- St. Luke's (Duluth, MN)
- …modules within eighteen (18) months of employment as determined by the Nurse Manager . BLS Certification with a designation of either BLS Provider or Healthcare ... American Heart Association or American Red Cross, or Military Training Network . PREFERRED QUALIFICATIONS Education: N/A Experience: Preference is given to… more
- State of Georgia (Fulton County, GA)
- TPA and Network Manager (00151438)...to lead the strategic oversight of provider networks and third - party administrator ( TPA ) partnerships ... job posting and apply: If interested, please apply to: https://www.governmentjobs.com/careers/dchga/jobs/4987979/ tpa -and- network - manager -00151438 Applicants who do not… more
- Health Plans, Inc. (Charlotte, NC)
- …satisfaction and timely issue resolution. + Care Coordination: Partner with providers, third party administrators, and internal teams to ensure smooth ... 8:00 am to 5:00 pm POSITION SUMMARY The Provider Network Concierge & Account Manager is a..., account management, operations, and analytics) as well as TPA teams (claims operations and customer service) to troubleshoot… more
- Sedgwick (Southfield, MI)
- …planning. + Attends member meetings and introductions, addresses concerns involving members, third - party administrator ( TPA ) or case development. ... Best Workplaces in Financial Services & Insurance Designated Litigation Manager - Pooling (Self Insured Public Entities) Are you...excellence and customer service. + Leverage Sedgwick's broad, global network of experts to both learn from and to… more
- MTA (New York, NY)
- …as a service application. Given the critical nature of the Worker's Compensation Third Party Administrator ( TPA ) outsourcing program, particularly ... systems such as Origami, with integrating applications such as PeopleSoft and third - party Risk Management/Claims Management Systems + Experienced in technical… more
- Aston Carter (Plano, TX)
- …+ Experience with Report Agent Authorization: Power of Attorney (POA) Declarations and Third - Party Administrator ( TPA ) Authorization forms. + Experience ... small team of 3 members along with a Payroll manager . The work environment is collaborative and requires on-site...We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …(HSRM), VA North Texas VA Health Care System (VANTXHCS) clinical care agreement, and Third - Party Administrator ( TPA ) contractual obligations per OCC ... appropriate and timely utilization of VA Community Care services in office and network . Serves as a consultant for CCS patients and recommends and facilitates… more
- Johnson County Iowa (Iowa City, IA)
- …one full month of employment. + Wellmark Blue Cross and Blue Shield of Iowa is the third party administrator for this self-funded plan + PPO with 90/10 in- ... Office Manager - Planning, Development and Sustainability Salary $58,219.20 -...network and 80/20 out-of- network co-insurance; $275 deductible… more
- Allison Transmission (Indianapolis, IN)
- …and recommendations to HR partners and business leaders, collaborate with appropriate third - party administrator to communicate outcomes, conduct thorough ... groups open to all who wish to participate, including: Global Women's Network , Emerging Professionals ERG, Multicultural ERG, Veterans ERG, Toastmasters Club, and… more
- Johnson County Iowa (Iowa City, IA)
- …one full month of employment. + Wellmark Blue Cross and Blue Shield of Iowa is the third party administrator for this self-funded plan + PPO with 90/10 in- ... state levels as directed by grant objectives and division manager . + Links persons living with infectious and/or chronic...network and 80/20 out-of- network co-insurance; $275 deductible… more
- Johnson County Iowa (Iowa City, IA)
- …one full month of employment. + Wellmark Blue Cross and Blue Shield of Iowa is the third party administrator for this self-funded plan + PPO with 90/10 in- ... Planners (AICP) professional designation. Ability to obtain Certified Floodplain Manager (CFM) professional designation within 2 years of hire....network and 80/20 out-of- network co-insurance; $275 deductible… more
- WTW (Boston, MA)
- …welfare plans, ideally gained in a benefit consulting/brokerage firm, Health Plan, Third Party Administrator , Regulatory Agency, Legal/Compliance Firm, or ... data requests on behalf of each client/carrier + Coordinate with Project Manager regarding sending requests, timing, status, and follow-up + Attend internal and… more
- Dignity Health (Oxnard, CA)
- …provide the capabilities needed to perform the job duties. + Familiarity with third party administrator operations such as eligibility, prior authorization, ... claims administration and provider network administration. Familiarity with managed care and self-insurance products and benefits. **Preferred Qualifications:** +… more
- City of Boca Raton (Boca Raton, FL)
- MOBILITY PROGRAM MANAGER Print (https://www.governmentjobs.com/careers/bocaratonfl/jobs/newprint/5004061) Apply MOBILITY PROGRAM MANAGER Salary $90,482.00 - ... + Benefits + Questions General Statement of Job The Mobility Program Manager is primarily responsible for transportation plans and policies to develop safe… more
- Actalent (Chagrin Falls, OH)
- Summary: This position will be both Salary and commission As a Project Manager , you will manage the renovation, as well as control and communicate the budget ... insurance providers and property owners. Follow all program and TPA guidelines. + Coordinate all Tradesmen. + Review all...drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500… more
- Amergis (Columbia, MD)
- …claims to resolution + Participates in conference calls with local offices, third - party administrators (TPAs), attorneys, and other Maxim employees, in order ... that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital,… more
- Rush Enterprises (New Braunfels, TX)
- …bonds, and warranty bonds. + Oversee, audit, and conduct claims reviews of the Third - Party Claims Administrator ( TPA ) responsible for Workers' ... of opportunity. We are a part of the largest network of commercial vehicle dealerships in North America representing...+ Associate in Risk Management (ARM) or Certified Risk Manager (CRM) designation preferred; or willingness to obtain the… more
- Dignity Health (Oxnard, CA)
- **Responsibilities** Reports to the Stroke Program Manager . In keeping with Dignity Health Core Values, the Neuro Nurse Practitioner works with the ... to assist in driving the timeline for door to TPA and door to reperfusion. The Neuroscience NP will...health care system in the nation, boasting an integrated network of top quality hospitals, with physicians from the… more
- Amergis (Columbia, MD)
- …claims to resolution + Participates in conference calls with local offices, third - party administrators (TPAs), medical providers, and other Amergis employees in ... since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work...order to communicate status plans + Monitors TPA 's file resolution plans + Controls all financial aspects… more
