RAND is seeking highly motivated analyst s and experienced practitioners who would like to apply their system acquisition expertise to Analysis of Alternatives ( AoA ) , Business Case Analysis (BCA) , and other related analyse s to directly impact government acquisition policy . The U.S. federal government spends hundreds of billions of dollars each year to acquire and su

Responsible for directing quality management efforts to ensure continuous improvement and organizational excellence, adherence with all regulatory, compliance, accreditation, and legal issues, and promote a safe environment for all employees, patients and visitors. Manage risk issues and oversees the credentialing function for medical staff. Accountable for the developmen

Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits plan. The Service Authorization Specialist is responsible

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

The Insurance Verification Specialist is responsible for obtaining verification of patient payer benefits and eligibility for services ordered. This includes but is not limited to private insurance, Medicare, Medicaid, and Rite care. Ongoing communication with medical billing department regarding authorization, re authorization, and retro authorization of visits Provide p

YOUR MISSION Budget/forecast, analyze and report on sales, margin and expense performance for ECOM Provide reporting and analysis of ECOM results vs historical and budgeted figures Provide detailed commentary on month end results from a sales and financial expense standpoint Support month end process including reporting, data validation, and calculation of accruals Assist

Ready to help us transform healthcare? Bring your true colors to blue. A Commercial Corporate Insurance Senior Manager is responsible for overseeing and managing the insurance needs of a company. This includes renewing existing coverages, developing and implementing insurance strategies, negotiating policies terms and conditions, assessing new initiatives for potential ri

To direct and manage the US Miscellaneous Medical & Life Sciences (US MMLS) team within Healthcare. To deliver and execute the annual business plan, set and direct forecasts. To underwrite a Miscellaneous Medical account within the Healthcare team and provide counsel and advice on Underwriting and market issues. Provide technical expertise in this business area and mainta

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

The Underwriter develops and fosters positive, professional relationships with the company's agency partners, as well as achieves company growth and profitability objectives. The underwriter is expected to exhibit a medium level of technical expertise, while exercising sound judgment, and delivering consistent results. Essential Duties and Responsibilities Develops and ma

Panera Bread is looking for an individual with a strong interest in finance or financial planning to serve as a member of its team responsible for planning, forecasting, and business analysis efforts. This role will be a key contributor to the forecasting and planning process for our bakery cafes, helping to project cafe revenues, expenses and profitability while also pro

The Commercial Credit Underwriter (CCU) position is designed and intended to prepare individuals for the role of Portfolio Manager I or a future Credit Professional role by providing specific on the job training as well as experience working within a Lending Team environment. CCUs report directly to the Commercial Credit Officer. The position is accountable primarily to t

Aon is Looking for a Casualty Broker Power & Renewables As part of an industry leading team, you will help empower results for our clients by delivering innovative and effective solutions supporting the Renewable Energy team. This position can be located in the following locations; Providence RI, Boston MA, New York NY, Chicago IL, or Houston TX. As a Broker, you will wor

Content Claims Specialist Field Level I Requisition ID 2024 24911 Job Locations US MA Boston Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary The role of Content Claims Specialists is a multi faceted role, which focuses primarily in the following four key areas of edjuster's content clai

This position will support transactional pricing needs for the growing Specialty Casualty business segment, including pricing and portfolio analysis for Umbrella and Excess Casualty across large national & international customer accounts. The individual will work directly with underwriters and senior pricing actuaries to evaluate submission data quality, primary loss fore