- USAA (San Antonio, TX)
- …so special! **The Opportunity** **What you'll do:** We are seeking a dedicated Manager Claims Operations - STARS . This position must be based in the San ... is available for this position. Manages and is accountable for auto claims operations member service employees who are responsible for serving our members, and… more
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst ... experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Basic to intermediate SAS coding skills… more
- Parsons Corporation (New York, NY)
- …We've got what you're looking for. **Job Description:** **Parsons is looking for a** **Change Manager - Claims ** **to join our team! In this role, you'll have ... management, design management, construction management, stakeholder coordination, federal compliance, operations support, office administration, and related services._** **What You'll… more
- Marriott (Nashville, TN)
- …school diploma or GED; 3 years experience in the human resources, management operations , or related professional area. OR * 2-year degree from an accredited ... or related major; 1 year experience in the human resources, management operations , or related professional area. **CORE WORK ACTIVITIES** **Managing Recruitment and… more
- Medical Mutual of Ohio (OH)
- …guidelines and Medicare Part D (pharmacy) and the ability to apply to business operations . . Strong knowledge of pharmacy claims processing through retail or ... I** Working under general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare… more
- Marriott (Chula Vista, CA)
- …or related professional area. **CORE WORK ACTIVITIES** **Managing Security/Loss Prevention Operations ** * Assists the Director of Engineering in administering fire ... the well being of guests and employees. * Oversees all loss prevention operations to include but not limited to patrol process, emergency response, investigations… more
- Marriott (Forest Heights, MD)
- …or related professional area. **CORE WORK ACTIVITIES** **Managing Security/Loss Prevention Operations ** * Assists in conducting hazard and risk assessments at the ... action plans to monitor and control risk. * Oversees all loss prevention operations to include but not limited to patrol process, emergency response, investigations… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …attendance in our office in Coral Gables, FL Position Purpose: The HEDIS Manager oversees all aspects of Healthcare Effectiveness Data and Information Set (HEDIS) ... operations at Doctors HealthCare Plans (DHCP), including strategic planning,...business (Medicare Advantage and other applicable programs). The HEDIS Manager is a key leader in quality measurement, driving… more
- VNS Health (Manhattan, NY)
- …is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations of our grievance and appeals processes. You will play a crucial role in ... Relations, Claims , Medical Director, third party administrator, pharmacy benefit manager , to achieve resolution of appeals and grievances. + Ensures the accuracy… more
- Citigroup (New Castle, DE)
- …Enter MIS / Benchmark daily Perform daily review/reconciliation of cases to ensure claims are processed in accordance to MCA ( manager control assessment) and ... processing assistance for assigned projects. **Responsibilities:** + Perform cash management operations , such as cash handling, check processing, return items and… more
- Trinity Health (Albany, NY)
- …visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** none **CAREER PATH:** Management ** ... OPERATIONS /COMPLIANCE:** Is responsible for data management, investigation & reporting....leadership to develop risk mitigation plans associated with litigated claims . Ensures that patient care-related incidents are reported to… more