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Retirement Plan Education Manager
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Retirement Plan Education Manager
2 weeks ago
Sentry Insurance Group Hamtramck, United StatesWe focus on the future and want to help you do the same. Sentry is seeking an experienced Retirement Plan Education Manager to join our team. As a Retirement Plan Education Manager, you will manage and develop a team of Retirement Plan Education spec Education, Retirement, Manage ...
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Water Planning Manager
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Arcadis Global Detroit, United StatesArcadis is looking to hire a Water Planning Manager to support our National Resilience Water Planning Practice This position can be performed remotely or at any Arcadis office location in WI, IL, IN, MI, OH or KY. · Arcadis is the world's leading company delivering sustainable de ...
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Engagement Manager, Media Planning
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IQVIA Wayne, United States Full timeIQVIA's Digital Enablement Center of Excellence powers exceptional brand experiences, delivering innovative solutions based on a customer-first, insights-driven, and integrated omnichannel vision. We provide authenticated, enhanced data and analytics, innovative fit-for-purpose h ...
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Water Planning Manager
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Arcadis U.S. Detroit, United StatesArcadis is looking to hire a Water Planning Manager to support our National Resilience Water Planning Practice This position can be performed remotely or at any Arcadis office location in WI, IL, IN, MI, OH or KY. · Arcadis is the world's leading company delivering sustainable d ...
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Benefit Plan Manager
4 days ago
UAW Retiree Medical Benefits Trust Detroit, United StatesBenefit Plan Manager · Position Summary · The Benefit Plan Manager has primary responsibility for the management of Medicare Advantage PPO programs. This includes interfacing with third party carriers and vendors, developing analytic reporting, and serving as a Subject Matter Ex ...
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Water Planning Manager
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Financial Planning and Analysis Manager
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UHY LLP, Certified Public Accountants Detroit, United StatesA great UHY client is seeking a Manager of FP&A to join their team. The ideal candidate will have 4 years of experience in consulting or public accounting (or related), advanced Excel skills, and a thorough understanding of financial statements and 3-statement modeling. · The Man ...
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Financial Planning and Analysis Manager
1 week ago
UHY LLP Detroit, United StatesA great UHY client is seeking a Manager of FP&A to join their team. The ideal candidate will have 4 years of experience in consulting or public accounting (or related), advanced Excel skills, and a thorough understanding of financial statements and 3-statement modeling. · The Ma ...
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Manager Materials Planning
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General Motors Warren, United StatesHybrid. This role is categorized as hybrid. This means the successful candidate is expected to report to Warren three times per week, at minimum. ?The Role Manager Materials Planning & Value-Added Assembler requires a unique blend of skills to develo Manager, Assembler, Materials ...
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Manager Materials Planning
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General Motors Warren, United StatesJob Description · Hybrid · This role is categorized as hybrid. This means the successful candidate is expected to report to Warren three times per week, at minimum. · The Role · Manager Materials Planning & Value-Added Assembler requires a unique blend of skills to develop an ...
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Manager Materials Planning
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General Motors Warren, United StatesJob DescriptionHybridThis role is categorized as hybrid. This means the successful candidate is expected to report to Warren three times per week, at minimum. The Role Manager Materials Planning & Value-Added Assembler requires a unique blend of skills to develop and execute Gene ...
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Agent Market Manager, Government Plans
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UnitedHealth Group Detroit, United StatesAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more resp ...
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Strategic Planning Manager
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Aptiv PLC Troy, United StatesStrategic Business Planning Manager, Electrical Distribution Systems NA · About Signal & Power Solutions · Signal & Power Solutions leverages our heritage as a global architecture provider and systems integrator to deliver the high speed data and electrical power distribution ...
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Financial Planning Manager
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LG Electronics USA , Inc. Troy, United StatesAnalyze and forecast financial, economic, and other data to provide accurate and timely information for strategic and operational decisions Establish and forecast company's short term and mid-long term business plan Provide financial information to m Financial Planning, Manager, ...
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Financial Planning and Analysis Manager
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LHH Garden City, United StatesFP&A Manager · Woodbury, NY · Our client is a multi-billion, global corporation in search of an experienced Manager of FP&A to join their team This is a fantastic opportunity to join a well-established company that can offer you professional development and future advancement. Qu ...
