- AIG (Atlanta, GA)
- …to grow your skills and experience as a valued member of the team. Make your mark in Claims TPA Governance Reporting directly to the Head of Claims ... TPA Governance for North America, the TPA Compliance and Contract Manager will be...preferred. + Minimum 5 years prior experience working with Third - Party Administrators or other Claims … more
- Amazon (Seattle, WA)
- …a Senior Risk Analyst, you will partner with our Third - Party Administrator ( TPA ) to ensure compliance through audits and key performance indicators ... discussing program progression and goals - Collaborating with the TPA to improve SOPs and CSI compliance ,...develop metrics and reporting, establish key performance indicators for third - party vendors, and deliver actionable insights to… more
- AIG (Atlanta, GA)
- …of operations support and optimization + Collaborate with enabling teams, including Global Claims COEs, Claims Legal, Compliance , IT, and Claims ... cycle times and expenses. + Work in close partnership with the Global Claims functions - TPA Management, Vendor Management, Business Intelligence, GIS, GRS… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA- Claims **Position Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims ... Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration… more
- BlueCross BlueShield of North Carolina (NC)
- …General or Deputy General Counsel of a healthcare or health insurance company or third - party administrator of employer and union based health and welfare ... and guidance on legal matters and on legal implications of all corporate governance , business and compliance matters + Serves as primary lawyer/legal advisor… more
- Public Consulting Group (Olympia, WA)
- …revenue, improve business processes, and achieve regulatory compliance . Services: + Third Party Administrator Services + Enhance Health and Public ... Safety Services + Claims Processing Services and Solutions + Consulting and Advisory...IT strategy, managing the IT budget and resources, ensuring compliance with security and data privacy standards, and fostering… more