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Enterprise Leadership & Strategy
- Develop and maintain a comprehensive enterprise reporting, analytics, and insights strategy and roadmap.
- Lead prioritization and execution of key analytics initiatives aligned with corporate goals.
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- Information Technology Strategy – development and execution
- Evaluates and researches new technologies that align with the strategic direction of IT and business.
- Provides project management support, business requirements, definitions, and consultation for the general coordination of Information Technology projects.
- Identifies and presents to executive leader the best long-term direction for the information services function.
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- Prepare general ledger entries, work papers, and reconciliations.
- Preparation and analysis of monthly, quarterly and annual supporting schedules to assist with timely completion of month-end, quarter-end and year-end financial statements, and regulatory reports that comply with federal, state, and local financial legal requirements.
- Review and analyze financial and operational data to identify trends and variances.
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- Program strategy and leadership
- Develops, implements, and leads the overall interoperability strategy, aligning it with the company’s broader goals and regulatory requirements.
- Leads cross-functional teams in executing interoperability projects and initiatives that drive operational efficiency and regulatory compliance.
- Defines and prioritizes project roadmaps, ensuring timely delivery of critical interoperability milestones and objectives across departments.
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- Deposits checks received for provider refunds, claims, and premiums for multiple entities using remote deposit capture
- Maintains cash deposit logs, including, but not limited to, finance, claims, and recoveries
- Scans documents for imaging
- Completes Schedule A form 5500’s as requested by employer groups
- Prints weekly pay cycle vendor checks
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- Facilitate telephonic or virtual one-on-one coaching sessions using motivational interviewing and evidence-based behavior change strategies.
- Engage high-risk or vulnerable members through agile outreach to promote preventive services and build trusting, long-term relationships.
- Coordinate referrals to medical, behavioral health, and social/community-based resources.
- Conduct initial consultations and whole-person assessments, evaluating health history, lifestyle habits, social...
Risk Assessment & Pricing
- Quantify risks for level-funded products and calculate quotes and renewal rates using rating formulas, tools, and methodologies for prospective groups; validate accuracy of final rates and packaging.
- Apply sound underwriting judgment and product pricing best practices to maintain a profitable book of business while ensuring compliance with company policies and...
You will participate and learn important skills in real-world situations that can be applied to your career beyond the classroom to include, but not be limited to:
- Skills: Knowledge of HIPAA regulations, application of coding concepts to submitted medical claims, problem-solving skills, communication
- Health Insurance Industry Knowledge: products, regulations, competitors, recent news
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