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Construction Manager Street Lighting m/f/d
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Radiant Ventures Hamtramck, United StatesAs the market leader for energy infrastructure, SPIE SAG GmbH is looking for you to join their team in the CityNetworks & Grids division in Hamtramck as a Construction Manager for Street Lighting m/f/d starting as soon as possible. We offer: · Attractive salary according to IG Me ...
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General Motors Warren, United StatesJob DescriptionHybridThis role is categorized as hybrid. This means the successful candidate is expected to report to Warren three times per week, at minimum. The Role Sr. Manager Materials & VAA requires a unique blend of skills to develop and execute General Assembly lean mater ...
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General Motors Warren, United StatesJob Description · Hybrid · This role is categorized as hybrid. This means the successful candidate is expected to report to Warren three times per week, at minimum. · The Role · Sr. Manager Materials & VAA requires a unique blend of skills to develop and execute General Assembly ...
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General Motors Warren, United StatesJob Description · Job Description · Hybrid · This role is categorized as hybrid. This means the successful candidate is expected to report to Warren three times per week, at minimum. · The Role · Sr. Manager Materials & VAA requires a unique blend of skills to develop and execut ...
Benefit Plan Manager - Hamtramck, United States - UAW Retiree Medical Benefits Trust
2 weeks ago
Description
Benefit Plan ManagerPosition SummaryThe Benefit Plan Manager has primary responsibility for the management of Medicare Advantage PPO programs.This includes interfacing with third party carriers and vendors, developing analytic reporting, and serving as a Subject Matter Expert (SME) for UAW RMBT Medicare Advantage benefits and operations.
Work involves the ability to make decisions within the limits of the UAW RMBT policies and procedures relative to the UAW RMBT health care benefit.
This may include, but is not limited to eligibility, benefit coverage, claims, payment, appeals and policy interpretation.Under the direction of an Officer, Senior Director, or Director is accountable for an identifiable benefit, healthcare, or customer service program of the trust.
Essential Functions 1. Provides overall management and day-to-day oversight of all Medicare Advantage (MA) PPO plan operations. 2. Evaluates programs/activities designed to improve overall performance of MA plans. 3. Researches and presents opportunities for MA plan enhancements. 4. Develops and maintains benchmarking and reporting mechanisms for MA plans (e.g., cost/quality and utilization reporting dashboards). 5. Evaluates overall MA health plan performance and present reports and trend analyses 6. Monitors and tracks implementation and utilization of new programs and initiatives (including both internal and external). 7. Identifies compliance and operational efficiencies and develops "best practices" of Medicare policies and procedures. 8. Work with compliance team to review and assist in the resolution of MA compliance and regulatory issues. 9. Supports annual fully insured claims audit activities. 10. Leads implementation of benefit changes with MA plans, as needed. 11. Supports internal RFP/RFR negotiation project activities. 12. Leads/supports new vendor implementations, as required. 13. Coordinates and supervises requests for documentation from MA plans to support CMS audit activities. 14. Leads and develops member meeting content and footprint working collaboratively with the internal communications team. 15. Provides ongoing coordination with the internal pharmacy team, as needed.This list details the Trust's assignment of essential functions to this position. Other duties or tasks may be assigned to this position. This job description is subject to change at any time.
Technical CompetenciesStrong knowledge of Medicare benefits and Medicare Advantage plansClear understanding of CMS Star Ratings and CMS Call Letter for Medicare Advantage and prescription drug benefit programsStrong analytical and writing skillsStrong organizational and project planning skillsProven negotiation skills and experience with complex contracting and vendor management situationsAbility to develop solutions to unusual situations and unique opportunitiesAbility to articulate and present health care information to non-health care audienceProficient in Microsoft Office applications (Excel, Word, and PowerPoint)Leadership CompetenciesLeaders of the Trust are expected to demonstrate relevant leadership competencies as specified in the Trust's competency definitions.
Personal Effectiveness CompetenciesAll employees of the Trust are expected to demonstrate relevant personal effectiveness competencies as specified in the Trust's competency definitions.
Minimum Required Experience- 7 years of experience directly managing a Medicare Advantage health planExperience with employee / retiree benefits, health care services, health care / employee benefits consulting, or related fieldsDemonstrated vendor management experienceEducation, Professional Certifications and LicensureBachelor's degree in Health Care or Business Administration required.
Master's degree preferred.Working Conditions and Physical EffortThe physical requirements of this position are typical of office work. Some seasonal travel required.
The Trust offers a competitive salary based on experience and education as well as a comprehensive benefits package.
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