- City of New York (New York, NY)
- …149 bargaining units. 1.Monitor Health Plan Compliance: Review and audit of self - funded health plan financial processes to ensure compliance with ... health plan administrators to develop and execute audit of City self - funded health plan . Coordinate review of audit reports outlining findings,… more
- CVS Health (Trenton, NJ)
- …understanding of regulations, laws, and internal procedures impacting self - funded health plans with attention to ensuring the plan and company remain in ... At CVS Health , we're building a world of health ...SPDs, plan amendments. SBCs and restates) for our self - funded plan customers. + Basic… more
- CVS Health (Trenton, NJ)
- …and every day. **Position Summary:** Responsible for directing all aspects of customer benefit plan implementation of Self - funded New Business Clients. + ... At CVS Health , we're building a world of health...Acts as a single point of contact for benefit plan implementation. + Mediates and coordinates resolution of all… more
- CVS Health (Trenton, NJ)
- At CVS Health , we're building a world of health...Special Investigations Unit (Aetna SIU), dedicated to a specific self - funded plan sponsor. In this ... ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health ...Knowledge of CVS/Aetna's policies and procedures + Understanding of self - funded insurance plan operations +… more
- Intermountain Health (Trenton, NJ)
- …and external departments within Intermountain Healthcare. + Understands ERISA, self - funded and federal and state laws around health insurance claims. ... investigating, coordinating and managing legal insurance cases and represents Intermountain Health in OIG hearings and 1st level grievances with insurance companies… more
- CVS Health (Trenton, NJ)
- …to offsite locations for in-person meetings. **Required Experience:** + 5+ years of self - funded health care industry experience. + Expert level experience ... in Self -Funding, in addition to working with client/broker on their Health Plan strategy, interpreting and delivering the clients Annual Plan Review… more
- CVS Health (Trenton, NJ)
- …of benefits and coverage (SBC's). **Required Qualifications** + 2-4 years with extensive plan writing experience supporting self - funded or fully insured ... At CVS Health , we're building a world of health...Writer drafts, reviews, and edits medical, dental and vision plan documents. This position will support plan … more
- CVS Health (Trenton, NJ)
- …every day. **Position Summary** Responsible for directing all aspects of customer benefit plan implementation of Self - funded New Business Clients. Partner ... At CVS Health , we're building a world of health...Acts as a single point of contact for benefit plan implementation; Mediates and coordinates resolution of all project… more
- City of New York (New York, NY)
- …- Benefits: City employees are entitled to unmatched benefits such as: oa premium-free health insurance plan that saves employees over $10K annually, per a 2024 ... Job Description The Center for Health Equity & Community Wellness (CHECW) seeks to...other funding sources. PREFERRED SKILLS: o 3+ years of self -management program oversight experience, particularly related to chronic disease… more
- CVS Health (Trenton, NJ)
- At CVS Health , we're building a world of health...through data extraction and analysis, dedicated to a specific self - funded plan sponsor. The lead ... and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we… more
- Cardinal Health (Trenton, NJ)
- …targets, and securing high-value, complex partnerships with national/regional payers, self - funded employer groups, and/or integrated care delivery networks ... health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages… more
- CVS Health (Trenton, NJ)
- …flow, and compliance with regulations. **Required Qualifications** + 1-2 years of extensive plan writing experience supporting self - funded or fully insured ... At CVS Health , we're building a world of health...competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan ** (including matching… more
- CVS Health (Trenton, NJ)
- …of data and data analytics reporting and dashboards **Preferred Qualifications** + Self Funded Insurance experience + Medical Claims processing knowledge + ... At CVS Health , we're building a world of health...competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan ** (including matching… more
- Trustmark (Trenton, NJ)
- …to our colleagues, clients and communities. **Overview of Role** Responsible for selling self - funded health products via Broker partners for groups under ... staff. + Capable of presenting to executive audience; appropriately assertive. + Knowledgeable in self - funded benefit plan designs for small - mid size… more
- City of New York (New York, NY)
- Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who ... initial applications, change actions, and renewals for all Medicaid funded long term care programs. This unit is responsible...be entered into the New York State Department of Health (NYSDOH) and/or HRA computer system. - Assist in… more
- Bowery Residents Committee (Manhattan, NY)
- …homelessness reclaim their lives by providing a hand up, offering opportunities for health and self -sufficiency, and restoring hope and dignity. Each and every ... DUTIES/RESPONSIBILITIES Coordinate the health care and medical related case management for clients. Responsible for basic health assessments, checking vitals,… more
- YAI (Manhattan, NY)
- …Human Resources (PHR/SPHR or SHRM-CP/SHRM-SCP) + Previous experience with administration of self -insured/ self - funded benefit plans + Ability to configure ... implementation and administration of employee benefit programs such as health insurance, disability insurance, life insurance, employee assistance, retirement and… more
- World Insurance Associates, LLC. (Iselin, NJ)
- …Qualifications + Minimum of 5+ years' experience with mid-large broker experience and self - funded knowledge. + Bachelor's degree in a business-related program or ... expertise to clients and service team members through advanced knowledge of plan design alternatives, underwriting and funding concepts. + Drive utilization and… more
- Travelers Insurance Company (Trenton, NJ)
- …make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your ... implement alternate means of resolution. + Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to… more
- Bowery Residents Committee (Manhattan, NY)
- …homelessness reclaim their lives by providing a hand up, offering opportunities for health and self -sufficiency, and restoring hope and dignity. Each and every ... supports consistent client follow up. + Complete nursing treatment plan that comprehensively endorses client needs and available resources....NYS Office of Alcoholism and Substance Abuse Services and funded by the NYC Department of Health … more