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Benefits Manager Jobs

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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary – Case Manager Analyst - Field Location: Champaign, IL This Case Management Analyst Field position is with Aetna’s Long-Term Services & Supports (LTSS) team. The requirement is for candidates to travel 75% of the time to meet with members face to face. This position holds a full caseload to manage waiver members. This position requires in person quarterly visits with members. This position is critical to meeting contractual requirements. Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources. Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. Coordinates and implements assigned care plan activities and monitors care plan progress. Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case man

M
1mo ago

Our Purpose Mastercard powers economies and empowers people in 200+ countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Software Engineer II Overview Who is Mastercard? Mastercard is a global technology company in the payments industry. Our mission is to connect and power an inclusive, digital economy that benefits everyone, everywhere by making transactions safe, simple, smart, and accessible. Using secure data and networks, partnerships and passion, our innovations and solutions help individuals, financial institutions, governments, and businesses realize their greatest potential. Our decency quotient, or DQ, drives our culture and everything we do inside and outside of our company. With connections across more than 210 countries and territories, we are building a sustainable world that unlocks priceless possibilities for all. The Fraud Products team (part of O&T) is developing new capabilities for MasterCard's Decision Management Platform, which serves as the core for multiple business solutions to combat fraud and validate cardholder identity. Our patented Java-based platform processes billions of transactions per month in tens of milliseconds using a multi-tiered, message-oriented approach for high performance and availability. MasterCard software engineering teams leverage Agile development principles, advanced development, design and test automation practices, and an obsession over security, reliability, and perfo

javasqljenkins
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Cvshealth
📍 Work At Home Connecticut
1mo ago

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary : This Underwriting role is for Meritain Health, an independent subsidiary of Aetna and CVS, and one of the nation's largest employee benefits administrators. We have the resources of a national carrier coupled with the unique flexibility and devoted service of a third-party administrator (TPA). The Meritain Health underwriting department supports the attainment of organizational goals through the issuance of prospective and existing business quotations and proposals. Including administrative fee pricing, stop loss, RFP questionnaire responses, and plan consultation. This fully-remote position will have the opportunity to work on a diversified book of business including Mid-Market and our Captive/Alternate channels. Responsibilities Include: Provide guidance and consultation to our Sales and Client Management teams on pricing and stop loss strategies Prepares and issues quotations and other financial deliverables for prospective and existing business while meeting established departmental TAT goals. Prepares financial projections on prospects utilizing financial models in Excel and Salesforce. Marketing and placement of stop loss policies, negotiating terms based upon claims data, strategy, relationships. and cost avoidance/reduction efforts. Works with leaders from key functional areas to understand p

salesforceExcel
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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary As the Senior Lead Coordinator you will be responsible for implementing and maintaining comprehensive billing review processes. You will identify and quantify trends/issues and effectively communicate/report them to the appropriate members of the management team and payer business partners along with the potential impact. You will assist leadership in building and maintaining a high performing highly engaged team. In this role you will also provide excellent mentorship and support to your colleagues as well as design and implement training classes. The key responsibilities of the Medical Revenue Cycle Senior Lead Coordinator are: Review and analyze patient profiles, benefits, and prior authorizations to identify potential issues affecting clean claims. Collaborate with clinical and administrative teams to ensure accurate documentation is maintained and available for claims processing. Monitor claims submissions and follow up on pending claims to expedite resolution and payment. Identify trends in claims denials and develop strategies for improvement. Conduct training sessions for staff on best practices for claims submissions and compliance. Maintain up-to-date knowledge of insurance policies, regulations, and healthcare trends that impact claims

C
1mo ago

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Exciting opportunity to be a part of our Specialty Mail Order Pharmacy! As a Pharmacy Technician in the Specialty Mail Order Pharmacy, you will work in a fulfillment capacity to ensure that our patients receive life sustaining specialty drug therapy. You will be responsible for filling new patient medication orders and reorders. You will be cross-trained on other functions within the facility as assigned. Successful incumbents in this role are able to manage multiple pharmacy workstations and tasks and are dedicated to supporting the team’s ability to promptly, safely and accurately fill patient prescriptions and to providing caring service that exceeds customer expectations. If you like working in a fast-paced environment and demonstrating compassionate, genuine care for patients and customers, this job is for you! Compensation : This position pays based on experience anywhere from $20.35 to $22.02 Shift: Monday and Wednesday 12:30 pm to 9:00pm (Additional hours available based candidate & business needs) We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs. In addition to sixteen paid days off for employees, we also offer ten paid holidays. Our application process is 2 simple steps.

