- Globe Life Inc. (Broadview Heights, OH)
- …(PF&A) will, at the direction of the Product Forms & Filings Process Manager , be responsible for configuration of the Family Heritage operating system (SOAR). This ... the review of the Product Forms & Filings Process Manager of new and revised policies, riders, application forms,...SERFF. Work in conjunction with sales, actuarial, legal, marketing, IT and administrative areas to draft and produce new… more
- 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
- 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
- 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
- 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
- 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
- AIG (Lenexa, KS)
- …we help customers to manage risk. Join us as Accident & Health Claims Unit Manager to play your part in that transformation. It's an opportunity to grow your skills ... and experience as a valued member of the team and to work with some of the industry's top talent. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …healthcare? Bring your true colors to blue. A Commercial Corporate Insurance Senior Manager is responsible for overseeing and managing the insurance needs of a ... company. This includes renewing existing coverages, developing and implementing insurance strategies, negotiating policies terms and conditions, assessing new initiatives for potential risks, and ensuring effective communication with brokers, also executing… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …+ Continually assess and evaluate member and family needs utilizing strong communication skills, critical thinking, clinical knowledge, data, and tools. + Promote ... Ready to help us transform healthcare? Bring your true colors to blue. The RoleThe Clinical Care Manger is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to promote optimal… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …* Engage members in appropriate plans of care, coordinate care and services as appropriate, communicate effectively and provide members with education and resources ... as needed. * Promote member compliance with treatment plan, encourage shared decision-making, and set appropriate goals to promote optimal member outcomes. * Interpret and apply case management criteria, processes, policies, and regulatory standards to create,… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …position will serve as a Business Continuity Program liaison with business, IT and administrative areas directly involved in the Incident Management, planning, ... Continuity Professional), MBCP (Master Business Continuity Professional), Certified Emergency Manager (R) (CEM(R)) (FEMA), Fellow Business Continuity Institute, or PMP… more
