- Highmark Health (St. Paul, MN)
- …is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ... Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case...in insurance industry with claim management + Experience with excess risk product and related claim management/cost… more
- AIG (Atlanta, GA)
- …Excess Casualty At AIG, we are reimagining the way we help customers to manage risk . Join us as the Actuarial - Excess Casualty to take on key ... Actuarial Our Actuaries are on the front lines, quantifying risk , pricing insurance and reserving losses for AIG's major...expertise to be a key leader on the Retail Excess Casualty team. The Actuarial Associate Director's main responsibility… more
- Ochsner Health (New Orleans, LA)
- …cost metrics and benchmarks. Provides focused direction and promotion of value-based care issues and initiatives, navigating across the numerous facets of the ... agencies to mitigate the significant regulatory, financial and operational risk of participation in the various programs. + Oversees...time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the… more
- Banner Health (Phoenix, AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options… more
- JPMorgan Chase (Jersey City, NJ)
- …Credit Management Standard, and operating model for managing transactional credit risk of non-Credit- managed /business- managed clients; oversees and drives ... excess of pre-defined thresholds. + Partners with Credit Risk Management, L&AS Data & Analytics program and Product...of the framework and operating model for managing credit risk of non-Credit- managed clients) and is accountable… more
- AIG (Atlanta, GA)
- … and Environmental claim files, as well as triaging or monitoring Notice Only Excess claim files. Claim files managed in CID encompass wide-ranging subject ... work and live. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants… more
- Ochsner Health (New Orleans, LA)
- …and participates in the reimbursement department's financial analysis, accounting, managed care analysis and reimbursement activities including preparation ... with Generally Accepted Accounting Principles (GAAP). Conducts analysis to support managed care contract negotiation, evaluates payer performance and contract… more
- Ochsner Health (Baton Rouge, LA)
- …and/or trauma upon the patient and their support system + Advanced knowledge of managed care and public programs such as those funded by Medicare, Medicaid, ... professionally to varying levels of individuals throughout the patient care process. + Good knowledge of common disease entities...time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the… more
- Ochsner Health (Lafayette, LA)
- …operations experience with specific focus in reimbursement Inpatient and Outpatient Managed Care and Commercial payors, Medicare and state/regional Medicaid ... experience with specific focus in reimbursement Inpatient and Outpatient Managed Care and Commercial payors, Medicare and...time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the… more
- Ochsner Health (Gretna, LA)
- …Required - 5 years of experience in discharge planning, social services, home health, managed care , care management, case management or utilization review. ... through subsequent treatment and follow-up to reflect continuity of care . + Manages high risk , complex patient...time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the… more