- Axis (Alpharetta, GA)
- …is available upon request for candidates taking part in the selection process. ** TPA & Programs Claims Shared Services Lead** AXIS is seeking a **_TPA & ... claims TPA , Litigation & Vendor Management, Claims Shared Services, the successful candidate should...Program claim service model for Axis North America TPA & Programs Claims . The… more
- Axis (Red Bank, NJ)
- …review and audit processes for direct handled and oversight claims handling of Program and delegated/ TPA claims as well as Manager Quality File Reviews ... is seeking a **_Head of Quality Assurance & Compliance, Claims Shared Services_** to join our ...licensing requirements with an immediate focus on North America claims in partnership with a third - party… more
- Regions Bank (Birmingham, AL)
- …+ Procuring necessary documentation to support claims administration or decisioning by third party administrator (" TPA ") or insurer. + Maintaining ... enterprise-wide insurance risk management activities, including management of insurance claims programs , policies, and procedures for reporting, investigation,… more
- Elevance Health (Columbus, OH)
- …is a proud member of the Elevance Health family of companies. We are a third - party administrator ( TPA ) of medical benefits, also providing medical ... plan design, researching and resolving phone and written inquiries, resolving claims , benefit and enrollment issues. + Presents monthly, ad hoc, mid-year,… more
- CHS (Clearwater, FL)
- …path and opportunities for growth!** **Summary:** Premier Administrative Solutions (PAS) is a Third - Party Administrator ( TPA ) which provides a wide ... for improvement in documentation and/or approach. These ideas should be shared with the Team Supervisor. **Primary Performance Expectations:** Performance review for… more
- UNC Health Care (Morrisville, NC)
- …system logic and configuration settings for each third party administrator system to ensure compliance of claims qualification + Present compliance ... **Knowledge/Skills/and Abilities Requirements:** **Job Details** Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Pharmacy 340B Programs Work… more
- University of Michigan (Ann Arbor, MI)
- …job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are ... (HCC, utilization, quality, etc) + Translate CMS requirements for shared savings program into analytic processes and...at all levels of the organization + Experience with third - party health system data analysis and reporting… more