Associate Actuary, Health Plan - Danville, PA

Provides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with appeals regarding denied claims/services, referrals, membership and benefit issues and concerns regarding quality of care or service. · ...

+Provides support in administration of the Appeals and Grievance process. · +Responsibilities · Prepares and facilitates Member appeals... · ...

We are seeking a highly skilled and detail-oriented Senior Underwriter with strong expertise in Administrative Services Only (ASO), Stop Loss, and pharmacy risk evaluation to join our dynamic team. · ...

We are seeking a highly skilled and detail-oriented Senior Underwriter– serving as an individual contributor- with strong expertise in Administrative Services Only (ASO), Stop Loss, and Pharmacy risk evaluation and pricing to join our dynamic team. · ...

We are seeking a highly skilled and detail-oriented Senior Underwriter with strong expertise in Administrative Services Only (ASO), Stop Loss, and pharmacy risk evaluation to join our dynamic team. · This role is critical in evaluating risk, pricing strategies, and ensuring susta ...

We are seeking a highly skilled and detail-oriented Senior Underwriter– serving as an individual contributor- with strong expertise in Administrative Services Only (ASO), Stop Loss, and Pharmacy risk evaluation and pricing to join our dynamic team. · ...

Supports the daily operations associated with the Health Plan's Actuarial Department. Assists in the development of rate filings, trend analysis, revenue strategy, forecasting, reserving, data management and analytics. Monitors the impact of strategic initiatives regulatory refor ...

Supports the daily operations associated with the Health Plan's Actuarial Department. Assists in the development of rate filings, trend analysis, revenue strategy, forecasting, reserving, data management and analytics. · ...

+Job summary:Geisinger Health plan is hiring a Licensed Regional Sales Representative. · This is a field-based position whereby you become the face of Geisinger throughout the assigned region. · +Responsibilities:Assists in the development of short-term and long-term regional sal ...

Geisinger Health plan is hiring a Licensed Regional Sales Representative. This is a field-based position, whereby you become the face of Geisinger throughout the assigned region. · ...

+Job Summary · Geisinger Health Plan is now hiring full-time Customer Care Associates for our April training class.If you are looking for an opportunity to begin a career in healthcare where you can grow not only in our health plan but also Geisinger health system, please apply. ...

This role blends market analysis, product development, cross-functional collaboration, and regulatory compliance to deliver competitive consumer-focused offerings. · Focusing primarily on one line of business develops and executes product roadmaps for Medicare Advantage Products. ...

This role blends market analysis product development cross-functional collaboration and regulatory compliance to deliver competitive consumer-focused offerings develops and maintains customer-centric product benefits programs and services that support achievement of organizationa ...

Provides training and process improvement efforts across the clinical practices for the development of consistent and comprehensive clinical practices supported by the Health Plan. · ...

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Assists in resolving customer concerns, providing appropriate education/instruction and maintaining customer satisfaction by providing the highest level of customer service in only one of the Primary Functions (enrollment, claims or phones). · ...

Assists in resolving customer concerns. · Position Details · ...

Assists Pharmacy Customer Service leadership in processing provider and member prior authorization requests Works with the pharmacy team in implementing policies to manage pharmacy benefits. · ...

The applicant will assist Pharmacy Customer Service leadership in processing provider and member prior authorization requests. · Maintains understanding of all policies and procedures related to the pharmacy benefit. · Provides the highest level of customer service and support to ...

Assists Pharmacy Customer Service leadership in processing provider and member prior authorization requests. · Maintains understanding of all policies and procedures related to the pharmacy benefit. · Provides highest level customer service and support to members and physicians. ...