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Benefit Specialist II or III, DOE
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Cambia Health Coeur D'Alene, United StatesThis job was posted by : For more information,please see: Benefit Specialist II orIII, DOERemote opportunity for residents of Oregon, Washington, Idaho and UtahPrimary Job PurposeThe Benefit Development Specialist II utilizes knowledge of current andproposed healthcare regulati ...
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Customer Service Representative Level Iii
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Wastewater Treatment Operator
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Mitigation Technician
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Physician Assistant
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Travel Nurse RN
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Registered Nurse
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Travel Nurse RN
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Tact Staff Spokane, WA, United StatesTact Staff is seeking a travel nurse RN Med Surg for a travel nursing job in Spokane, Washington. · Job Description & Requirements · Specialty: Med Surg · Discipline: RN · Start Date: ASAP · Duration: 13 weeks · 36 hours per week · Shift: 12 hours · Employment Type: Travel · MS R ...
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registered nurse
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Department of Veterans Affairs Spokane, WA , USA, United StatesSummary · The Mann-Grandstaff (Spokane) VA Medical Center is recruiting for a Medical/Surgical Unit Registered Nurse. · Learn more about this agency · Help · Overview · * Accepting applications · * Open & closing dates · 04/18/2024 to 05/09/2024 · * Salary · $79,425 - $140,118 pe ...
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System Dispatcher
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Registered Nurse
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Credit Analyst III
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Registered Nurse
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Aspen Personnel Services Spokane, United StatesJob Title: Project Engineer Building Systems Engineering Services · Location: Spokane, WA, USA · Job Type: Full-Time · Aspen Personnel Service has been hired to represent a dynamic and innovative engineering firm committed to delivering high-quality solutions for complex proje ...
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Aspen Personnel Services Spokane, United States· Job Title: Project Engineer Building Systems Engineering Services · Location: Spokane, WA, USA · Job Type: Full-Time · Aspen Personnel Service has been hired to represent a dynamic and innovative engineering firm committed to delivering high-quality solutions for complex pr ...
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Physician Assistant
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Department of Veterans Affairs Spokane, WA, United StatesSummary · The incumbent will serve as a Physician Assistant under the supervision of the Chief, Primary Care Service in a Patient Aligned Care Team (PACT) setting. They will be responsible for providing medical care in an outpatient setting following PACT principles. May provide ...
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Evergreen Elementary Custodian III Day Shift
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PacLease Rental Sales Representative
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PTC of Tennessee, LLC Liberty Lake, United StatesJob Type Full-timeDescriptionThe Dobbs Truck Group is a growth company that successfully expands our operations and customer base through a high-quality team of employees.Dobbs Truck Group operates 25 commercial truck dealerships through two operating companies - Dobbs Peterbilt ...
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Physician Assistant
2 weeks ago
Veterans Affairs, Veterans Health Administration Spokane, United StatesSummary The incumbent will serve as a Physician Assistant under the supervision of the Chief, Primary Care Service in a Patient Aligned Care Team (PACT) setting. They will be responsible for providing medical care in an outpatient setting following PACT principles. May provide me ...
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registered nurse
3 weeks ago
Department of Veterans Affairs Spokane, WA , USA, United StatesSummary · The Registered Nurse - Associate Chief Nurse (ACN) executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross services and/or discipline lines and, influence the organ ...
Benefit Specialist II or III, DOE - Coeur D'Alene, United States - Cambia Health
Description
This job was posted by : For more information,please see: Benefit Specialist II orIII, DOERemote opportunity for residents of Oregon, Washington, Idaho and Utah
Primary Job Purpose
The Benefit Development Specialist II utilizes knowledge of current andproposed healthcare regulations and potential benefit offerings toanalyze, develop, implement and monitor new or existing benefits inorder to ensure benefit offerings are compliant with state and federalregulations, competitive and efficient to administer.
General Functions and OutcomesAudits and reviews complex benefit contracts and makesrecommendations based on regulations and product/benefit designchanges
Works with Product Development, Customer Marketing, Sales,Actuarial, Marketing Communications, Business Intelligence, andother internal departments to implement, communicate and monitor allactivity affecting benefits.
Works with, and develops relationships with external associates(e.g., regulators, legislators, lobbyists, other insurers/healthplans, trade associations, etc.).Leads other specialists on benefit design aspects of research,mandates and process to further their skills. Maintains team processdocumentation.
Represents the department and division in cross-functionalactivities that impact department operations (i.e. governmental andregulatory changes).
Analyzes interdepartmental procedures and their impact on benefitstructure; makes recommendations for enhancements and increasedefficiencies as appropriate.
Oversees benefit change proposals and recommendations to ensurecompliance with state and federal laws surrounding benefit coverage.
Tracks, reviews and analyzes regulations which can impact benefitdesign and presents final regulations to Product Platform Team forfinal recommendations. Responds to inquiries from regulatorsregarding benefit design and compliance.
Prepares and conducts benefit presentations and training to internaland external audiences.
Oversees benefit coding configuration lists for Product Platform andprocess for new benefit design and ongoing code updates.
Oversees benefit design summary information creation for internalhand-off to departments for development of marketing collateral,automated customer summaries and other customer facing materials.
Oversees review of final materials for benefit accuracy sign-off.Analyzes trends and shifts in competitive benefit offerings andcommunicates competitive benefit design changes and strategicimplications to internal management team to help drive productdevelopment process.
Monitors regulator websites for updates related to benefitcompliance and federal/state interpretations of mandates/rules.Responds to RFP/RFI proposals for large segments of businessregarding benefit information or design.
Acts as benefit expert across internal departments for ongoingbenefit administration.
Leads the Medicare benefit design bid submission process to CMS forMedicare PPO line of business. Also performs and leads competitiveresearch, benefit analysis and review of marketing collateral forbenefit accuracy.
Performs and leads benefit analyses to compare benefit levelsbetween products and assists in presentation for senior managementreview.
Responds to inquiries regarding specific benefits, design, andmodification as well as status information and generaltrouble-shooting to meet the needs of the business customer.
Recommends improvements to department processes.Acts on behalf of the Manager during his or her absence.
Conduct ma ket research, data analysis, and benefit training.
Demonstrated ability to organize and manage time to effectivelyprioritize the workload and adapt to shifting priorities.
Demonstrated ability to think analytically, apply analytical techniques,obtain benefit information from a variety of internal and externalsources and provide in-depth analysis and recommendations for correctiveor performance enhancing benefit strategies.
Experience in report preparation, project documentation, or policy andprocedure writing, including the ability to organize and reviewstatistical data and write concise relevant communications.
Demonstrated ability to communicate effectively with all levels ofmanagement; with tact, orally and in writing. Demonstrated writing andediting skills. Strong presentation skills needed.Broad knowledge of the health insurance industry, including benefitdesign, market demands and compliance issues.
Demonstrated ability to work effectively with all levels of staffthroughout the organization.
Demonstrated ability to lead employees in working effectively within ateam atmosphere to achieve department goals and objectives and thrive ina fast-paced environment.
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