- WellSense (Manchester, NH)
- Care Manager - Pediatric WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, ... our members, no matter their circumstances. The Clinical Care Manager will perform as a Lead Care Manager... Manager will perform as a Lead Care Manager responsible for the overall local integrated, holistic person-centered… more
- AON (St. Peter, MN)
- Assistant Insurance Manager - Captive & Insurance Management (Guernsey) Aon Insurance Managers in Guernsey are seeking to recruit an Assistant Manager to join ... Development + Develop quality visual and oral presentations using PowerPoint and other IT tools. + Coordinate RFP responses and new business opportunities. + Prepare… more
- WellSense (Boston, MA)
- Manager of Actuarial Services WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, ... for our members, no matter their circumstances. The Actuarial Manager is a key member of the Finance /...department on data warehouse designs, requests and works with IT to implement or improve business processes. + Drives… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …healthcare? Bring your true colors to blue. The Role The Clinical Care Manager -LPN is responsible for facilitating care for members and families of members who ... on the principles of care management. The Clinical Care Manager -LPN will engage members, coordinate care and services as...a member of a team. * Proficient with multiple IT systems. * Demonstration of awareness, attitude, knowledge, and… more
- NJM Insurance (Trenton, NJ)
- Insurance Product Development Manager Position Reports To: NJM Product Director General Summary: Based in our West Trenton (Ewing), New Jersey corporate office, The ... Personal Lines Insurance Product Development Manager (the formal NJM title is: Senior Associate Insurance...(the formal NJM title is: Senior Associate Insurance Product Manager ) will be accountable for making product decisions… more
- The Hartford (Clinton, NY)
- AMP Account Manager - US08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... account solution within our policyholder services capabilities. An Alternative Market Account Manager is a licensed agent that works with wholesale brokers and… more
- Crawford & Company (Modesto, CA)
- …require you to be fully vaccinated for COVID-19. If required, the hiring manager will discuss with you during your interview process. Responsibilities * Reviews case ... diverse clinical experienceand one of the below: * Certification as a case manager from the URAC-approved list of certifications (preferred); * A registered nurse… more
- Crawford & Company (San Francisco, CA)
- …require you to be fully vaccinated for COVID-19. If required, the hiring manager will discuss with you during your interview process. Responsibilities + Reviews case ... clinical experience and one of the below: + Certification as a case manager from the URAC-approved list of certifications (preferred); + A registered nurse (RN)… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Data Operations Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to support the safety net required to achieve that purpose. Job Summary The Manager of Claims Data Operations leads and manages the Technical Project Analysts and… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group currently has an RN Case Manager opportunity to assure that claimants receive high quality, cost-effective medical care with positive outcomes. ... The successful candidate is results-oriented and will perform all aspects of utilization management: case management intervention, precertification, concurrent review, and retrospective review. This position will require some travel. The official NJM job title… more
- AIG (New York, NY)
- …customers to manage risk. Join us as Global Specialty Claims Strategy and Business Manager to play your part in that transformation. It's an opportunity to grow your ... legal requirements. + Act as the Specialty Claims coordinator with Project Management, IT and Process Design / Redesign in claim handling and process transformation… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Professional Reimbursement Strategy, the Payment Policy and Network Coding Sr. Manager is responsible for leading the research development, proposal, implementation, ... Affairs, Network Management, Medical Economics, Benefit Administration, Provider Services, Audit, IT and Claim Operations to determine the impact of implementing… more
- NJM Insurance (Trenton, NJ)
- Manager , Commercial Lines Underwriting Come join an amazing team at NJM in Commercial Lines! As a result of increased market share demand and growth, NJM Insurance ... Group, a leading mid-Atlantic property casualty carrier, is now adding to our underwriting leadership team. We are seeking a seasoned professional for a critical role that involves providing leadership and oversight of our Commercial Lines Supervisors and… more
- BlueCross BlueShield of North Carolina (NC)
- …goals and objectives of the business segment. This position is the lead Relationship Manager for all key stakeholders of the client and is accountable for the ... plan. As the lead client liaison for the organization, the Account Manager exercises a solid understanding of benefits administration, the health care industry,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to develop incentives to reduce racial inequities in care. The Senior Contract Manager works closely with the Director of Network Contracting to successfully execute ... as achieve unit cost trend targets. The Senior Contract Manager is the primary negotiator for an assigned portfolio...contracting language and financial rates. A successful Senior Contract Manager is analytical, has high attention to detail, and… more
- WATTS (North Andover, MA)
- …have a dynamic future ahead. As the Product Liability and Insurance Risk Management Manager , you will work onsite in North Andover, MA and report to the Assistant ... certification such as Associate in Risk Management (ARM) or Professional Risk Manager (PRM). + Experience in a corporate Risk Management organization, Insurance… more
- Inspire Brands (Atlanta, GA)
- The Manager - Claims is responsible for implementing efficient claims management procedures and establishing protocols for successful claims resolution for all ... + Collaborate with internal stake holders such as Safety Programs Manager , Training leaders, Operations leaders, and others, to support the implementation… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …your true colors to blue. What We Need The Medicare Advantage Network Performance Manager , as a member of a cross-functional team, is responsible for engaging and ... marketing. To accomplish this work, the Medicare Advantage Network Performance Manager will work closely with Provider Informatics, Network Contracting and… more
- AIG (Charlotte, NC)
- …AIG member companies provide a wide range of property casualty insurance in approximately 70 countries and jurisdictions. These diverse offerings include products and ... services that help businesses and individuals protect their assets and manage risks. We're also committed to making a positive difference for our colleagues and in the communities where we work and live. We encourage colleagues to give back to the causes they… more
- AIG (Houston, TX)
- …operational, financial, internal control, and governance processes. As a Senior Audit Manager , you will be part of IAG's Core Technology audit covering the ... for individual audit engagements + Monitor technology transformation initiatives, including IT Modernization and Cloud Migrations + Contribute to the overall… more