JT
Jobiba Technologies
📍 India• Full-time• From $35K/yr
1mo ago

MAINTENANCE HEAD Location: Kashipur, Uttrakhand Employment Type: Full Time CTC: 35,000 per month Minimum Experience: 5 years Hiring Timeline: Within 30 days About the Role We are looking for a hands-on Maintenance Head to oversee maintenance across a multi-location restaurant and food-service outlet network. The role will focus on preventive maintenance, equipment reliability and minimising operational disruption caused by breakdowns. Key Responsibilities • Manage HVAC and AC systems across multiple outlets. • Track servicing, repairs and issue resolution for AC/HVAC equipment. • Maintain refrigeration equipment, cold rooms, freezers and display units. • Handle basic plumbing and fitting requirements. • Carry out basic electrical and motor troubleshooting. • Establish and maintain preventive maintenance schedules across all outlets. • Minimise breakdowns through proactive maintenance rather than reactive firefighting. • Coordinate equipment refurbishment and cleaning cycles. Candidate Profile • Minimum 5 years of relevant maintenance experience. • ITI preferred/required, or equivalent hands-on experience in kitchen maintenance. • Strong hands-on experience in multi-site maintenance. • Knowledge of HVAC, refrigeration, plumbing and basic electrical systems. • Ability to troubleshoot equipment issues independently. • Experience in restaurant, hospitality, food-service, retail or similar multi-site operations preferred. • Strong preventive-maintenance orientation. • Good vendor-management and coordination skills. • Willingness to travel between outlets as required. Benefits: As per company policy. Skills: Core Technical & Facilities Engineering Skills • HVAC & AC Maintenance • Commercial Refrigeration Systems • Cold Room & Freezer Repair • Preventative Maintenance Scheduling • Breakdown Troubleshooting • Electrical Systems Vetting • Plumbing & Fittings • Motor Repair & Troubleshooting • Equipment Refurbishment Multi-Site Operations & Vendor Coordination • Mult

JT
Jobiba Technologies
📍 India• From $30K/yr
1mo ago

Position: Marketing Executive - Automation Location:AURANGABAD Key Responsibilities: Market automation products, with a strong understanding of Control Systems (PLC, HMI, SCADA, Servo, Stepper, Control Panels) and process instrumentation (Flow, Pressure, Level, Temperature). Generate leads, select products, prepare and submit offers, negotiate terms, and close orders. Engage in direct calls and present to customers, consultants, and key decision-makers. Ensure customer satisfaction and maintain close relationships with major clients. Drive business by engaging customers, including end users, OEMs, panel builders, and contractors. Develop positive relationships and effective communication with industry key opinion leaders. Travel to meet and manage external clients, achieving both personal and team targets. Skills & Qualifications: Experience: 2-5yrs in Automation sales and marketing. Communication: Strong presentation, verbal, and written skills. Leadership: Ability to lead and inspire a sales team to reach targets. Technical Knowledge: Familiarity with automation products, control panels, and industry trends. Education: Diploma/Degree in Electrical/Electronics/Instrumentation/EC/IC/BE. Other: Willing to travel, self-management, and multitasking skills. Job Benefits: Competitive salary and growth opportunities Travel and fuel reimbursement per company policy Incentives based on performance Alternate Saturdays off Yearly Diwali bonus Attractive leave policy Health insurance, Provident Fund, and other benefits Schedule: Day Shift Supplemental Pay: Yearly bonus If you're looking for a dynamic opportunity in automation sales and marketing with a well-established company, apply now to join our growing team!

We are looking for a motivated and energetic Sales & Marketing Executive to join our growing team. The ideal candidate will be responsible for generating new business, building relationships with clients, promoting our digital marketing and advertising services, and achieving monthly sales targets. Key Responsibilities Identify and approach potential clients. Generate leads through field visits, phone calls, WhatsApp, email, and social media. Present company services and explain their benefits to prospective customers. Schedule and attend client meetings. Follow up with leads and convert them into customers. Maintain strong relationships with existing clients. Prepare quotations and assist clients throughout the sales process. Meet monthly sales and revenue targets. Update customer information and sales activities in the CRM or Excel. Coordinate with the marketing team to support promotional campaigns. Collect customer feedback and suggest improvements. Requirements Graduate in any discipline (preferred). Good communication and interpersonal skills. Basic computer knowledge (MS Office, Google Sheets, Email). Confident, self-motivated, and target-oriented. Ability to work independently and as part of a team. Two-wheeler and valid driving license are preferred but not mandatory. Preferred Skills Sales and negotiation skills. Customer relationship management. Digital marketing knowledge is an added advantage. Time management and problem-solving skills. Professional attitude and willingness to learn. Benefits Attractive performance incentives. Career growth opportunities. Training and skill development. Friendly and supportive work environment. Performance-based promotions. How to Apply Interested candidates can send their resume via WhatsApp or email. Please mention "Sales & Marketing Executive" in the subject line or message while applying.

ExcelCRM
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Airbnb
📍 United States• Full-time• From $82K/yr
1mo ago

Airbnb was born in 2007 when two hosts welcomed three guests to their San Francisco home, and has since grown to over 5 million hosts who have welcomed over 2 billion guest arrivals in almost every country across the globe. Every day, hosts offer unique stays and experiences that make it possible for guests to connect with communities in a more authentic way. The Community You Will Join: When a significant incident impacts, or threatens to impact, our community or company, Global Crisis Management works to coordinate a swift and effective company-wide response to the crisis in order to mitigate harm and best support those affected. Our team is composed of dedicated professionals who possess both a breadth and depth of institutional knowledge striving to always do the right thing in intense, and often ambiguous, situations. The Difference You Will Make: As a Disaster Response Coordinator within the Global Crisis Management (GCM) team, you will play a pivotal role in a dynamic team dedicated to mitigating the impact of unexpected events by preparing, acting decisively, and doing what is right for all of our stakeholders. A Typical Day: Global Incident Response Review global incident notifications and determine the response strategy based on the threat severity and business impact Conduct proactive research to monitor threats and events globally for potential impact to Airbnb stakeholders Use internal tools to promptly inform both our internal and external communities as needed Draft and coordinate the delivery of preparedness and response messaging for both external and internal audiences Recognize the need to make critical business decisions that consider the tradeoffs and benefits of potential options Cross-functional Collaboration and Partnership Effectively coordinate disaster response with cross-functional teams Serve as point of contact for the GCM Disaster Response team’s responsibilities and actions Provide clear situation reports and critica

restaiswift
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