all of our associates. Working in a team environment, you'll comm
Posted 17 days ago
Arkansas Blue Cross & Blue Shield
- Little Rock, AR / Detroit, MI / Memphis, TN / 16 more...
ABCBS has a mandatory Covid 19 vaccination policy for designated employees, including employees hired on or after October 1, 2021. Any qualified individual selected for a position will receive a conditional offer of employment which requires that they comply with the Mandatory Vaccination Policy for Designated Employees prior to their first date of employment. All new emp
Posted 13 days ago
About Blue Cross Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.9 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us. Please note that effective 11/23/2021, all associates must be fully vaccinated for COVID19 unless
Posted 19 days ago
At Pentair, you will work along side passionate problem solvers who are committed to the future of our planet. We put our purpose into practice, inspiring people to move, improve and enjoy life's essential resources for happier, healthier lives. From our residential and business water solutions to our sustainable innovations and applications, our 11,250 global employees s
Posted 1 month ago
At Securian Asset Management the internal title for this position is Asset Management Sr. Consultant. Overview Securian Asset Management is seeking a Senior Corporate Bond Analyst to support the growth of our public bond portfolios including both high grade and high yield credit. The position is accountable for helping the research team achieve the investment objectives o
Posted 12 days ago
About Blue Cross Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.9 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us. Please note that effective 11/23/2021, all associates must be fully vaccinated for COVID19 unless
Posted 20 days ago
Cambria
- Belle Plaine, MN
The Risk Analyst is a key member of the safety & risk management team reporting directly to the VP, Safety & Risk Management. This position is responsible for providing analytics and results critical to the safety and risk management operations of the company. Other key responsibilities include recommending which systems to use, maintaining data integrity; gathering and a
Posted 19 days ago
This Manager will support Securian Business Services in delivering underwriting services (risk assessment) and to all individual markets Responsibilities include Direct and develop team of professional underwriters to ensure effective, efficient service delivery, associate development, and proper application of mortality and other risk management goals are met. Support ri
Posted 12 days ago
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