to people care to enable them to drive business results. The role is also accountable for leading the development...
FUNCTIONS: Perform on-site medical record reviews to evaluate delivery of care in relation to clinical practice guidelines... managed care programs to assure compliance with contractual arrangements, NCQA accreditation requirements, government...
FUNCTIONS: Perform on-site medical record reviews to evaluate delivery of care in relation to clinical practice guidelines... managed care programs to assure compliance with contractual arrangements, NCQA accreditation requirements, government...
REQUIREMENTS: 3 years Managed Care experience Work Schedule: Monday - Friday - rotating weekends This is a Telecommute...
AND 3 years of experience in a managed care, consulting, sales or project management OR 7 years of experience. Experience... developing communications, tools, processes or strategies. Knowledge of group healthcare/managed care trends, products...
REQUIREMENTS: 3 years Managed Care experience 100% Remote based out of IL, TX, NM, MT, or OK This role requires rotating...
, finance or related business or health degree 5 years auditing experience OR 4 years Internal Audit experience with 9 years...) Experience in key aspects in corporate health and life operations, including business partner operations, compliance support...
for our customers and members. At the largest customer-owned and not-for-profit health insurer and fourth largest health insurer...
and policies. Required Job Qualifications: Bachelor degree in accounting, finance or related business or health degree...
applications including Access, Excel, Word and Power Point. Preferred Job Qualifications: Health insurance industry experience...
, Loopio, and Qvidian. Extensive proposal writing experience in healthcare, such as health plans, PBM, related industries...
. Job Description: Use knowledge of health status and outcomes data and model building and evaluation procedures for machine learning, predictive...
: Access, SQL, Visual Basic or other programming skills. Actuarial experience in the health insurance or related field. #LI...
them to key enterprise outcomes. Health insurance or healthcare industry experience. Proven strategic thinking...
from an accredited program or combination of education and experience. Corporate Law experience. Health insurance industry experience...
such as MBA, MHA, MD, JD, or PhD. Experience in the healthcare industry, especially in the health insurance sector. Prior...
, including high deductible health plans involving health reimbursement arrangements and health savings accounts. Analyze ad-hoc...
. At least 4 years of actuarial experience in the health insurance or related field. Verbal and written communications skills...
management and consulting practices Thorough knowledge and expertise in key aspects of corporate health and life operations...
industry, especially the health insurance sector. Experience with corporate strategy, growth, product, transformation efforts...