- City of New York (New York, NY)
- …149 bargaining units. 1.Monitor Health Plan Compliance: Review and audit of self - funded health plan financial processes to ensure compliance with ... health plan administrators to develop and execute audit of City self - funded health plan . Coordinate review of audit reports outlining findings,… more
- City of New York (New York, NY)
- …for overseeing staff responsible for the reconciling of claims payments within the City's self - funded health plan effective January 1, 2026. Key ... Responsibilities: o Monitor health plan processes to ensure compliance with contractual obligations, regulatory requirements, and internal policies related to … more
- CVS Health (Carson City, NV)
- …PowerPoint - Exceptional communication skills - 20% Travel required **Preferred Qualifications** - Self - funded Health plan experience - Experience ... Qualifications** - 4-6 Years of Industry Experience - Strong understanding of health plan market (Group Health Insurance) - Strong knowledge of Excel… more
- City of New York (New York, NY)
- …and agency/union contact on all matters relating to the administration of the City's self - funded health plan . Key Responsibilities: - Assist employees ... with new NYCEPPO health plan benefits - Assist employees navigating both ESS and application Forms - Liaison to Agency HR, Unions and active employees - Conduct… more
- CVS Health (Raleigh, NC)
- …years of health insurance industry and account management experience. - Self - funded insurance experience. - Stop-loss knowledge. - Proficiency with desktop ... At CVS Health , we're building a world of health...each and every day. **Position Summary** The **Account Manager ( Self - Funded )** will partner with either an account… more
- City of Henderson (Henderson, KY)
- Public Safety Wellness Coordinator (Grant Funded ) Print (https://www.governmentjobs.com/careers/henderson/jobs/newprint/5173797) Apply Public Safety Wellness ... Coordinator (Grant Funded ) Salary $77,169.48 - $117,666.29 Annually Location Henderson, NV...to assist public safety personnel in coping with mental health wellness-related concerns and stress management; and performs related… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …HIPAA, ACA, CAA transparency requirements, Mental Health Parity Act, and all self - funded plan regulations + Oversee Form 5500 preparation, PCORI fees, ... ERISA, HIPAA, ACA, CAA, Mental Health Parity, Form 5500, self - funded plan compliance **Leadership Capabilities** + Strategic thinker who translates… more
- Prime Healthcare (Ontario, CA)
- …(7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in a Managed Care, Self - Funded or hospital setting is ... Business Objectives, Healthcare Payers, Claim Operations Strategies, Claim Process Automation, Self - Funded Plans, and Employee Health Plans. Qualifications… more
- Northwell Health (New York, NY)
- **Req Number** 173504 Job Description The AVP for Health Plan Performance will be responsible for driving the performance of our network solution across ... and administration of policies, services and programs that optimize health plan performance for Northwell Direct. Collaborates...and measure the performance of our network solution for self - funded employers on an ongoing basis, such… more
- Geisinger (Danville, PA)
- …(Medicare) + Individual and Small Group ACA products (ACA) + Fully insured, level- funded , and self - funded products (Commercial) + Develops flexible design ... development, and implementation of innovative commercial and/or government program health insurance products that meet end-user needs (employer groups, individual… more
- University of Southern California (Los Angeles, CA)
- …departments on or off campus as necessary. . Serves as a key resource for self - funded health plans and wellness program information. Resolves problems or ... responsible for the day-to-day operations alongside the Director of Health Plans Administration of USC's self - funded...engaging in responsible cost containment efforts, continuous improvement of self - funded medical plan products and… more
- Health Care Service Corporation (Albuquerque, NM)
- …organization. This position will also require primary oversight of a small book of self - funded clients. In addition to working closely with the entire Client ... strong morale; shares successes; gains respect of team + Self -motivated: makes things happen; energized by challenge; understands the...employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan ,… more
- Health Care Service Corporation (Lancaster, PA)
- …organization. This position will also require primary oversight of a small book of self - funded clients. In addition to working closely with the entire Client ... strong morale; shares successes; gains respect of team + Self -motivated: makes things happen; energized by challenge; understands the...employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan ,… more
- Geisinger (Danville, PA)
- …+ Assists in preparing various management reports to analyze the financial risk for the health plan . Utilizes a high level of experience in Excel and reporting ... in evaluating risk, pricing strategies, and ensuring sustainable growth across our self - funded product lines. Job Duties Calculates premium rate proposals and… more
- SSM Health (Bridgeton, MO)
- …therapeutic services. + Educates patients/families about treatment plan including self -care post discharge, holistic health needs, available resources and ... **It's more than a career, it's a calling** MO-SSM Health DePaul Hospital - St. Louis **Worker Type:** Regular **Job Highlights:** **Licensed Practical Nurse (LPN) -… more
- Lakeview Health Services (Geneva, NY)
- …more detailed assessments when needed (eg, high-risk substance use or mental health related indicators, harm to self /others, abuse/neglect and domestic violence) ... Team! EMPLOYMENT OPPORTUNITY ($2,500 SIGN ON BONUS) Title : Health Home Plus Care Manager Job Requisition No.: 1766...Agency match + Voluntary Medical/ Dental/ Vision + Employer Funded Life Insurance + 9 Paid Holidays and 1… more
- Eastern Connecticut Health Network (Vernon, CT)
- …on a routine basis to ensure active and engaged participation in their own health outcomes and in the promotion of self -care skills and other follow-up ... career ladders, committee involvement, and more. POSITION SUMMARY: The Community Health Navigator (CHN) is responsible for providing education and outreach… more
- Health Care Service Corporation (Lancaster, PA)
- …delivering innovative, sound solutions. + Solid financial acumen, including experience with self - funded markets, health system business models, budget ... our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan , pension plan , paid time off, paid parental… more
- CVS Health (Columbus, OH)
- …within Sales & Service - Client Management administration, support, reporting - Self - funded /stop loss products - Strategy development - Cross-sell functionality ... At CVS Health , we're building a world of health...needs are being met. Supports the overall annual business plan and account strategy. Supports in the development and… more
- Nuvance Health (Danbury, CT)
- …on a routine basis to ensure active and engaged participation of their own health outcomes in the promotion of self -care skills and other follow-up care. ... *Description* *Title: *Community Health Navigator - Danbury Hospital CT Early Detection...- 5:00pm, Monday - Friday. *Bilingual Required (Spanish/Portuguese)*. Grant funded . *Summary:* Provides education and outreach activities to individuals… more