Knowledge of/experience with PC-based computer software. 2 year degree required with a concentration in safety and health, fire protection, science or engineering or equivalent experience. Minimum 3 years field experience as a Risk Management RepresentativePreferred.
Design and perform actuarial studies related to medical care costs and trends. Extract and compile information from various systems to support executive decision-making. Applicants must meet the following qualifications: Bachelor's Degree in Mathematics, Statistics, or Economics.
A behavioral health company needs applicants for an opening for a Telecommute Healthcare Benefits Determination Utilization Manager. Individual must be able to fulfill the following responsibilities: Provide oversight and/or assist with benefit determinations.
6+ years experience work experience in Annuities, Health and/or Life insurance products. Bachelor’s Degree or 4 additional years of related experience beyond the minimum required may be substituted in lieu of a degree. Advanced knowledge of relevant regulatory data sources.
An online marketing firm is filling a position for a Remote Health Insurance Phone Agent in Tulsa. Core Responsibilities of this position include: Calling on behalf of an insurance provider to inform existing members prescriptions are ready or need to be filled.
An online marketing firm is seeking a Telecommute Health Insurance Phone Agent in Fort Worth. Core Responsibilities Include: Calling on behalf of a health insurance provider to inform existing members prescriptions are ready or need to be filled. Transferring members to their pharmacies.
A sustainable, people-focused, healthcare system is seeking a Telecommute Policy and Implementation Analyst. Core Responsibilities of this position include: Developing, maintaining and publishing reimbursement policy. Evaluating, recommending and implementing clinical editing solutions.
Identifying and reporting quality of care issues. Qualifications Include: Graduated from an Accredited School of Nursing. 3-5 years clinical nursing experience. 1-3 years Managed Care Experience. Experience demonstrating knowledge of ICD-9, CPT coding and HCPC.
Bachelor's degree required or equivalent education or experience. Active Series 7, 24, 63, 65 (or 66) Previous industry and supervisory experience. Previous leadership and management experience. Resident state Life and Health licensee. All other requirements listed by the company.
Qualifications Include: Ability to travel 50% of the time. Previous industry and supervisory experience. Active Series 7, 24, 63, 65 (or 66) Bachelor’s degree required or equivalent education or experience. Resident state Life and Health licensee.