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The Actuarial Analyst 2 analyzes and forecasts financial and economic data to support strategic decisions. Responsibilities include ensuring data integrity, collaborating on business intelligence, conducting member retention studies, and presenting results to stakeholders.
The Functional Screen Specialist is responsible for assessing the functional status and eligibility of Family Care members by conducting screenings, scheduling appointments, and maintaining accurate records. The role includes responding to urgent situations, referring members to appropriate resources, and ensuring compliance with documentation guidelines.
The Social Work Case Manager will provide comprehensive social service care management to members of the Wisconsin Family Care program, focusing on frail elders and adults with disabilities. Responsibilities include conducting assessments, coordinating care, participating in care plan development, and promoting wellness while documenting all activities. Travel is required for in-person visits.
As a Case Manager, you will provide comprehensive social service care management for frail elders and adults with disabilities. Your role includes assessing members' needs, coordinating care plans, and educating on wellness while ensuring effective documentation and ongoing member support.
The Group Sales Representative is responsible for selling Ancillary Group insurance products to new and existing accounts. Key responsibilities include developing broker relationships, managing negotiations, delivering presentations, tracking sales activities, and collaborating with internal teams for support and strategy implementation to increase sales and profitability.
Initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for a health insurance organization. Analyzes financial impact of contracts, communicates contract terms, and advises executives on functional strategies.
Supervise a team assisting members and providers with appeals resolutions in a healthcare setting. Responsible for ensuring compliance with established policies and maintaining quality standards. Provide oversight to associates while managing daily operations and decisions related to schedules and plans.
The Associate Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, and filing premium rates with regulatory agencies. They support implementation of rates, analyze financial metrics, and develop pricing actions based on market projections. The role involves analysis of complex issues and requires strong communication skills.
The Actuary - Enterprise Financial Analytics analyzes financial and economic data, establishes metrics, evaluates trends, and forecasts the organization's financial position. Collaborates with various teams to support strategic and operational decisions, troubleshoot issues, and develop resolutions for data anomalies.
The Senior Counsel provides legal advice in the health care industry, handling diverse legal problems, advising executives, and working on mergers and acquisitions. They guide legal compliance on fraud laws and support strategic initiatives for patient care improvement.
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