Manage unit cost budgets, target setting, performance reporting and associated financial models Predict emerging customer needs and develop innovative solutions to meet them Help develop geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management Evaluate and negotiate contracts in compliance with compan

Lead and perform financial analysis and modeling as it relates to setting prescription drug prices Create and/or execute pricing models, complex analysis and reports Concisely summarize and communicate the results of complex analytics Lead projects to completion by contributing to database creation, statistical modeling and financial reports Predict emerging customer need

The Claims Supervisor is responsible for the daily oversight of claims processes including but not limited to the inquiry and resolution process, adjudication process, user acceptance testing and quality assurance, training, and reporting. In addition, the position assists the claims manager with claims related queue management (i.e. claims, inquiries, refunds, adjudicati

Investigate, document, track and assist with claims resolution Interact with various operational departments to assure accurate and timely payment of claims in accordance with WellSense policies and procedures Identify system changes impacting claims processing and work internally on resolution Identify systematic issues and trends and research for potential configuration

Responsible for accurate and timely implementations of pharmacy benefits and operations configurations Provides project management support for all pharmacy services initiatives across all lines of business Responsible for initiation, planning, tracking, documenting, execution, and monitoring and controlling of program implementations Proactively works with the project tea

Job description Our purpose Opening up a world of opportunity explains why we exist. Here at HSBC we use our unique expertise, capabilities, breadth and perspectives to open up new kinds of opportunity for our more than 40 million customers. We're bringing together the people, ideas and capital that nurture progress and growth, helping to create a better world for our cus

IPG Mediabrands is seeking a dynamic and experienced Director, Growth Operations to play a key role in accelerating our agency's growth trajectory. This individual will work closely with the SVP of Growth Operations, supporting and implementing a cohesive strategy for agency growth initiatives. The role is critical for enhancing our new business processes, optimizing grow

The Director Grants leads the Agency's grants and loans program and manages the Grants Division; establishes Agency strategy to maximize all grant and loan funding opportunities; researches, writes, develops, and executes grant and loan proposals for the Agency; represents the Agency in funding negotiations with external agencies; produces long term forecasts of grant rev

AML Technology and Reporting Analyst Location Location US ID Boise Location Address 5777 North Meeker Ave Location City Boise Location State/Province ID ID 2024 2682 Category Risk and Compliance Position Type Full Time Min USD $70,000.00/Yr. Max USD $90,000.00/Yr. Min USD $70,000.00/Yr. Max USD $90,000.00/Yr. Job Summary The AML Technology and Reporting Analyst supports a

Level Experienced Job Location Walnut Creek 1 Walnut Creek, CA Position Type Full Time   Salary Range $125,000.00 $140,000.00 Salary Description Join a winning team at United Business Bank and enjoy a friendly and collaborative work environment where opportunities for advancement are encouraged and supported. We pride ourselves on the team that we have in place, and w

Senior Associate, Anti Money Laundering/Prevention/Know Your Client Bring your ideas. Make history. BNY Mellon offers an exciting array of future forward careers at the intersection of business, finance, and technology. We are one of the world's top asset management and banking firms that manages trillions of dollars in assets, custody and/or administration. Known as the

Job Requisition ID 90325 Location Designation Fully Remote Location This is a remote position reporting to New York Life's headquarters in New York, NY. Applicants may work from a home office anywhere in the United States. Offered Wage $143,021/year Duties Executes automation and manual test cases on technology solutions to validate business requirements, design specifica

The Senior Director, Performance Improvement provides strategic leadership in the planning, development, implementation and execution of all aspects of a robust portfolio of value based programs and strategies within the Prominence Health umbrella. Emphasis will be centered around risk based contract performance, risk adjustment, and quality measurement performance across

The Senior Vice President of Product Management will be responsible for managing the growth and development of our entire product portfolio and building the new product pipeline to deliver profitable growth across all channels and regions. This leader will manage business plans to align departments and achieve company objectives while leveraging consumer insights to ident

This individual is responsible for collecting and/or making payment arrangements on patient portions on hospital services incurred in accordance with state and federal laws governing collection practices. Qualifications QUALIFICATIONS 1. High School graduate, GED, or Higher Education 2. 2 years healthcare experience or business/collections preferred 3. Proficient computer