- Health Plans, Inc. (Westborough, MA)
- … as they pertain to Summary of Benefits and Coverage (SBC's). The Self-Funded Health Plan Benefit Summary Specialist is a key member of the ... by the United States Department of Labor. The Self-Funded Health Plan Benefit Summary...may be assigned): + Develop, draft, and maintain the Summary of Benefits and Coverage (SBCs) for… more
- Wells Fargo (St. Louis, MO)
- …for an overview of the following benefit plans and programs offered to employees. + Health benefits + 401(k) Plan + Paid time off + Disability ... drug vendor or direct experience working at a Pharmacy Benefits Manager + Health benefit ... communications and the review and distribution of relevant health insurance summary plan documents… more
- Martin's Point Health Care (Portland, ME)
- …Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Health Plan Medical Director provides leadership for the ... clinical care systems that improve the health of our health plan ... benefit determinations. This role works closely with health plan leadership to ensure effective development,… more
- Molina Healthcare (South Florida, FL)
- **Job Description** **Job Summary ** Molina Health Plan Operations jobs are responsible for the development and administration of State Health Plan 's ... Plan President, this role directs and coordinates Health Plan Operations. * Accountable for ensuring... Plan Operations. * Directly manages the Plan 's benefit configuration, claim payment policies and… more
- Geisinger (Williamsport, PA)
- Job Summary Geisinger Health plan is...and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day ... necessary to successfully perform the job. #LI-REMOTE Position Details Active health insurance license required. Education High School Diploma or Equivalent (GED)-… more
- State of Colorado (Golden, CO)
- …leave and benefits programs with care and precision, ensuring compliance with health summary plan descriptions (SPDs) and federal and state absence ... Coordinate retirement planning and provide backup support for group benefit plan administration. + Collaborate with the...the responsibilities of this position. + Knowledge of employee health benefits plans (medical, dental, vision), ADA,… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …maintaining all clients associated benefit documentation including but not limited to, summary plan descriptions (SPD), summary of benefit ... administration, documentation and their successful conversion from a client's Summary Plan Description (SPD) into an internal...and emerging developments in the employee health benefits . + Review clients ERISA medical benefit … more
- Health First (Rockledge, FL)
- … Health Plans ( Health Insurance)* **Organization:** **HF Administrative Plan Inc* **Title:** *Pharmacy Benefit Specialist - Pharmacy* **Location:** ... *POSITION SUMMARY * To be fully engaged in providing...Experience, and Stewardship. Apply proper authorization requirements and pharmacy benefits for all QHP, Non-QHP, ASO and Medicare membership… more
- Health First (Rockledge, FL)
- *POSITION SUMMARY * Lead Health First's efforts in implementing and evaluating community outreach programs based on identified unmet health needs of the ... and transparency within the community. *PRIMARY ACCOUNTABILITES * 1. Plan , maintain, track and report community benefit ...benefit activities in accordance with strategic goals and Health First policy for the filing of IRS Form… more
- CVS Health (Nashville, TN)
- …policy changes, or training needs within the claims processing department. **Position Summary ** **This is a Claim Benefit Specialist position and will ... for each claim based on the patient's insurance plan and policy guidelines and scope. + Assesses claims...to eligible employees, and short-term and long term disability benefits . CVS Health also offers numerous well-being… more
- CVS Health (Phoenix, AZ)
- …to make health care more personal, convenient and affordable. **Position Summary ** The Senior Claim Benefit Specialist (OPS) reviews, researches and ... employees may enroll in the Company's 401(k) retirement savings plan , and an Employee Stock Purchase Plan ...to eligible employees, and short-term and long term disability benefits . CVS Health also offers numerous well-being… 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
- CVS Health (Columbus, OH)
- …to make health care more personal, convenient and affordable. **Position Summary ** The Care Plan Reviewer (Clinical Case Manager BH) utilizes advanced ... to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external...to eligible employees, and short-term and long term disability benefits . CVS Health also offers numerous well-being… more
- UTMB Health (Angleton, TX)
- Vocational Nurse - Alvin Urgent Care (19.99 Hours or Less, Non- Benefit Bearing) **Angleton, Texas, United States** Nursing & Care Management UTMB Health ... of Texas. No experience required. Current BLS required. **Job Summary :** To provide direct nursing care to an assigned...admission, discharge, and transfer procedures. + Uses the nursing plan of care in daily assignments, able to review,… more
- CVS Health (Plymouth, MN)
- …solutions to make health care more personal, convenient and affordable. **Position Summary ** Are you looking for an exciting opportunity to join a dynamic team ... employees may enroll in the Company's 401(k) retirement savings plan , and an Employee Stock Purchase Plan ...to eligible employees, and short-term and long term disability benefits . CVS Health also offers numerous well-being… more
- Fallon Health (Dartmouth, MA)
- …at Summit?** + Great Pay! + LICSW supervision offered to advance licensure. + Great Benefits - including very affordable Health Insurance! + 23 days of PTO - ... **Overview** **COMING SOON: Fallon Health Opens New Summit Eldercare Site in Dartmouth!!**...initial social work assessment, administering MSQs, developing an intake summary and presenting the social work perspective to the… more
- Sanford Health (Sioux Falls, SD)
- …Full time **Weekly Hours:** 40.00 **Job Summary ** The Chief Transformation Officer, Health Plan will drive the overall transformation strategy for the ... health plan , ensuring the organization remains at...health plan , ensuring the organization remains at the forefront of...with an ability to drive alignment across diverse groups. ** Benefits ** Sanford Health offers an attractive … more
- Henry Ford Health System (Troy, MI)
- …of the health status of HAP's Medicare Advantage (MA) and Commercial Qualified Health Plan (QHP) membership to CMS. Leads various projects that assure HAP's ... and results to the appropriate department provider group and health plan . + Completes outreach and engagement...Ford academic healthcare campus. Learn more at henryford.com/careers . Benefits The health and overall well-being of… more
- Sanford Health (Bismarck, ND)
- … health and healing across our broad footprint.** **Facility:** Bismarck Sanford Health Plan **Location:** Bismarck, ND **Address:** 1833 E Bismarck Expy, ... a drug screen and pre-employment background screening as a condition of employment. **Req Number:** R-0208801 **Job Function:** Health Plan **Featured:** No more
- Henry Ford Health System (Troy, MI)
- …and deficiencies for follow up training. Compile results for reporting to the health plan to assist in targeting deficient providers. + Year-to-date, ... GENERAL SUMMARY : RMRA (Revenue Management Risk Adjustment) Health...and results to the appropriate department provider group and health plan . + Assists with development of… more