Manage the evaluation of payer proposals related to Fee For Service (FFS), capitation arrangements and value based contracts Partner with the payer contracting team to manage the modeling and negotiation process, evaluate proposals, and provide guidance to senior leadership on the financial impact and viability of the contract Work closely with the Finance and Actuarial t

Serve as single point of contact to the physician network and is an accountable owner, responsive to physician needs. Knowledgeable about incentive programs, contract reimbursement, Optum's internal processes and priorities, and other Optum initiatives, as applicable Monitors performance of assigned PCPs, identifies low performing PCPs and works with IPA leadership to dev

Job Description Pacific Life is investing in bright, agile and diverse talent to contribute to our mission of innovating our business and creating a superior customer experience. We're actively seeking a talented New Business Specialist to join our team in Omaha NE or Lynchburg, VA. This is a hybrid role. As a New Business Case Manager , you'll play a key role in Pacific

RAPP Los Angeles is looking for a Director, Experience Strategy to join our award winning Experience Strategy team. WHO WE ARE RAPP is a global, next generation precision marketing agency, harnessing data, creativity, technology, and empathy to drive client growth at scale. We stand up for individuality. We speak up against bland, broad brush generalizations. We fight for

Who We Are Woodruff Sawyer has been an industry leader for over 100 years. As a top insurance brokerage, our clients range from small start ups to some of the most innovative companies in the world. Here, your unique expertise and perspective helps move companies ahead and your career forward. We believe in supporting the whole lives and careers of our employees. That's w

Claims Manager TPA Job Locations US CA LOS ANGELES Job ID 2024 3803 Category Claims Type Regular Division Surplus & Specialty Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strengt

of the position The Insurance Services Manager plays a pivotal role in the newly established Honda Insurance Solutions company. Their responsibilities encompass overseeing and managing the property and casualty insurance business, from strategic planning to execution. The Manager formulates and refines the short and long term insurance business roadmap. They propose innova

Posting Title Licensing Coordinator Consumer Products Requisition Number R228894 Company Mattel Sales Corp. Location El Segundo, California Address 333 Continental Blvd Zip Code 90245 Job Category Marketing CREATIVITY IS OUR SUPERPOWER. It's our heritage and it's also our future. Because we don't just make toys. We create innovative products and experiences that inspire f

Review and analyze assigned automated transaction alerts produced from the bank's AML monitoring system. Conducts sufficient analysis of the customer patterns and activities in order to Provide clear written statement supporting disposition decision and documentation within the AML software. Meet productivity and quality expectations. Reviews assigned watchlist filtering

Director of Network Development and Provider Relations Facility Prime Healthcare Management Inc Location US CA Ontario ID 2024 153822 Category Director Position Type Full Time Shift Days Job Type Exempt Overview Prime Healthcare is an award winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient l

Manager, Claims Job Locations US CA Irvine Requisition ID 2024 16419 Category Claims Workers Compensation Position Type Regular Full Time Overview AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Claims Manager in Irvine, CA. The Workers Compensation Claims Manager is responsible to supervise activi

Posting Title Director, Consumer Products (Hardlines) Requisition Number R228440 Company Mattel Sales Corp. Location El Segundo, California Address 333 Continental Blvd Zip Code 90245 Job Category Marketing CREATIVITY IS OUR SUPERPOWER. It's our heritage and it's also our future. Because we don't just make toys. We create innovative products and experiences that inspire f

4041 North University Parkway,San Bernardino,California,92407,United States of America Insurance Counselor This vital, patient centered role provides education and guidance to DaVita patients about health insurance and the implications of different insurance options. This position helps patients understand their insurance options and make informed employment and insurance

The Credit Officer III has prior experience and expertise in credit analysis, with an understanding and ability to handle financial statement, tax return and cash flow analysis for businesses and individuals. Based on the credit request and analysis of the business or individual, the Credit Officer provides the bank with an accurate, clear and concise written credit reque

Utilize daily new customer report and import information into new customer risk scoring and rating tool. Review results from the output of the new customer risk scoring tool to identify new high risk customers that need to be scheduled for a 90 day Enhanced Due Diligence review. Review the output from the new high risk customer risk scoring tool to identify restricted or