Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices.
Summary We’re looking for a detail-oriented professional who thrives in a fast-paced environment and can provide strong support to our Sr. Account Managers. In this role, you’ll work directly with clients and insurance carriers, prepare renewal
Imagine360 is seeking a Supervisor, Clinical Intake to join the team! The Supervisor, Clinical Intake is responsible for leading a team by providing oversight and guidance on Medical Management non-clinical tasks, processes, and operations. The Supervisor
The person in this position is responsible for analyzing rating and claims information, assessing the group’s specific risk characteristics, as well as delivering clear, accurate and complete renewals and amendments to our Manulife Account Executives. Reporting
TELUS Health is empowering every person to live their healthiest life. Guided by our vision, we are leveraging the power of our leading edge technology and focusing on the uniqueness of each individual to create the
Company:Mercer Description: Mercer Canada is seeking a Health & Benefits Analyst to join out H&B consulting department in our Ottawa office. This is a hybrid role that requires being in the office at least 3 days
Imagine360 is seeking a Manager, Healthcare Data Quality and Audit to join the team! The Manager, Healthcare Data Quality and Audit is responsible for leading healthcare and pharmacy data QA, data quality oversight, reconciliation, accuracy, and
Temporary position for 12 months. As a Group service representative, you help build, serve and maintain business relationships with members and clients. You drive results by reviewing special requests and helping promote and sell products and
Company Description It all started when engineer Fred Luddy wrote code that automated a tedious task for his coworker, Phyllis. She cried tears of joy. That moment inspired Fred to build a company that could do
WHO WE ARE Accenture is a leading global provider of a broad range of professional services in strategy and consulting, interactive marketing, information technology and business operations services, with digital capabilities in all of these areas.
Company Description It all started in sunny San Diego, California in 2004 when a visionary engineer, Fred Luddy, saw the potential to transform how we work. Fast forward to today — ServiceNow stands as a global
Company Description It all started in sunny San Diego, California in 2004 when a visionary engineer, Fred Luddy, saw the potential to transform how we work. Fast forward to today — ServiceNow stands as a global
Director Group Customer Service & Operations Location: Remote - Anywhere in Canada or if close to an office - Hybrid - Kingston, Toronto or Montreal The total target compensation (TTC) range, including salary and target bonus,
Manulife is seeking a results-driven professional to manage a portfolio of clients in the 400+ employee market segment. You will strengthen relationships with consultants/advisors, communicate Manulife’s value, and drive annual sales and profitability goals. Required are