Summary This is the senior level role that provides the product and profit and growth linkage for all company and alliance products. Provides analysis of data and information, identification of root causes of deviations, development of solutions and driving the execution of plan implementation. Manages operational planning and rate revisions, accountable for achieving pro

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

Job Location Smithfield, RI Smithfield, RI Position Type Full Time Education Level Associates Degree   Travel Percentage Frequent Job Shift Daytime Job Category Some Experience Description This position is responsible for processing provider application for network entry and reappointment, including primary source verification of providers credentials according to Pla

Position Compensation Range $109,000.00 $186,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. You will provide the highest level of expert analysis, consulting and project or staff leadership for the full range of actuarial activities related to either insurance pricing or ratemaking for a line of business (LOB),

To provide underwriting support to the NACP & E&S Homeowners underwriting teams, specifically catastrophe modelling and pricing of risks, and capture of exposure data for bound risks. Key Responsibilities Cleanse scheduled location and exposure data, then import or enter into RMS interface in accordance with team procedures Liaise with external service provider and update

We are seeking a strong actuarial leader with exceptional analytical, communication, and pricing skills, along with insurance product management experience for a Product Management role. The position is responsible for developing and continuously improving our pricing indications, expense, and profit allocations as part of the Homeowners Center of Excellence. The candidat

Morgan, Lewis & Bockius LLP, one of the world's leading global law firms with offices in strategic hubs of commerce, law, and government across North America, Asia, Europe, and the Middle East, is seeking to hire a Patent Agent and/or Technical Specialist to join their award winning Intellectual Property Practice Group and be responsible for preparing, filing, and prosecu

How will your role help us transform hope into reality? The Senior Director, Corporate Legal Affairs will use their understanding of securities law and corporate governance, the biopharmaceutical industry, and Blueprint Medicines' business to provide pragmatic legal advice that advances the company's business and protects the company's interests. Reporting to the VP, Corp

As a leading global contract research organization (CRO) with a passion for scientific rigor and decades of clinical development experience, Fortrea provides pharmaceutical, biotechnology, and medical device customers a wide range of clinical development, patient access and technology solutions across more than 20 therapeutic areas. With over 19,000 staff conducting opera

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues experts in their fields who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciti

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues experts in their fields who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciti

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

Why This Role is Important to Us The Privacy Analyst will play a key role in building, operationalizing and sustaining an effective and robust Privacy Program. Reporting to the Manager, the role will ensure that the organization complies with relevant and applicable privacy laws, regulations, contractual requirements, and standards. The role will be responsible for develo

As a B&A insurance and Solutions Specialist your will, be assigned and report to the West region territory to offer sales & service for personal and commercial insurance products placed through brokerage division. You will maintain relationships with the internal and external partners to ensure insurance business is placed and service within the operation of brokerage busi

CLAIMS SPECIALIST 3RD PARTY Job Locations US MA TAUNTON ID 2024 142158 Line of Business PharMerica Position Type Full Time Pay Min USD $19.00/Hr. Pay Max USD $21.00/Hr. Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long term care and senior living clients. We