- Medical Mutual of Ohio (West Chester, OH)
- …as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** Provider Contract Manager I Under direct supervision, develops and ... internal and external projects. . Performs other duties as assigned. Provider Contract Manager II Under general supervision, develops and maintains relationships… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with providers to develop incentives to reduce racial inequities in care. The Senior Contract Manager works closely with the Director of Network Contracting to ... incentive programs, as well as achieve unit cost trend targets. The Senior Contract Manager is the primary negotiator for an assigned portfolio of hospital and… more
- Medical Mutual of Ohio (Dublin, OH)
- …and/or refers issues regarding credentialing, claims, or other to the appropriate Provider Contract Manager or internal department; performs data entry and logs ... issues regarding credentialing, claims, or other to the appropriate Provider Contract Manager or internal department; performs data entry and logs correspondence… more
- MyFlorida (Tallahassee, FL)
- …Preference will be given to applicants who hold a current Florida Certified Contract Manager (FCCM) certification. Preference will be given to candidates with ... Care (SMMC) Plan Communications (ie, Dear Managed Care Plan letters, contract interpretations, policy transmittals, and provider alerts); processing Medicaid Managed… more
- Bozeman Health (Bozeman, MT)
- …or requested + Reviews denial and underpayment trends in collaboration with PFS Manager , Contract Specialist, and Compliance as appropriate and follow up staff ... team in collaboration with the Patient Financial Services (PFS) manager . Oversees and coordinates the insurance billing function for...classification. They are not to be construed as a contract of any type nor an exhaustive list of… more
- Zurich NA (Richmond, VA)
- Contract Surety Underwriter - (Account Executive or AVP) 109406 Zurich North America is currently looking for a Contract Surety Underwriter to work out of our ... either the Account Executive or AVP, Underwriting Officer level. The hiring manager will determine the appropriate level based upon the selected applicant's… more
- Zurich NA (Little Rock, AR)
- AVP, Underwriting Officer, Contract Surety 108147 Zurich North America is currently looking for an experienced Contract Surety Underwriter in the South Central ... either the Account Executive or AVP, Underwriting Officer level. The hiring manager will determine the appropriate level based upon the selected applicant's… more
- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Manager of Revenue & Contracting Operations (MRCO)** is responsible for the modeling and ... Services, Home Care, Hospice, Infusion, and DME). Perform managed care contract modeling analytics; Revenue Integrity analytics; assist with Charge Master Analytics;… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4476650) Apply Property Claims Manager ... and casualty self-insurance program of the State. Level of Work: Manager . Supervision Received: Administrative direction from the State Risk Administrator (Claims).… more
- Medical Mutual of Ohio (OH)
- …operations and staff performing analytics for health plan provider contract negotiations, including Institutional, Ancillary and Professional modeling, analysis, and ... impact appropriate regions. . Manages the analyses of payer value-based contract opportunities specific to capitated, bundled payments, and other emerging payment… more
- EMCOR Group (El Cajon, CA)
- …to the contract language and highlight and/or recommend actions by project manager related to the contract documents. As needed, attend meetings with Owner ... review of construction contracts, providing guidance on clarifications/modifications to the contract terms and conditions, and to coordinate with counsel regarding… more
- Serco (Washington, DC)
- **Position Description** Serco is seekinga motivated Data Processing Assistant Review Manager to join our talented and fast-paced Public Sector Solutions team in ... (PIIA). As part of this effort, Serco would execute the PERM review contract which includes collection of state eligibility policies and medical records; eligibility… more
- Serco (Washington, DC)
- **Position Description** Serco is seekinga motivated Data Processing Review Manager to join our talented and fast-paced Public Sector Solutions team in supporting ... (PIIA). As part of this effort, Serco would execute the PERM review contract which includes collection of state eligibility policies and medical records; eligibility… more
- Robert Half Finance & Accounting (New Castle, DE)
- …the insurance industry in the state of Delaware has an opening for a Claims Manager . A phenomenal company with lifetime benefits unheard of in the industry. You get ... qualified job seekers to opportunities at great companies. We offer contract , temporary and permanent placement solutions for finance and accounting, technology,… more
- Applied Materials (Santa Clara, CA)
- US Remote Anywhere **JOB SUMMARY/PRIMARY RESPONSIBILITY** Manager , Risk Management will provide operational assistance to Director, Risk Management and support to ... with third-party vendors related to assigned responsibilities, assisting with contract reviews, supporting property risk engineering efforts, and assisting with… more
- AON (Berkeley Heights, NJ)
- Aon is looking for a Manager of Insurance Programs Outsourced to Aon's client located in New Jersey, this is a hybrid position requiring in office presence a portion ... contact within Risk Management for leases, vendor and supplier contract reviews in order to ensure adequate protection for...policies. #LI-MB1 #LI-HYBRID 2543291 Aon is looking for a Manager of Insurance Programs Outsourced to Aon's client located… more
- Travelers Insurance Company (Independence, OH)
- …Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage ... best possible outcome. + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical services into the overall… more
- Travelers Insurance Company (Hartford, CT)
- …**Target Openings** 1 **What Is the Opportunity?** Under general direction of VP-Risk Manager of Corporate Insurance and Risk Management, takes a lead or assisting ... May involve claims for other lines of coverage as needed. + Contract work including servicing questions regarding insurance provisions for contracts with corporate… more
- Comerica (Farmington, MI)
- AFSVision Program Manager The AFSVision Program Manager is responsible for delivery of Enterprise programs, program management methodologies/processes, tools, ... and metrics. Specifically, this Program Manager will have oversight of the Commercial Loan Servicing...the organization on difficult topics. * Manage vendor relationships, contract negotiation and reconcilement of vendor invoices and hold… more
- United Airlines (Chicago, IL)
- …into renewal processes + Lead vendors including Broker, Insurers, Actuary, Captive manager , & Claims. Develop trust and build relationships with partners. + ... Negotiate vendor risk transfer and insurance section of the contract . + Lead and develop team members **Lead wholly...owner controlled programs + Legal understanding of risk transfer contract wording and claims concepts + Knowledge of Loss… more