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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.
$65,000 - $85,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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You will also provide assistance in various administrative functions associated with the Liability Line of Business (LOB), and will liaison with Client Engagement, Underwriting, Risk Control, Reinsurance, TPA Partnerships and Finance departments, as needed while reporting to the Vice President, Casualty Claims.
$108,000 - $174,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Understanding of Self-funding, Stoploss, Pharmacy Benefit Management, ERISA guidelines, Affordable Care Act, Section 125, HIPAA and PHI. Oversees annual reporting and filings, ensures accuracy of data and meets appropriate deadlines for 5500 / SAR, Creditable Coverage and Medicare Part D CMS disclosures, CMS demand letters, Healthcare Exchange Appeals, Covered California Appeals, 1095-C, PCORI, Form 720 and Non-Discrimination Testing.
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Prepare monthly reporting package including but not limited to inventory reporting, first level (TPA customer service & turnaround) statistics, referral analysis (turnaround times, volume breakdowns) for review by VP and Senior Level Management.
Full-timeRemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Seek to ensure that Third Party Administrator (TPA) is managing claims efficiently. Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review Specialist will assist in the monitoring and administering of Aerotek’s workers compensation program to ensure the maximum cost containment.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Prior TPA, Health Care or Managed Care experience strongly preferred. Summary: Under the supervision of the Director of Plan Analytics, the Accounting Manager ensures all monthly reporting is submitted to clients in a timely and accurate manner.
Full-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Reporting to the Global Head of Claims Quality Assurance, Governance & Training you will be responsible for the delivery of the overall Claims Quality Assurance program for the North America claims teams across multiple regions and lines of business for AIG Claims and TPA programs.
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Submits invoices for processing to liability third party administrator (TPA) and prepares internal check requests (121). Areas of assignment include, but are not necessarily limited to, full cycle recruitment; onboarding; benefits maintenance; training coordination; workers' compensation intake and reporting, incident reporting, FMLA intake; records management; and other Human Resources and Risk Management related functions.
$56,363.97 - $84,545.96 a yearExpandUpdated 8 days ago - UpvoteDownvoteShare Job
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Responsible for managing all communications and relationships between KPH and all Covered Entities and their designated 340B TPA within the program. 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.
$65,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Serve as a resource to plan sponsors and financial advisors for matters related to defined benefit and defined contribution ERISA compliance, plan design and governmental reporting. FuturePlan is the nation's largest third-party administrator (TPA) of retirement plans, partnering with advisors in all 50 states.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Be responsible for administering and reporting for the pharmacy plan, self-funded health plans, including interaction and oversight of the designated TPA and Pharmacy Benefit Manager (PBM); and all medical, behavioral health, and pharmacy programs leadership including committees to review plan design, make recommendations, costing and appeal decisions.
$76.36 - $114.55 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Workers Compensation monthly and quarterly wage reporting, First Injury Reporting to state Work Comp divisions, annual Work Comp renewal process. Working with 401(k) and ESOP TPA involved with annual census, enrollment, annual auditing process.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Examine all injury and accident reports and assist supervisors with accident investigations to ensure accurate and timely reporting of all claim information to Third Party Administrator (TPA), and to mitigate future similar injuries.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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The Fund Accountant will be responsible for supporting portfolio/partnership fund accounting including Fund Accounting / Financial Reporting and Investor Reporting across the funds and firm.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Assisting with maintenance of SIU, Fraud reporting and other Compliance reporting and procedures as these may be required, monitoring, summarizing, tracking compliance objectives and timelines in partnership with a third-party vendor, reporting to internal stakeholders.
ExpandApply NowActive JobUpdated 3 days ago
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