Healthcare Service & Operations Specialist

Must have 5+ years of contract management experience. Must have recent healthcare contract management experience. This role will involve reviewing contracts and making edits as well as comparing multiple contracts. Must have solid communication and writing skills. Will be reviewing contracts related to evidence of coverage. Senior Contract Specialist works closely with Corporate Governance (Legal), Government Affairs, Product, Marketing, Mandates, Health Services, and Strategy and Transformation

Immediate need for a talented Provider Engagement Administrator II. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote -90%)(2 days travel. 5 days remote). Please review the job description below and contact me ASAP if you are interested. Job ID:26-12243 Pay Range: $21 - $24/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsi

Job Title: Senior Claims Technical Specialist - Financial Lines Location: This can be onsite (NYC, Chicago, or Plano, Texas) or remote, but there would be some travel expectations for mediations, settlement conferences, etc. Duration: 12+ Months Senior Claims Technical Specialistspecifically need staff familiar with Architects' and Engineers' Errors and Omissions claims. (This is must-have.) Job Summary:The purpose of this role is to oversee the examination, evaluation, and processing of comple

Title: Senior Claims Technical Specialist - Financial Lines Location: 2400 Dallas Parkway, Ste. 350, Plano, TX Duration: 12+ Months Job Description: Manage a diverse portfolio of complex claims which includes conducting fact, liability and loss investigations and interpreting insurance contracts in an effective and efficient mannerEvaluate and negotiate the resolution of assigned claims in a timely manner, within appropriate authority and in accordance with applicable laws, regulations, statute