Jobs in Benefits

The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs. They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone…

· Under general supervision is responsible for providing experience-based support and assistance to management in the area of staff training, quality checking, preparation of routine reports and letter generation. · High School Graduate or GED equivalent required. · Three (3) to five (5) years of experience with benefits and procedures as related to assigned department.…

The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs. They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone…

Position Description: This position works with the Defined Benefits team at the client to administer DB plans and support participant requests, vendor coordination, and other administrative duties. Responsibilities include: - Support administration of the client's Defined Benefit and Defined Contribution plans - Support in maintaining plan regulatory compliance - Assist with maintaining plan documents, plan…

Responsible for the approval or rejection of claims, admissions approvals, telephone triage, and/or benefit interpretation. May be required to enter or reference data via PC and/or CRT terminal. Other related skills may be required to perform this job.The maximum hourly rate reflects budget estimates only and does not reflect the final negotiated rate. Requirements: Registered…

The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs. They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone…

Position Description: This position works with the Defined Benefits team at client to administer DB plans and support participant requests, vendor coordination, and other administrative duties. Responsibilities include: - Support administration of the client's Defined Benefit and Defined Contribution plans - Support in maintaining plan regulatory compliance - Assist with maintaining plan documents, plan rules,…

Top 3 Required Skills/Experience – • Knowledge and use of existing software packages. • Strong organizational, communication, analytical and problem-solving skills • Ability to work well in a team environment Required Skills/Experience – The rest of the required skills/experience. Include: • 1-3 years health care related experience Education/Certifications – Include: • High school graduate or…

Position Description: Act as the primary plant Workers' Compensation claims handler through contact and coordination of robust RTW/Communications efforts with all stakeholders for the client Workers’ Compensation program. Focus on excellent customer service, quality claims handling, and loss cost management Skills Required: •Administration and Management of Indemnity& Managed Medical and Legal claims from first report…

We are looking for RNs with at least 3 year’s of experience in the ICU, ED, post-acute or Utilization review settings. Anyone with a Utilization review background or experience in the post-acute setting (Rehab, Skilled Nursing Facility and Long-term acute facility) would be an ideal candidate. Responsible for the review of precertification, admissions approvals, telephone…