- Insmed Incorporated (Bridgewater, NJ)
- …Workplaces in New York™, and Best Workplaces for Millennials™ lists.OverviewThe Senior Manager , Commercial Analytics, Respiratory will be a key member of the ... skills with SQLAbility to understand different data sets (marketing data, sales, claims , access etc.) to utilize in building models to answer key business… more
- EY (Austin, TX)
- …flexibility to devise claim approaches to handle the simplest to the most complex claims .Your key responsibilitiesBecause all clients have unique issues, it's no ... specializes in assisting policyholders to prepare, present, and resolve complex insurance claims resulting from events like...be doing the same type of investigation for too long . You'll work with our clients' legal counsel, internal… more
- U of C NORC (Chicago, IL)
- …and analysis, program evaluation, and policy analysis. NORC seeks a Senior Manager to manage consulting, research, and data analysis projects for health care ... clients' business strategy, policy positioning, and external thought leadership. The Senior Manager will have strong subject matter and technical expertise in 2-3… more
- EY (Chicago, IL)
- …Consulting, Technology Transformation (Strategy and Transformation) - Financial Services Office ( Manager ) (Multiple Positions), Ernst & Young US LLP, Chicago, IL. ... the rapid pace of change and disruption and supporting the execution of complex transformations. Manage and motivate teams of professionals with diverse skills and… more
- EY (San Antonio, TX)
- …all.IT Advisor, Service Delivery Center, Property & Casualty, Financial Services Office ( Manager ) (Multiple Positions) (1505512), Ernst & Young US LLP, San Antonio, ... TX. Support Insurance Policy and Claims Processing System engagement teams in the field supporting integration, configuration, and data migration. Lead development… more
- EY (Dallas, TX)
- …mentoring junior consultants within the organization Developing and maintaining long -term client relationships and networks. Developing relationships with team ... Familiarity with pharmaceutical datasets (eg pricing databases, prescription and claims databases, etc.) Experience with commercial operations and analytics… more
- Franklin Energy (Chicago, IL)
- …of strategic product initiatives, managing the product backlog and defining long -term vision.Lead architectural efforts for our full-stack JS application, aligning ... enhancing team collaboration and product quality through effective leadership.Translate complex customer feedback and analytical data to enhance product… more
- Jazz Pharmaceuticals (New York, NY)
- …and follow @JazzPharma on Twitter. Brief Description:The EMD Access and Reimbursement Manager (ARM) is responsible for executing the Epidiolex market access business ... business opportunities, and identifying trends and solutions.Ability to condense complex reimbursement issues into simple solutions.Ability to make sound decisions… more
- EY (Mclean, VA)
- …world for all.Risk Advisor, Supply Chain & Operations, (CREAS) (Construction Services) ( Manager ) (Multiple Positions), Ernst & Young US LLP, Tysons (McLean), VA. ... and project risk assessments. Work on construction cost evaluations, assisting in claims avoidance and dispute resolutions to identify and reduce cost overcharges,… more
- EY (Mclean, VA)
- …responsibilities are:Providing Technical guidance & support to client engagements focusing on complex & innovative products and reusable assets within the context of ... from all participants: Solution and Technical Architects, engineering teams, product manager , project managers, product analysts, test and project teams, Information… more
- EY (Dallas, TX)
- …backgrounds. Consistently deliver quality client services focusing on more complex , judgmental and/or specialized issues. Demonstrate in-depth technical capabilities ... with one or a combination of the following new business, claims , and underwriting systems: Limelight Health, FINEOS AdminSuite, iPipeline, nbaccelerator, Concentrix,… more
- LA Care Health Plan (Los Angeles, CA)
- …are correct and maintained. The Manager must have the ability to research complex claims problems and to create clear and concise procedures for the handling ... of complex claims . The Manager must...advanced knowledge of contractual pricing mechanisms for inpatient, outpatient, Long Term Care (LTC) and ancillary services. Must have… more
- Mass Markets (Dallas, TX)
- POSITION OVERVIEW MCI is seeking an experienced Insurance Call Center Claims Manager experienced in Property and Casualty and Life insurance to support ... complex business process outsourcing accounts. You will be responsible...production supervisors and agents to ensure accurate and timely claims processing . Experience in BPO insurance contracts, … more
- USAA (San Antonio, TX)
- **Why USAA?** Responsible for managing moderately complex litigation arising out of the auto contract in compliance with state laws and regulations, to include ... to achieve focused results. You will be responsible for handling **moderately complex litigation** arising out of the **auto** contract in compliance with state… more
- The Hartford (Hartford, CT)
- …The Hartford's Enterprise Data Service (EDS) organization is seeking a Business Analysis Manager to lead the Group Benefit Claims Business Intelligence team. The ... Manager Bus Data Analysis - GA07BE We're determined...data and reporting solutions to business customers across Field Claims , Performance Analytics, Segment partners and supporting functions leveraging… more
- Walmart (Bentonville, AR)
- …in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of ... significant reserve increases; monitoring reserves for all open claims ; authorizing payment for approval or facilitating denial of the claim; and reserving file for… more
- UNUM (Chattanooga, TN)
- …Plans + Competitive benefits package that includes: Health, Vision, Dental, Short & Long -Term Disability + Generous PTO (including paid time to volunteer!) + Up to ... for a team of employees that handle management of claims in a multi-disciplined environment. Direct reports will be...a variety of tasks, including but not limited to complex customer service issues, digital transformation efforts, product design… more
- The Hartford (Hartford, CT)
- …the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and is a visible and important ... claims involving bodily injury and property damage. Claims in CCU are often associated with complex...WRAP policies for general contractor, developer, owner, and construction manager claims * Experience in handling affirmative/defensive… more
- Equitable (Charlotte, NC)
- …systems. **Key Job Responsibilities** + In partnership with the Technology Strategy Claims Program Manager , ensure that organization deliverables and initiatives ... Employee Benefits- Technology Strategy Claims Lead Analyst ( 2400007L ) **Primary Location**...technical requirements and follows the best practices. + Undertake complex analysis to develop the detailed user stories or… more
- Humana (Indianapolis, IN)
- …put health first** Humana Healthy Horizons in Indiana is seeking a Senior Claims Research & Resolution Professional who is dedicated to reviewing provider claims ... decisions which may include interpretation of provider information or data. The claims review professional works in collaboration with the chief information officer… more
