Reviews, processes, and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans. Provides prompt feedback to physicians and management regarding pathway documentat

The primary purpose of the Wealth Management Portfolio Analyst is to support the investment team. Functions include creating and maintaining various investment management reports, assisting with equity and fixed income trading and assisting portfolio managers with various portfolio management functions. This role serves as a liaison with the operations and front office gr

Mortenson Properties, Inc. ("MPI") is a commercial real estate investment company wholly owned by M.A. Mortenson Companies, Inc., a privately held corporation. MPI is a growing company that invests in commercial real estate through direct acquisitions and providing development capital partnering with Mortenson Development or third party developers. MPI owns and operates a

Sales Connect Representative Ameritas Grp Process MTK MNMN1 Sales Full time Ameritas is seeking a Sales Connect Representative to drive the business by effectively presenting/selling our product portfolios and marketing campaigns to prospective agents, brokers, and consumers. This position educates agents and brokers by serving as a "value add" to General Agents on our She

Investigate and maintain highly complex property/casualty claims. Determine liability, secures information, reviews coverages, arranges appraisals, and settles claims. Demonstrate experience to perform all areas of claim adjustment activities with the highest degree of competency and independence. May specialize in liability, property or catastrophe claims. You will report

Position Compensation Range $95,000.00 $161,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. You will provide expert analysis, consulting and project or staff leadership for the full range of actuarial activities related to either insurance pricing, valuation, modeling, or reinsurance. The primary responsibility f

Are you looking for an opportunity where you can contribute, work a flexible schedule, and help promote a safe and sound financial system? The Federal Reserve Bank of Minneapolis is looking for financial professionals to fill a Bank Secrecy Act/Anti Money Laundering (BSA/AML) Examiner/Coordinator position in its Safety & Soundness business line in the Supervision, Regulat

Review, evaluate, and price moderately complex underwriting business by applying sound underwriting judgment and adhering to company policy and state regulations within established authority Underwrite moderately complex insurance risks in accordance with the business plan and the personal authority to meet business objectives including negotiating rates, terms and condit

Position Compensation Range $109,000.00 $186,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. The Auto Underwriting Analyst refines and introduces products and services in existing markets to improve auto underwriting results and eliminate leakage. You will deliver enhancements that improve bottom line results usi

Work within databricks environment; utilize Python and SQL to conform and prepare data for Optum rating models Work with clients to understand and document customization requirements Design and implement client specific solutions for Optum rating models. Analyze advantages and limitations of multiple solutions options. Recommend and develop preferred option Review, audit,

Bring traditional actuarial skills to provider organizations as the health care market continues to evolve, including Assist in developing innovative strategies, value based contracts, and innovative risk based arrangements Develop, conduct, and evaluate studies on pricing, utilization, and health care costs for our broad range of provider clients Prepare, forecast, and a

Insurance billing follow up in compliance with government rules and regulations Submits, processes, and resolves claim rejections and denials Verifies patient insurance eligibility for denial resolution Completes the appeal process Monitors and follows up on unpaid balances Resolves issues and resubmits for payment Utilizes resources to reconcile accounts Performs demogra

Insurance billing follow up in compliance with government rules and regulations Submits, processes, and resolves claim rejections and denials Verifies patient insurance eligibility for denial resolution Completes the appeal process Monitors and follows up on unpaid balances Resolves issues and resubmits for payment Utilizes resources to reconcile accounts Performs demogra

Understand edits and appropriate department procedures to effectively submit and/or correct errors on claims to the production standards of the department Utilize various resources such as third party publications, procedure manuals and participating contractual agreements, etc. to reconcile accounts Advanced knowledge and understanding to process third party rejections u

Understand edits and appropriate department procedures to effectively submit and/or correct errors on claims to the production standards of the department Utilize various resources such as third party publications, procedure manuals and participating contractual agreements, etc. to reconcile accounts Advanced knowledge and understanding to process third party rejections u