Senior Special Investigations Unit Medical Reviewer
Pet care insurance Flexible Spending Account – Health Care/Childcare Wellness programs that promote a healthy work-life...
Pet care insurance Flexible Spending Account – Health Care/Childcare Wellness programs that promote a healthy work-life...
strategic planning and overall program ownership. 11. Perform any other duties as required to ensure Health Plan operations... (CalAIM, Implementation of new all plan letters, 2024 contract readiness for Health Services, Knox Keene requirements, CCA...
, monitoring and reporting variances monthly. 8. Manage Stakeholder Relationships 9. Manage Development of the Project Plan 10... with additional options Short-term, and long-term disability options Pet care insurance Flexible Spending Account – Health Care...
for Proposals (RFP) for external products and / or services. Perform any other duties as required ensuring Health Plan... Compliance Leadership, the Special Programs Manager II supports the Plan’s Compliance Program through the initiation, planning...
, purchasing, expense reimbursements and payroll. 3. Develop audit plan, procedures, and testing requirements based on auditing... and audits performed as directed by Director and Executive team. 7. Present annual internal audit plan for approval to the...
development. Wellness programs that promote a healthy work-life balance. Flexible Spending Account – Health Care/Childcare...
to consistently learn and share advanced skills and foster team excellence. 16. Any other duties as required ensuring Health Plan... – Health Care/Childcare Wellness programs that promote a healthy work-life balance Career advancement opportunities...
options Short-term, and long-term disability options Pet care insurance Flexible Spending Account – Health Care/Childcare... knowledge of general managed care operations required; delegated plan model preferred Basic knowledge of relational database...
, identifying risks, establishing compliance monitoring processes, and assessing regulatory compliance of Health Plan operations.... Key Responsibilities: 1. Independently conducts complex audits and monitoring activities of internal health plan...
Pet care insurance Flexible Spending Account – Health Care/Childcare Wellness programs that promote a healthy work-life... bonus opportunities Qualifications: Education & Experience Minimum ten (10) years of actuarial experience in Health...