- 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
- Guthrie (Sayre, PA)
- …the health plan data (Human Resources) and with the health plan third party administrator /pharmacy benefit manager on the member's care. Experience A ... through EPIC registry reports, provider referrals, and health plan third party administrator /pharmacy benefit manager reporting. b. Using EPIC Disease… 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
- 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- ... 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), medical providers, and other Maxim employees in ... reserves per the TPA service agreement in consultation with the WC Manager + Escalates lost time and litigated claims for appropriate handling + Facilitates… 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