Acting as an internal consultant, advocate, mentor, and change agent, plan, design, and develop the most 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 develop

Responsible for entry level accounting activities relating to the maintenance of a complete and accurate general ledger and/or the resultant managerial reports and/or financial statements. Description 50% Reconciles assigned accounts. Initiates and/or processes general ledger, commissions, and/or journal entries into various accounts. Prepare spreadsheets and/or ensures that entries are entered

Ensure IT security policies and procedures by administering and monitoring security profiles, creating and reviewing security violation reports, and investigating security exceptions. Update, maintain, and document IT security controls. Provide technical support to end users and all levels of employees, ensuring adherence to information security policies, procedures, and standards. Description 2

Part time Intern position utilized for training an active college student towards a professional level role. Responsibilities vary and are based upon the needs of the area and the experience of the incumbent at the time of employment. This incumbent works under direct supervision and has responsibilities for performing entry level tasks and for learning professional level tasks relating to area op

Under general supervision, performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, keying journal entries and logging items in accordance with standard procedures in one or more of the following areas; general accounting, accounts payable, accounts recei

Provides prompt, accurate, thorough and courteous responses to all complex customer inquiries. Inquiries are typically non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates complex or specialty claims and/or non medical appeals. Determines whether to return, deny or pay claims following organizati

Responsible for maintaining database files to ensure timely/accurate claims processing. Updates various files/tables related to system access security, status codes and messages, and certain system editing. Develops solutions to business problems/requirements impacting the area's claims. Establishes system access/security for line of business. Troubleshoots/reviews production and test data with cu

Care management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience, especially when multiple health care providers and different care settings are involved. Taken collectively, case management interventions are intended to enhance client safety, well being, and quality of life. These interventions carefully cons

Responsible for evaluating loss potential for each member. Calculates and assigns risk score via a comprehensive risk analysis approach. Ensures action requests and internal/external issues are addressed in a timely manner. Description Job Duties Utilize statistical tools to extract and analyze data to identify and evaluate loss potential. Required Education Master's degree in Management, Fi

Acting as an internal consultant, advocate, mentor, and change agent, plan, design, and develop the most 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 develop

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 Multiple positions available. Job Duties Plan

Monitor and/or reconcile assigned general ledger accounts of a complex nature, process complex accounting activity, resolve variances, and/or document procedures to ensure accuracy of accounting information and/or financial reports, and/or compliance with established rules and/or regulations. Provide functional advice and/or training to less experienced accountants. Description 30% Prepares dail

Under general supervision, performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, keying journal entries and logging items in accordance with standard procedures in one or more of the following areas; general accounting, accounts payable, accounts recei

Under general supervision, performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, keying journal entries and logging items in accordance with standard procedures in one or more of the following areas; general accounting, accounts payable, accounts recei

Manages the research and development of new products. Works with various functional areas (marketing, underwriting, actuarial, claims, information systems, finance) to provide innovative approach to new product lines. Description 30% Identifies, researches and analyzes products for profit and growth potential. Utilizes market research in determining need, competition and financial outcome. 30% W