- NYC Health Hospitals (New York, NY)
- …manufactures, contract pharmacies, split-billing software vendors, pharmacy benefit managers, and third - party administrator ( TPA ) as needed. ... FQHC principles and practices. 3) Ability to manage multiple Third Party Administrators ( TPA ), and...expansion 7. Serve as an operational resource for internal team members for expedited problem identification and resolution… more
- Reserv (Atlanta, GA)
- …litigation. Policy interpretation. Drafting Reservation of Rights letters, coverage declinations. Third - party bodily injury. Third - party litigated ... work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges...find the right exit ramp (pun intended) for the resolution of the claim that is in the insured's… more
- AIG (Atlanta, GA)
- At AIG, we are reimagining the way we help customers to manage risk. Join us as VP, Third Party Administrator ( TPA ) Claims to play your part in that ... It's an opportunity to grow your skills and experience as a valued member of the team . Make your mark in Claims Stewardship Our Claims team are the proven… more
- AIG (Atlanta, GA)
- …- TPA Oversight, you will analyze and process bodily injury and third - party property damage claims by investigating and gathering information to determine ... risk. Join us as a Complex Claims Director - TPA Oversight to play your part in that transformation....skills and experience as a valued member of the team . Make your mark in Claims Our Claims teams… more
- Zelis (NJ)
- …targets, ensuring client retention, fostering growth with additional products and services , and ensure Zelis is always meeting and/or exceeding client expectations ... targets, ensuring client retention, fostering growth with additional products and services , and ensure Zelis is always meeting and/or exceeding client expectations… more
- CHS (Clearwater, FL)
- …Off, Paid Holidays and Paid Training!** **Summary:** Premier Administrative Solutions (PAS) is a Third - Party Administrator ( TPA ) which provides a wide ... level of service , including telephone service , accuracy, call resolution and satisfaction. The Member and Provider Services Supervisor provides… more
- Sedgwick (Southfield, MI)
- …planning. + Attends member meetings and introductions, addresses concerns involving members, third - party administrator ( TPA ) or case development. ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Designated Litigation Manager - Pooling (Self Insured Public Entities)… more
- REI (Seattle, WA)
- …administer programs in accordance with company policies and procedures. + Utilize multiple third - party administrator data systems and reporting tools. + ... business days. + Complete contacts with employees, claimants, and TPA /adjusters within three business days of claim filing establish...with ability to learn new systems (ex: RMIS or third party claims administrator sites)… more
- CVS Health (Phoenix, AZ)
- …plans. **Required Qualifications** + A minimum of 7 years of relevant experience in a TPA ( Third Party Administrator ) environment or fully insured ... impacting plan sponsors. + Collaborate with internal departments-including claims, customer service , and client management-to ensure effective issue resolution … more
- Omnicell (Fort Worth, TX)
- …+ In lieu of a Bachelors degree, 5 years equivalent experience in 340B third - party administrator ( TPA ) services , clinical support, payor relations or ... financial or clinical results within PBM, 340B specialty pharmacy operations, or TPA service environments. **Preferred Qualifications:** + PharmD, MBA, MHA, or… more
- CVS Health (Richmond, VA)
- …carrier coupled with the unique flexibility and devoted service of a third - party administrator ( TPA ). The Meritain Health underwriting department ... to 3 years of relevant medical insurance experience: brokers (producers), carriers, ( TPA ) third - party administrators, benefit analysis, underwriting, rating… more
- AbbVie (Mettawa, IL)
- …to support 3rd party advocacy efforts. + Liaise with AbbVie's Pipeline Team and Business Development to provide 340B insights. + Develop 340B training for the ... leadership, management and organizational skills, along with problem solving, conflict resolution and team building. Ability to effectively plan, prioritize,… more
- CHS (Clearwater, FL)
- …and celebration throughout the company **Summary:** Premier Administrative Solutions (PAS) is a Third - Party Administrator ( TPA ) which provides a wide ... companies, sharing organizations, insurance marketing organizations, and employers. One such service is Member and Provider Services , where inbound calls,… more
- Chewy (Plantation, FL)
- …with customers such as Benefits, Legal, Payroll, Local HR Teams, and our Third - Party Administrator , to ensure timely resolution of cases. **What you'll ... Leave Administration Analyst** to join our Human Resources Shared Services Team ! Under the supervision of the...+ Confer, coordinate, negotiate, and partner with our LOA TPA , HR, Legal, Payroll, Managers, Benefits, Team … more
- Brighton Health Plan Solutions, LLC (Las Vegas, NV)
- …Preferred Qualifications + Experience working within a benefits consulting firm or third - party administrator . + Experience managing and understanding union ... needs. + Provide leadership for dedicated onsite operations and service team members. + Meet or exceed...problems facing today's healthcare with our flexible and cutting-edge third - party administration services . Our unique… more
- CVS Health (Hartford, CT)
- …each and every day. **Position Summary** Meritain Health, an Aetna Company, is a third - party administrator ( TPA ) primarily serving self-funded employers. ... of a national carrier and the unmatched flexibility and service of an independent, local administrator and...Accounts (Executive Director) who will develop and manage a team that carries out processes for sales, account management,… more
- Prime Therapeutics (Topeka, KS)
- …and periodic reports related to licensed functions (eg, Pharmacy Benefit Manager (PBM), Third Party Administrator ( TPA ), Utilization Review (UR), ... Pharmacy Benefit Management (PBM) companies, customers and pharmacies; find resolution for escalated issues + Draft and negotiate contracts...collaboratively to provide the highest quality of care and service to our members. If you are looking to… more
- PCL Construction (Denver, CO)
- …Programs, project specific policies) and relevant legislation. * Monitoring open claims/litigation and Third Party Administrator ( TPA ) activity for ... for our US Head Office office contributes to our team : **Responsibilities** Reporting to Risk Management Counsel in North...US Districts and US Head Office for the timely resolution of first- party and * third… more
- Publix (Lakeland, FL)
- …years of experience defending Publix (or managing litigation for an insurance carrier, third - party administrator , or a corporate liability claim function). + ... applicable laws and regulations. + Oversee the handling and resolution of claims to minimize legal risks and financial...in the claims department for an insurance company or third - party administrator , and + Experience… more
- The Hartford (Hartford, CT)
- …for developing the overall strategy, design and management of approximately 50 TPA and Service Vendors relationships supporting our Employee Benefit's front-end ... operational performance, ensuring efficiency, accuracy, and timely delivery of services . + Report out TPA results to...Team Management: + Lead, mentor, and motivate a team of TPA / Vendor Management professionals… more
