- Deloitte (Philadelphia, PA)
- …product strategy + Reimbursement models - including value-based care/ACO modeling + Risk adjustment mechanisms + Familiarity with group insurance products ... Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital...& Insurance Solutions practice works with finance, actuarial, and risk functions to help life insurance companies, property &… more
- CVS Health (Trenton, NJ)
- …Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) Licensed Clinical Social Worker (LCSW) ... and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- RELX INC (Trenton, NJ)
- Account Manager , Clinical Solutions Do you enjoy building successful customer relationships? Would you like to deliver a sales strategy that creates growth? About ... the patient experience, and financial outcomes. About the Role As an Account Manager , you will partner with your accounts, calling on key stakeholders to measure… more
- Deloitte (Philadelphia, PA)
- …with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance...be eligible to participate in a discretionary annual incentive program , subject to the rules governing the program… more
- Walmart (Philadelphia, PA)
- …equipment needs; identifying equipment to increase efficiency; directing temperature adjustment ; analyzing systems and load requirements to determine setback modes ... mindset; fosters an environment that supports learning, innovation, and intelligent risk -taking; and exhibits resilience in the face of setbacks. Digital… more
- CVS Health (Blue Bell, PA)
- …considering the changing landscape of the ACA and overall business objectives * Contribute to risk adjustment and risk score analysis to enhance pricing & ... forecasting expectations regarding risk adjustment , including collaborating with business partners in Product Performance & Revenue Integrity, as well as… more
- AIG (Philadelphia, PA)
- …career progression and may report to a Team Leader, or to a Team Manager , Underwriting Support. This role assists the underwriters by screening risk offerings ... sensitive business for national accounts + Support regional UA Manager in overseeing all daily business activities and act...Review new submissions against prescribed criteria to determine if risk qualifies for LOB risk appetite. Triages… more
- Integra LifeSciences (Princeton, NJ)
- …and evolving ESG-related regulations, such as the Carbon Border Adjustment Mechanism (CBAM), EU Deforestation Regulation, REACH (Registration, Evaluation, ... operations, and oversee the compliance process by acting as a project manager to align efforts across departments. This includes ensuring that functional teams… more
- AIG (Philadelphia, PA)
- In addition to the traditional UA duties, this role will: + Support regional UA Manager in overseeing all daily business activities and act as the first point of ... Review new submissions against prescribed criteria to determine if risk qualifies for LOB risk appetite. Triages...underwriter. + Possess an in-depth understanding of coverages and program structures, as well as internal policy coding systems… more
- Amazon (Robbinsville, NJ)
- …team. In this position, you will work closely with the WHS Site Manager , WHS Specialist, and occasionally the Injury Prevention Specialist (IPS). This includes ... will refer care to outside medical providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a part of the larger team… more
- Bristol Myers Squibb (Princeton, NJ)
- …models to identify workforce risks and opportunities and make recommendations for workforce risk mitigation strategies. + Support the Product Manager of the ... consistently demonstrating BMS's core values. **Key Responsibilities** **Strategic Workforce Planning Manager ( 3 0%)** : Develops and implements workforce planning… more