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Requires a minimum of 8 years of experience in health care/managed care with direct responsibility within a Financial Planning & Analysis (FP&A) and/or Medical Cost Management & Analysis discipline.
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We're a recognized Elite Agency award winner and a leading property and casualty broker, benefits consultant, wealth manager, and retirement plan advisor. This is a full-time position, working with the Benefits Administration and Claims Advocacy teams and reporting directly to the AVP, Benefit Administration.
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Contribution and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and regulations of the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient and Customer Service.
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Chubb offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress.
$78,000 - $125,500Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
$97,000 - $107,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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About NYC Health Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
$45,879 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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ResponsibilitiesDuties include, but are not limited to: Provides outstanding customer service and works well with the insured, broker and TPA in the adjustment of complex and mainstream casualty, specialty risks and business auto claims.
$80,500 - $137,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Bachelor’s Degree or equivalent (Juris Doctor) is highly preferred Knowledge or experience in computer network and systems security or information security is a plus The base salary range for this position is $103,000-$140,000 and the position is eligible for a bonus in accordance with the terms of the applicable incentive plan.
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The primary responsibilities, include but are not limited to, answering customer calls, proactively working to resolve our members and providers questions and concerns, responding to and documenting all customer encounters, intaking complaints, conducting outreach and retention efforts, assisting with PCP selections and handling all provider inquiries related to eligibility, claims and authorizations.
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Collaborates with other Health plan departments and Management to ensure claims are processed in accordance with Federal, State and CPHL established guidelines and/or policies and procedures.
$21.54 - $30.77 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Overseeing and managing the administration of the client's benefit plan by initiating follow up resolution of all service inquiries involving claims, membership, billing and interpretation of contract provisions, benefits/plan design and other administrative requests originating from client groups in a timely fashion.
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New Hot The Customer Care Navigator will interact face-to-face with customers, assisting in providing complete resolution of customer concerns including claims, benefit and enrollment inquiries through health plan navigation, health and wellness coaching and community referrals.
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Job Description: This position is responsible for receiving verbal and written requests for prior authorization from pharmacists, physicians and/or patients and is responsible for supporting and assisting in the coordination of Pharmacy Services activities including claim utilization analysis, prescription plan design, ad-hoc reporting, correspondence and special projects.
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3+ years of Health Plan Compliance / Regulatory experience; 1+ year of Medical Coding experience. Demonstrates overall knowledge of Claims Processing for various insurances, both private and government.
$80,000 - $90,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients.
$106,500 - $176,000 a yearFull-timeExpandApply NowActive JobUpdated Today
health plan claims jobs in Jersey City, NJ
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