Boston, Massachusetts, United StatesOffice of Congregational Staff Finances management with responsibilities over the UUA Health Plans ($20 million in premiums with over 1,400 participants) and our group insurance offerings ensuring the efficient operations of vendor relationships, database management, IBNR reserve risk analysis, annual IRS 5500 ERISA compliance audit requirements and filing. Comprehensive benefits guidance to ...
San Diego, CAAccount management for high profile providers or groups (i.e. local, individual providers, large groups/systems) to oversee and maintain positive relationships by assisting with or responding to complex issues regarding contractual policies and procedures (i.e. CMS, NCQA, HEDIS) related but not limited to plan design adherence, contract language disputes, claim risk management, annual credent...
Phoenix, Arizona AreaSenior Program Manager at Mercy Maricopa Integrative Care the Regional Behavioral Health Authority for Maricopa County, Arizona. He oversees the business operations for State encountering, financial reconciliations including new policy implementations, data platform design/configuration to comply with Arizona Health Care Cost Containment (AHCCCS) and Department of Behavioral Health Services (...