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Description The Senior Utilization Manager RN provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The work assignments ..
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Description The Credentialing Professional 2 obtains and reviews documentation to determine status in a health plan. The Credentialing Professional 2 work assignments are varied and frequently require interpretation and independent determination ..
... The Senior Demand and Portfolio Management Professional collaborates with the business ... The Senior Demand and Portfolio Management Professional work assignments involve moderately ... The Senior Demand and Portfolio..
Description The Market Research Professional 2 performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Market Research Professional 2 work assignments are ..
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... Employer Group oversees customer account management, including negotiating contracts and agreements ... 3 years or more Health Insurance Sales and/or Account Management experience Active Life & Health ... experience..
Description The Large Group Medical Underwriter computes rates for both renewing and prospective moderate to complex group accounts. The Large Group Underwriter 2 work assignments are varied and frequently require interpretation ..
Description The Director of Operations - Inside Sales is responsible for accomplishing enterprise wide growth objectives through operational and technology transformation and by gaining a competitive edge in the marketplace by ..
... Bachelor's Degree or 5 years Insurance and/or Wellness Industry experience Active ... Life & Health (Florida 2-15) Insurance License 2 or more years ... 2 or more years of..
Description The Actuarial Analyst 1, Risk and Compliance is responsible for the overall management and oversight of actuaries and/or support staff where activities are concerned with identifying and managing risks. Identifies ..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
Description The Sr. Consumer Experience Professional performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Sr. Consumer Experience Professional work assignments involve ..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description The Senior Health Information Management Professional ensures data integrity for ... errors. The Senior Health Information Management Professional work assignments involve moderately ... Responsibilities The Senior Health Information Management..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... answer provider/beneficiary inquiries. The Care Management Support..
... Employer Group oversees customer account management, including negotiating contracts and agreements ... 3 years or more Health Insurance Sales and/or Account Management experience. Active Life & Health ... experience...
Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assignments centered ..
Description The Senior Portfolio Management Professional collaborates with the business ... and demand. The Senior Portfolio Management Professional work assignments involve moderately ... Description Summary The Senior Portfolio Management Professional..
Description The Compliance (UM) Lead conducts and summarizes compliance audits. The Compliance (UM) Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance (UM) ..
