admin This a Full Remote job, the offer is available from: United States, Panama, Pennsylvania (USA) UPMC Health Plan is hiring a full-time employee to support the Special Needs Plan line of business within the Allegheny County Care Management Team. The team is looking to hire either an RN (as a Telephonic Care Manager) or a … Read more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided … Read more
Marketing Data & Analytics Lead (Senior Advisor), Healthcare – Hybrid (CT/NY/PA/NJ/STL) Job Summary: We’re seeking a seasoned Marketing Analytics professional to join our Evernorth Marketing team as a Marketing Analytics Senior Advisor. As a strategic partner to our marketing organization, you will design, develop, and implement end-to-end marketing analytics solutions to measure the effectiveness of … Read more
REMOTE: Field Adjuster – Dallas, TX – American National Insurance – Dallas, TX – work from home job Company: American National Insurance Job description: Senior Field Claims Specialist American National is seeking an experienced full-time team member to manage field property claims locally (Personal lines primarily, with exposure and/or willingness to learn commercial and agriculture … Read more
GEICO is seeking an experienced Senior Engineer with a passion for building high performance, low-latency platforms and applications. You will help drive our insurance business transformation as we redefine experiences for our customers. Position Description Our Senior Engineer is a key member of the engineering staff working across the organization to provide a friction-less experience … Read more
Position Summary: Responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources. Medical necessity reviews may include: planned elective services, surgical and diagnostic procedures, durable medical equipment and out of network services. Conduct reviews in compliance with medical policy, member eligibility, benefits, … Read more
Requirements Description & Requirements Maximus is hiring a Clinical Review Specialist – Registered Nurse to join our Audit and Appeals team! In this role, you will evaluate submitted appeals and make decisions based on clinical evidence. If you’re passionate about making a positive impact in healthcare and have a keen eye for detail , apply … Read more
WHAT WE’RE LOOKING FOR Alternative Dispute Resolution (ADR) Experience is a plus* Are you a Workers Compensation Claims Adjuster with ADR experience? Berkshire Hathaway Homestate Companies has an immediate opportunity for YOU! We’re looking for self-starters who can work under minimum direction, can achieve defined results, and are willing to accept ownership for their … Read more
Why Join our Team? At Vallen, we embrace what makes us unique. We thrive on the diversity of our associates and the different ways each of us contributes to Vallens success. We pride ourselves on being an inclusive company that values the growth of our associates. When you join Vallen, you become part of our … Read more
This a Full Remote job, the offer is available from: United States Delta Dental of Massachusetts is dedicated to providing an exceptional experience for our valued network of providers. We prioritize proactive, consistent, and clear communication through various channels to achieve this goal. This includes offering educational and training resources that enhance administrative simplicity and … Read more