1 to 15 of 116
Sort by: Date | Relevance
Plan, design, and develop complex and business critical software solutions, utilizing appropriate software development methodologies either individually or as part of a project team. Responsible for ensuring that browser based systems and applications meet client requirements and operate properly, using software development methodologies. Description 25% Develop functional design and technical s
Posted Today
Supports the Model Audit Rule (MAR/SOX) Department in the compliance effort that results in annual reporting to the Department of Insurance in activities such as, but not limited to risk assessments, process documentation (Financial, Operational and I/S Processes), identification of risks and key controls, testing of controls, reporting of deficiencies, evaluation of deficiencies, periodic reporti
Posted Today
Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plan
Posted Today
Provides care management services to more than 2 million members in South Carolina and nationally. Administers complex, high touch concierge case management for members identified into specialized programs such as high risk maternity, NICU, ESRD, Palliative Care Behavioral Health. Identifies risks and provides outreach services to facilitate the coordination of healthcare services and gap closure.
Posted Today
Provides care management services to more than 2 million members in South Carolina and nationally. Administers complex, high touch concierge case management for members identified into specialized programs such as high risk maternity, NICU, ESRD, Palliative Care Behavioral Health. Identifies risks and provides outreach services to facilitate the coordination of healthcare services and gap closure.
Posted Today
Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Description 60% Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk in inquiries. Handles s
Posted Today
Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plan
Posted Today
In this role, you will be part of a team responsible for the engineering of a large enterprise network infrastructure of over 1,000 network devices, including Enterprise Cisco Switching/Routing, Palo Alto, Cisco ASA, Infoblox, SolarWinds, and several other enterprise networking systems. You will work in a fast paced, high impact, multi platformed environment, which will at times require action and
Posted Today
Founded in 1983 and acquired by Companion Life Insurance Company in 2009, iiSi has become one of the leading underwriters of medical stop loss insurance in the country. As a division of Companion Life Insurance Company, iiSi offers the strong combination of stability as a direct writer with the expertise and focus of a managing general underwriter. iiSi's services include marketing, underwriting,
Posted Today
Under general supervision, analyze systems specifications and develop applications to support information systems processes. Assist with development of program specifications. Design, code, test, debug, document and maintain these programs. Assist in research and fact finding to develop and/or modify information systems. Description 20% Work closely with analysts and team members to understand b
Posted Today
Seeking a Federal Chief Technology Officer (CTO) to direct tactical and operational provisioning infrastructure to support contractual and operational business goals. Align and calibrate the LOB's technology deployment strategy with corporate business strategy. Provide comprehensive systems engineering oversight and lead the technical strategy, solutions development and execution of systems and in
Posted Today
Responsible for the maintenance of records and the processing of claims in medical review along with any and/or all of the following processes ingoing/outgoing mail and prepares work for nursing staff. Troubleshoots claims prior to nurse review and after review. Monitors timeliness of claims processing and adjusts claims keyed incorrectly. Performs quality control of work processes. Description
Posted Today
Responsible for supporting the growth and retention of major groups. Supports all aspects of marketing, sales and service for various programs and assists with coordination of marketing support efforts for various insurance products. May assist with group enrollments and educates members of their policy. Establishes strong professional relationships with customers/agents/consultants to assist in a
Posted Today
Under general supervision, analyze systems specifications and develop applications to support information systems processes. Assist with development of program specifications. Design, code, test, debug, document and maintain these programs. Assist in research and fact finding to develop and/or modify information systems. Position will be on site in Nashville, TN. Description 20% Work closely wit
Posted Today
Perform all phases of applications systems analysis and design. Analyze systems specifications and develop applications to support information systems processes. Prepare detailed specifications from which complex programs will be written. Design, code, test, debug, document, and maintain these programs. Formulates scope and objectives through research to develop or modify complex systems. Position
Posted Today
Email this Job to Yourself or a Friend
Indicates required fields