- Travelers Insurance Company (Hartford, CT)
- …business outcomes. " The BI Actuarial Product team is looking to hire a Director of Actuarial and Analytics. This person will be the actuarial lead on specific ... our business partners on this strategic initiative. This leader will own the development of various Specialty lines rate plans, the implementation of the rate plan,… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Director , Property & Casualty Regulation and Policy** **Job Class: State Program Administrator Manager Senior** **Agency: Commerce Department** + ... the Golden Rule Building in downtown St. Paul** The Director of Property and Casualty (P&C) Regulation and Policy...or lead worker and/or experience gained through a leadership development program (eg the State's Emerging Leaders Institute or… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Medicare Supplement, and individual plans. The Clinical Operational Excellence Director Serves as a consultant providing strategic guidance, operational support, ... convey complex information. Manages special projects and initiatives, including research , analysis, and implementation of new processes or programs. Monitors… more
- USAA (Phoenix, AZ)
- …be a part of what makes us so special! **The Opportunity** As a dedicated Director , Claims Operations, you will lead and be accountable for auto, property, and other ... Responsible for leading execution change management, claims strategies, leader development and technology adoption. Drive execution of operational risk management,… more
- Baylor Scott & White Health (Temple, TX)
- …network managed care performance. + Partner with Provider Networks and Medical Director team in creating and maintaining programs that incentivize providers to ... utilization/cost and quality outcomes. + Participate in the retrospective review and research of Health Plan performance from summary data of paid claims,… more
- AIG (Wilton, CT)
- …and collection concerns related to all lines of business. + Investigate/ research requests or questions from internal/external customers. + Prioritize and collaborate ... with Reinsurance Finance staff and Collections management team to conduct research into reinsurance recoverables and contribute towards completion of periodic… more
- HUB International (Chicago, IL)
- …renewal clients, and maintaining a partnership with carriers to support business development activities while upholding high service standards and managing a team of ... and complex customer service problems for the assigned Account Management Team: research and resolve coverage issues, audit issues, billing discrepancies in a timely… more
- MyFlorida (Tallahassee, FL)
- …be given to candidates with professional writing experience (eg, policy development , grant writing/submissions, rule promulgation, research publications, white ... Bureau of Medicaid Policy. Medicaid Policy is responsible for the development , coordination, and implementation of Florida Medicaid program policies, including: all… more
- MyFlorida (Tallahassee, FL)
- …Bureau of Medicaid Policy. Medicaid Policy is responsible for the development , coordination, and implementation of Florida Medicaid program policies, including: all ... is also responsible for processing invoices and maintaining proper documentation/logs. Research The incumbent shall: - Maintain up-to-date knowledge concerning all… more
- State of Massachusetts (Boston, MA)
- …citizens. *_About the Role:_* The Insurance Examiner II position reports to the Director of the Consumer Services Unit, which is responsible for the ensuring that ... Open complaint files from information received in writing or from Director ; collect and review documentation, determine appropriate response; communicate with… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Policy and Network Coding Sr. Manager is responsible for leading the research development , proposal, implementation, and maintenance of BCBSMA's Corporate ... duties. We're Looking for + Demonstrated competence with payment reimbursement policy research and development within a health plan, government agency,… more
- Penn Medicine (Philadelphia, PA)
- …mission of providing the highest level of care to patients, conducting innovative research , and educating future leaders in the field of medicine. Working for this ... living your life's work? Summary: + Serves as an adjunct to the Director of Behavioral health in coordinating utilization management and auditing in the… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …+ Accurately plan and scope projects; keep project leads, senior consultants, and Director informed of key issues/ risks and meet deadlines by tightly managing ... and projects as a subject matter expert (SME) + Collaborate with Director and Senior Program Consultants to identify/ implement workflows and process improvements… more
- Sacramento County (Sacramento, CA)
- …in the workplace, but no direct responsibility for policy and procedure development /revision. + Providing input and/or research on policy and procedure ... of the total possible score as determined by the Director . APPEAL PROCESS: Persons who believe their applications have...your highest level of experience with policy and procedure development . + None. + Experience applying policies and procedures… more
- Blue Cross and Blue Shield of Louisiana (Monroe, LA)
- …position, the incumbent must be in contact with:Benefits Administration, Medical Director , Underwriting, Group leaders, Delegated Vendors, Legal Department and other ... patient care/clinical experience. required **Skills and Abilities** + Ability to research and analyze contracts/cases and make appropriate quality and cost effective… more
- Fedcap (New York, NY)
- …reporting system in an accurate and timely manner. + Assisting in program research , development and assessment and participates in ongoing trainings, typically ... skills are necessary. The Health Advocate/IPA-Navigator will report to the Director of Wraparound Services. Essential Functions: + Providing in-person health… more