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Education:A Bachelors (BA/BS/BSN) and Masters (MA/MS/MSN/MBA/MPA) degree are required. Minimum Education and/or Experience RequirementsA Bachelors (BA/BS/BSN) and Masters (MA/MS/MSN/MBA/MPA) degree are required.
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Collaborating across disciplines and business units, including: the office of general counsel overseeing errors & omissions issues arising from claims handling, the Brandywine (run-off) team, the Bermuda claims team and in-house coverage counsel team.
$128,500 - $215,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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This position is for an Auto Estimator, handling claims resulting in property damage to vehicles. Claims Appraiser - Auto Estimatics. You may be the first point of contact to meet with our insureds, explain coverage, estimate vehicle damage, and help them through the claims process while providing Remarkable® service.
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Manage the company's Captive Insurance Program; Adjusting WC and GL Claims. and this person will be responsible for utilizing their expertise in the construction industry to handle insurance procurement, collection of certificates of insurance from subcontractors and vendors, reviewing insurance terms and conditions for subcontractor agreements and owner agreements, and handling workers' compensation claims and insurance claims for the company.
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Overall, the role will focus on the following areas: Self-funded market (MSO/TPA), fully-insured market, maintain a presence with existing City Agency and Daycare business (for Gold and GoldCare) and the Individual Coverage Health Reimbursement Arrangement (ICHRA) Market.
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In this role, the successful candidate As part of the Pharmacy Business & Analytics (PBA) team, this position monitors and manages Third Party Administrator (TPA) split-billing software reports to ensure regulatory compliance and optimization of 340B Program revenue.
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Bachelors in Accounting; MBA/CPA/CFA/CIMA. We do not discriminate on the basis of age, ancestry, color, gender identity or expression, genetic predisposition or carrier status, marital status, national or ethnic origin, race, religion or belief, sex, sexual orientation, sexual and other reproductive health decisions, parental or caring status, physical or mental disability, pregnancy or maternity/parental leave, protected veteran status, status as a victim of domestic violence, or any other classification protected by applicable law.
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Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.) Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.
$86,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Fields of study include Chemistry, Biochemistry, Chemical Engineering, Biology, Pharmacy, Microbiology, Virology, or Molecular Biology with at least four years of overall relevant work experience OR Advanced degree (MS, MBA, Ph. D., PharmD) in a science, engineering, or related scientific field.
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Medicare or Medicare Advantage payment integrity or claims operations experience; preferred. Partner with Clinical, Claims, and Payment Integrity peers to review claims for DRG related issues on a prospective and retrospective basis that drive inaccurate payments to providers.
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MBA, CPA, CTP, or CFA qualifications are preferred. Working knowledge of cash management, FX, Debt capital markets, and interest rate risk management, spotlighting Kyriba as the technology of choice.
$128,235 - $213,725 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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MBA, PhD, equivalent graduate level degree or additional 8 years relevant work experience with management consulting firm, power producer and/or power trading company. MBA, PhD, equivalent graduate level degree or additional 8 years relevant work experience with management consulting firm, power producer and/or power trading company.
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The auto liability claims department is looking for an experienced Claims Examiner to handle moderate complexity auto claims within our organization. Evaluate, negotiate, and settle assigned property damage or bodily injury claims within authority granted, or seek authority for those claims in excess of authority.
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MBA, CPA, CAIA, CFA are welcome but not required. Ares offers a number of additional benefits including access to a world-class medical advisory team, a mental health app that includes coaching, therapy and psychiatry, a mindfulness and wellbeing app, financial wellness benefit that includes access to a financial advisor, new parent leave, reproductive and adoption assistance, emergency backup care, matching gift program, education sponsorship program, and much more.
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Participating in indirect tax projects, including sales and use tax refund claims. Participating in indirect tax projects, including sales and use tax refund claims. ACT Consulting has an immediate need for a State and Local Transaction Tax Accountant located in New York, NY with our direct client.
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claims tpa mba jobs Company: Metroplus Health Plan in Newark, NJ
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