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In conjunction with the VP of Managed Care Contracting & Payor Relations/legal department, reviews and negotiates any new 340B contracts and renegotiation of existing transaction fees. Participates in the policy and procedure development, maintains internal and external relationships (wholesalers, Covered Entities, and third-party administrator [TPA] vendors) as needed, 340B rules/guidance surveillance, assist in 340B off site audits as necessary, contract management/implementation, reporting/analyzing, and program enhancement/ optimization projects including annual budgeting.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Responsibilities include: Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liability or Umbrella claims.
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Divisional Operational Risk and Data Management: including Divisional Operational Risk, electronic discovery and ESI management (EEM), divisional records information management (RIM), third-party risk management (including TPA process for legal vendors)Work as a peer-to-peer partner with the Division’s Chief of Staff to, among other things, set priorities and allocate resources in alignment with corporate objectives and the strategic plan.
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Maintain relationships with the Trust, Third Party Administrator (TPA) and legal counsel to resolve open claims. The Director of Risk Management & Compliance is a key role within the CFO's office and Finance Department, with responsibility for enterprise risk management, insurance/workers' compensation, contracts and assistance with legal affairs for Roberts Wesleyan University.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Must be able to deal effectively with all levels of employees, management, outside benefits professionals (insurance contacts, TPA, actuaries), legal counsel and regulatory agencies. Responsible for evaluating, selecting, and directing benefits consultants, actuaries, brokers, and necessary legal counsel.
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Works closely with the Worker’s Compensation Manager to ensure that legal counsel is brought in when appropriate and assists counsel on any litigated claims. A minimum of 1-2 years of Pennsylvania Workers’ Compensation experience with direct adjudication, supervision, and administration of workers’ compensation claims with an insurance company, TPA or self-insured company.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Working closely with TPA Partners, Claim Examiners, Underwriters, Actuarial, and Senior Management to communicate claim developments, research trends, develop policy wording, educate/train on legal issues.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Hiring for Engineering, Finance and Accounting, Healthcare, Human Resources, IT, Legal, Life Sciences, Manufacturing and Logistics, Sales and Marketing and Administrative roles. Process a variety of Third Party Administrator (TPA) payments.
RemoteExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Communicate with prior TPA, investment advisor, and client on takeover plans. High degree of technical/legal knowledge including familiarity with Internal Revenue Code and ERISA as they apply to qualified plans.
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Learn different claim platforms within eviCore and also client claims platforms when necessary. 2 year minimum experience in medical billing and/or claims accounts receivable. Research/rectify third party denials/edits, requests for information and other related correspondence.
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Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liability or Umbrella claims.
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Experienced workers compensation claims manager to provide prompt and expert management of workers’ compensation claims, and to liaise effectively with the Third-Party Administrator (TPA), Legal, Risk Management, Health, Safety, Environmental, & Quality (HSEQ), People & Culture (HR), and Leave of Absence (LOA) teams in supporting ISS Placemakers.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Commercial Claims Adjuster or Examiner positions. Review police reports, legal and medical bills, etc.
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10 recent years of Property & Casualty insurance experience. Litigation and Subrogation experience highly desired. Current HIGH DEMAND for licensed Bodily Injury, Professional Liability or Medical Malpractice claim experience.
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At Wahve, we value significant insurance experience and want to revolutionize the way people think about phasing into retirement by offering qualified candidates the opportunity to continue their career working from home.
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