• Vendor Management Analyst

    NJM Insurance (Trenton, NJ)
    …with vendor management , contracting, business process improvements, project management and analytical techniques and practices. + IT industry experience ... to minimize interference with business operations. This includes initial review of project management work products, including charter, project plan,… more
    NJM Insurance (04/09/24)
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  • Emergency Management Analyst

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …Emergency Manager(R) (CEM(R)) (FEMA), Fellow Business Continuity Institute, or PMP ( Project Management Professional). Two years' experience working in one ... corporate business continuity, disaster recovery, marketing/communications, healthcare/health insurance, emergency management , project management , and/or audit.… more
    Blue Cross and Blue Shield of Louisiana (04/11/24)
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  • Health Policy Medical Claims Assistant…

    Serco (Washington, DC)
    …processing reviews, and reporting of findings. **Competencies** + Thorough understanding of project / program management techniques and methods with proven ... in this position ideally brings unique combination of extensive program management experience and subject matter expertise...this position + A minimum of three (3) years project management experience overseeing mid to large… more
    Serco (04/17/24)
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  • Business Systems Analyst I-IV

    Medical Mutual of Ohio (Brooklyn, OH)
    …and walkthroughs to communicate systems designs and validate proposed solutions. + Provides project management support as needed. + Performs other duties as ... and shapes requirements through dialogue with business partners and IT . Assists in the development of the business case...implementation, and training phases of systems projects. + Provides project management support as needed. + Engages… more
    Medical Mutual of Ohio (04/24/24)
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  • SCUP Delivery Office Application Delivery Leader

    AIG (Charlotte, NC)
    …policies or claims insurance transformation delivery, agile release planning principles, and program / project management . What we're looking for: Experience + ... experience and expertise in P&C insurance transformation + Strong understanding of project / program management processes and procedures + Very organized… more
    AIG (01/27/24)
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  • Technical Business Analyst

    AON (Fort Wayne, IN)
    …ability to work independently to meet project deadlines + Understanding of project management tools and techniques + Working knowledge of systems development ... solving while being a liason between the business and IT . Skills and experience that will lead to success...to meet project deadlines + Understanding of project management tools and techniques + Working… more
    AON (04/19/24)
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  • Provider Analyst

    Medical Mutual of Ohio (OH)
    …assessments, forecasts and projections.** **.** **Demonstrated leadership skills and/or project management experience.** **.** **Knowledge of CMS pricing ... information into external facing documents.** **.** **Demonstrated leadership skills and/or project management experience.** **.** **Knowledge of CMS pricing… more
    Medical Mutual of Ohio (04/11/24)
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  • Insurance Analyst / Senior Insurance Analyst

    PPL Corporation (Providence, RI)
    management , claims, contract reviews for a wide variety of risks, management of the surety bonding program , certificates of insurance processing, and ... related matters mainly supporting with day-to-day administrative activities and management of routine department processes. As directed, the Analyst/Sr. Analyst… more
    PPL Corporation (03/14/24)
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  • Senior Manager - Payment Policy and Network Coding

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …Network Management , Medical Economics, Benefit Administration, Provider Services, Audit, IT and Claim Operations to determine the impact of implementing policy ... & subject matter expert (SME) for all reimbursement strategy initiatives and project manages all end-to-end operational & implementation activities. This role will… more
    Blue Cross Blue Shield of Massachusetts (03/10/24)
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  • Mgr, Systems Dev. & Main.

    Medical Mutual of Ohio (Brooklyn, OH)
    …delivering and supporting technical solutions in various infrastructure domains + Excellent project management skills, with demonstrated track record + Working ... + Develops work plans, goals and objectives, and evaluates project progress in relation to development staff activities. +...systems + 3years experience managing high-performance teams and budget management experience + 8 years of IT more
    Medical Mutual of Ohio (04/09/24)
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  • Business Analyst

    Donegal Insurance Group (Marietta, PA)
    …goals and needs are met for the business units + Assist in some project management responsibilities + Assist in the troubleshooting of technical and functional ... various business initiatives Qualifications and Skills + Bachelor's Degree in Risk Management , Insurance, Business Administration, Project Management or… more
    Donegal Insurance Group (04/09/24)
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  • SCUP Sr. Technology Release Manager

    AIG (Charlotte, NC)
    …multichannel distribution network. About the role The Standard Commercial Underwriting Program (SCUP) is a multi year initiative to transform AIG's underwriting ... design, dev & test), + The ability to identify cross-team/ program dependencies. + Knowledge of policy or claims insurance...complex system integration projects + 5+ years of hands-on management or DevOps + Bachelor's Degree or equivalent +… more
    AIG (03/28/24)
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  • Vice President, Business Intelligence…

    Medical Mutual of Ohio (Brooklyn, OH)
    …Information Technology. **Responsibilities** *Works collaboratively with company stakeholders (Care Management , Provider Engagement, IT , Finance) to define, ... identifying key work flows, establishing departmental/cross functional teams, developing project plans, milestones, and structures to communicate, report, execute… more
    Medical Mutual of Ohio (04/06/24)
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  • Senior Reimbursement Analyst

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …levels of internal personnel, with primary contacts in Network Administration, IT , Medical Management , Benefits Administration, Actuarial, Legal, Executive, ... Advantage staff, and entry level Reimbursement Analyst by developing and implementing project / program narratives and responding to concerns on new and existing… more
    Blue Cross and Blue Shield of Louisiana (04/22/24)
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  • .NET Software Developer II-V

    Medical Mutual of Ohio (Brooklyn, OH)
    …rules, security standards and government regulations are met. Escalates issues to management for resolution. Assists in creating and executing required test plans on ... satisfies a logical, efficient and optimal systems design. + Leads program -level and system-level testing, implementation, and break-fix tasks associated with… more
    Medical Mutual of Ohio (04/11/24)
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  • Manager, Claims Data Operations

    LA Care Health Plan (Los Angeles, CA)
    …Commercial health plan experience. Skills Required: Must have solid understanding of project management methodologies and be able to assess appropriate ... plan eligibility and enrollment processes. Equivalency: Completion of the LA Care Management Certificate Training Program may substitute for the supervisory/… more
    LA Care Health Plan (03/08/24)
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  • Actuary

    USAA (San Antonio, TX)
    …advanced actuarial modeling software driven models for pricing, valuation, and/or risk management to develop new products, project future results, reprice ... performing expert level actuarial analyses required to develop new products, project future results, reprice existing products, and/or determine financial strength.… more
    USAA (04/02/24)
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  • Global Specialty Claims Strategy & Business…

    AIG (New York, NY)
    …finance, reinsurance and legal requirements. + Act as the Specialty Claims coordinator with Project Management , IT and Process Design / Redesign in claim ... team including large loss, attritional claims and enhanced claim efficiency management ensuring global consistency & transparency, timely & accurate reporting,… more
    AIG (03/19/24)
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  • Manager of Actuarial Services

    WellSense (Boston, MA)
    …multi-task, problem solve and use appropriate technology to analyze business problems. Project management skills a plus. + Strong communications skills, both ... adequacy of capitation rates from state Medicaid programs or other new program . + Coordinates with various departments and cross-functional teams to capture, value,… more
    WellSense (04/06/24)
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  • Senior Medicare Clinical Compliance Consultant

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …Your Day to Day: + With minimal oversight, leads CMS utilization management related compliance activities including: + Identify and implement new CMS requirements ... determination reporting is accurate + Accurately plan and scope projects; keep project leads, senior consultants, and Director informed of key issues/ risks and… more
    Blue Cross Blue Shield of Massachusetts (03/02/24)
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