- Highmark Health (Pittsburgh, PA)
- …in business, Economics, Engineering or Life Sciences or related field + Experience in Health Insurance operations and technology + Experience in operational ... In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Columbus, OH)
- …To Include: + 3 years in Business or Healthcare **Preferred** + 5 years with Health Insurance and/or Provider operations + 3 years with operational ... all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the… more
- Integra Partners (Troy, MI)
- …SKILLS: + Certification in Utilization Review or Case Management + Experience with health insurance operations and claims processing + Familiarity with ... training methods, tools, and techniques. + Experience training for call center or Operations areas in the health care industry preferred. + Adequate knowledge… more
- Highmark Health (Columbus, OH)
- …+ 3 years in a management or leadership role **Preferred** + 3 years in Health Insurance and/or provider operations + 3 years in Product Management ... all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the… more
- Highmark Health (Columbus, OH)
- …years applying design process within Agile technology/R&D environments **OR** + 3 years with Health Insurance and/or Provider operations **OR** + 3 years ... all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the… more
- Manulife (Boston, MA)
- …Minimum 2 years of life insurance experience, strong understanding of life and health insurance operations and products is required. + Good understanding ... of life and health insurance operations , applicable regulations, and risks. + Knowledge of SOX/MAR, Corporate Pricing and Valuation Standards, and financial… more
- Medical Mutual of Ohio (OH)
- …interviewing techniques** + **Knowledge of medical terminology** + **Basic knowledge of health insurance operations .** Medical Mutual is looking to ... Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million… more
- Point32Health (Canton, MA)
- …**Experience** + Required: 5-8 years of regulatory, compliance and legislative activities, health insurance operations or legal research or equivalent ... **Who We Are** Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …(minimum high school diploma or GED) and experience. + 2 years of experience in health insurance operations or equivalent general office experience in the ... Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …combination of education/training and experience. . 7 years progressive experience in health insurance claims operations , preferably in a leadership ... Mutual is the oldest and one of the largest health insurance companies based in Ohio. We...us and help our members achieve their best possible health and quality of life. Supervises daily operations… more
- Henry Ford Health System (Detroit, MI)
- …within the health care industry + Knowledge of Managed Care, hospital operations , health insurance , or closely related products + Previous experience ... services - from primary and preventative care to complex and specialty care, health insurance , a full suite of home health offerings, virtual care, pharmacy,… more
- Point32Health (Canton, MA)
- …+ Minimum 3 years' experience in process management + Minimum 3 years' experience in health insurance operations or healthcare setting if PMP certified or 5 ... **Who We Are** Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized...+ Paid time off + Employer-paid life and disability insurance with additional buy-up coverage options + Tuition program… more
- Humana (Louisville, KY)
- …within complex environments. + Facilitating cross-functional teams' efforts. **Preferred Qualifications** + Health insurance operations expertise. + 2 or ... **Become a part of our caring community and help us put health first** The Business Informatics Shared Services (BISS) Team is focused on optimizing the execution,… more
- CGI Technologies and Solutions, Inc. (New Brunswick, NJ)
- …(VP, SVP, CXO), Desired skills: * Prior Heath Care Payor business and/or health insurance operations experience desired * Experience with Affordability ... and Well-being programs **Skills:** + Health - Medicaid + Health Care Payers + Health Insurance + PMI Project Management Prof + Project Management… more
- CareFirst (Baltimore, MD)
- …of a health care system, payer organization, health plan and/or health insurance operations (eg networks, eligibility, benefits). + Must be able ... role will function as a liaison onsite at a health system in Maryland with the hospital care team...process and national, evidence based clinical guidelines and hospital operations . + Knowledge of available community resources and programs.… more
- Humana (Columbus, OH)
- …other cloud reporting systems or experience in Cloud design + Experience working with health insurance operations related data to include enrollment, claims, ... **Become a part of our caring community and help us put health first** The Senior Database Engineer leads important projects in design, development, implementation… more
- State of Georgia (Fulton County, GA)
- …regulations. Develops corrective action plans for non-compliance of health insurance carrier plans. Maintains policies and operations of the Small ... standards. Manages the annual auto re-enrollment process and forwards related health insurance carrier communications. Confirms completion and accuracy of… more
- Prime Therapeutics (Columbus, OH)
- …in working with the Microsoft Office Suite **Preferred Qualifications** + Health insurance /PBM operations and/or regulatory compliance audit experience ... to ensure the most effective and efficient processes and operations are put into place to decrease risk for...assigned **Minimum Qualifications** + Bachelor's degree in Business, Health Care Services or related area of study, or… more
- Travelers Insurance Company (St. Paul, MN)
- …years of people management experience required. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... and leading operations that shape the future of our Business Insurance Technology (BI Tech) federated agile organization. You will lead a diverse and… more
- New York State Civil Service (Albany, NY)
- …EA and IDR processes, as well as relationships with regulated health insurance companies;* Oversees the daily operations of the Consumer Representative Unit ... Duties include, but are not limited to:* Oversees the daily operations of the Health Unit within CAU, which includes two major consumer protection programs:… more
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