Job Listings

- Manage and respond to emails in the commercial service inbox. Take commercial sales line calls. - Establish and maintain effective relationships with agents, employer groups, and members. - Support Large Group sales staff with documenting service and renewal-related tasks and opportunities within database (Salesforce). - Assist with renewal process coordination with agents, employer groups, underwriting, enrollment, and other areas affected in the organization: -

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: - Industry Knowledge: health insurance products, regulations, competitors, recent news - Professional Skills: communication, time management, workplace etiquette - Gain a general understanding of the EDM process and structure within Quartz -

- Creates and maintain documents for quality initiatives, including the completion of regular quality audits for Medical Management Operations and delegates of Medical Management Operations. - Develops, maintains, and organizes training materials, checklists, spreadsheets, flow charts, work standards, resource materials, process sheets, and other department materials to provide consistency and process improvement. - Participates in the development, implementation, and oversight of assigned internal policy and procedures throughout the Medical Management Operations...

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: - Industry Knowledge: health insurance products, regulations, competitors, recent news - Professional Skills: communication, time management, workplace etiquette - Ability to work hands-on with incident response -

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: - Industry Knowledge: health insurance products, regulations, competitors, recent news - Professional Skills: communication, time management, workplace etiquette - Technical skills: beginner to intermediate knowledge in Microsoft Excel -

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: - Industry Knowledge: health insurance products, regulations, competitors, recent news - Professional Skills: communication, time management, workplace etiquette - The opportunity to explore online research tools, such as LexisNexis -

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: - Industry Knowledge: health insurance products, regulations, competitors, recent news - Professional Skills: communication, time management, workplace etiquette - Technical Skills: Knowledge of HIPAA regulations, application of coding concepts to submitted medical claims, analytical problem solving...

The work you do will be meaningful, helping with projects on a small team of creatives as well as within the larger marketing team. You will get exposure to the variety of work our team manages, learning how to be self-driven, meet deadlines and deliver quality creative. These skills will help your career beyond the classroom and include, but not be limited to: - Creative Skills - Developing creative designs in multiple channels and formats - Collaborating with...

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: - Industry Knowledge: health insurance products, regulations, competitors, recent news - Professional Skills: communication, time management, workplace etiquette - Technical Skills: Microsoft Office, opportunities to lead and work independently in a learning environment and supportive team culture...

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: - Industry Knowledge: health insurance products, regulations, competitors, recent news - Professional Skills: communication, time management, workplace etiquette, and product management - Learn professional application and develop fluency in Microsoft Office suite – Excel, Powerpoint, Outlook,...

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: - Industry Knowledge: health insurance products, regulations, competitors, recent news - Professional Skills: communication, time management, workplace etiquette - Exposure and networking with health insurance industry stakeholders by preparing for and attending sales meetings and/or activities with...

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: - Industry Knowledge: managed care, health insurance products, regulations, competitors, recent news - Professional Skills: communication, time management, workplace etiquette - This intern will be exposed to: - Clinical and Care...

Supervise activities of the Distribution Services department and staff which includes but is not limited to: - Delivery of all outbound correspondence to internal and external customers. -

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: - Industry Knowledge: health insurance products, regulations, competitors, recent news - Professional Skills: communication, time management, workplace etiquette - Learn professional application and develop fluency in the following tools: Microsoft Office – Excel, PPT, Outlook,...

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: - Industry Knowledge: health insurance products, regulations, competitors, recent news - Professional Skills: communication, time management, workplace etiquette - Develop proficiency in Microsoft Windows 10 and Microsoft 365 to provide effective IT support -

Programs and Strategies: - Performs administrative functions to support formulary management activities, including coordinating and supporting Pharmacy & Therapeutic (P&T) Committee meetings. - Provides support and serve as a subject matter expert to internal and external stakeholders on P&T, formulary information, pharmacy care model (PCM) activities. - Conduct detailed analysis of various data points alongside...

- Collaborate with business users, external vendors and/or government entities to obtain data requirements for new analytics applications and data feeds or enhancement of existing products. - Uncover appropriate sources of data for proposed application or data warehousing extension profiling data to ensure fitness for business purpose. -

- Provides appropriate notification to nursing staff of all requests and hospitalizations requiring further review. - Makes approval determinations according to written protocols and guidelines as appropriate. Refers any medical questions or potential denial determinations to nursing staff for further review. - Assists in the medical review process for referrals, prior authorizations, inpatient reviews and claims reviews by obtaining appropriate supporting information and documentation to assist in making necessity and benefit determinations as well as...