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Participates in the identification of key business issues and the design of analytical approaches. Bachelor's degree required in Accounting, Finance, Health... - Indeed
Valid Rhode Island Producer license for health insurance (or a commitment to obtain one within first 90 days of employment).... - Indeed
Knowledge of the commercial health insurance market, including reimbursement methodologies, rate setting, member cost share, etc.... - Indeed
Oversight of accounting, tracking of State receivables. He/she facilitates the preparation of responsible financial reporting deliverables, directs and executes... - Indeed
One (1) to Three (3) years’ experience in Health Plan operations. Knowledge of the Standards for the Professional Practice of Internal Auditing and Generally... - Indeed
Three (3) to Five (5) years workings of health plan grievance and appeals, specifically Medicare and Medicaid regulations.... - Indeed
Bachelor’s degree in Health Administration, Business Administration or Public Health. Understanding of contract implementation.... - Indeed
The Clinical Management Nurse works collaboratively with the health care team to determine appropriateness of medical services, procedures and care setting for... - Indeed
Commercial health plan experience. Maintains a complete knowledge of all lines of business. Health Insurance experience in the areas of - Member Services,... - Indeed
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