14 hr administrator jobs found

Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing education, and analyzing client claim losses as well as current issues regarding client activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve. ESSENTIAL RESPONSIBILITIES Processes daily incoming Stop Loss claims including...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Insight Global. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Job Description Insight Global is looking for a Document Management Analyst to support a public utility company for a long term contract opportunity. This individual can sit remote, while the company is headquartered out of Louisville, KY. This individual needs to have expertise in AssetWise ALIM (formerly eB Bentley). Primary responsibilities will be managing and maintaining project documentation, ensuring accuracy, accessibility, and compliance. This role will be...

Company : United Concordia Dental Job Description : JOB SUMMARY This job provides account support activities associated with the implementation and administration of groups and accounts. Provides assistance with non-standard benefit implementation tasks. Identifies and resolves problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may have direct interaction with producers, clients and sales reps to ensure complete implementation, on-going service and all renewal activity. The incumbent is new to the role and is developing competence in performing work assignments. ESSENTIAL RESPONSIBILITIES Load and maintain group information and benefit files. Interact and provide support activities to Account Managers (For UCD: Accounts Support Analysts are account managers for all small market clients. May also be involved with managing...

Job Description Insight Global is seeking a PCI DSS Compliance Analyst for a remote contract opportunity based in the Louisville, KY area. This role involves ensuring PCI DSS compliance by implementing and validating new controls and processes, conducting assessments and audits, and maintaining documentation. The individual will lead efforts to transition this company's PCI DSS compliance program to PCI DSS version 4.0. Additionally, they will develop and manage company-wide cybersecurity awareness and training initiatives, tailor training materials, and track participation and effectiveness. The role also includes administering the GRC security framework tracking tool, generating reports and dashboards, and supporting risk assessments and compliance reviews. Furthermore, they will assist in audits related to cybersecurity compliance and ensure cybersecurity policies are communicated and enforced. This is a four month contract opportunity with one of the most well-established...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various departments across the enterprise, including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims, and Medical Policy. The person in this position must fully understand all product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. ESSENTIAL RESPONSIBILITIES Coordinate, analyze, and interpret the benefits and claims processes for the department. Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special handling claims. Communicate benefit explanations clearly and concisely to all pertinent parties....

Company : Highmark Inc. Job Description : JOB SUMMARY This job provides account support activities associated with the implementation and administration of groups and accounts. Provides assistance with non-standard benefit implementation tasks. Identifies and resolves problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may have direct interaction with producers, clients and sales reps to ensure complete implementation, on-going service and all renewal activity. The incumbent has foundational knowledge and experience, is building higher-level knowledge and skills, and makes independent contributions to projects. ESSENTIAL RESPONSIBILITIES Load and maintain group information and benefit files. Interact and provide support activities to Account Managers (For UCD: Accounts Support Analysts are account managers for all small...

Company : Highmark Inc. Job Description : JOB SUMMARY This job collaborates with internal stakeholder to understand moderate to complex business requirements and processes related client, product, and benefits configuration solutions. Performs standard and custom benefit coding and new client and group installation, translating group and client information into system configuration, including but not limited to client, group, rates, and commissions data. HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve This role is looking for someone who has ZELIS/RedCard experience along with reading and interpreting code within the health insurance...

Company : enGen Job Description : JOB SUMMARY This job is responsible for the configuration, rollout, and ongoing support of the assigned Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, systems design, and problem resolution. The Senior Epic analyst communicates with end-users of the system to understand and resolve complex issues and implement solutions. Senior Analysts are subject matter experts in their area of knowledge. ESSENTIAL RESPONSIBILITIES Plans, designs/builds, tests, implements and maintains Epic software. Develops and documents workflow analysis while evaluating user experience. Supports and maintains environment or applications using advanced knowledge of the application(s) and technologies in the environment while recommending enterprise-level solutions. Using advanced knowledge of Epic, configures changes within the system to provide standardized,...

Every day, Global Payments makes it possible for millions of people to move money between buyers and sellers using our payments solutions for credit, debit, prepaid and merchant services. Our worldwide team helps over 3 million companies, more than 1,300 financial institutions and over 600 million cardholders grow with confidence and achieve amazing results. We are driven by our passion for success and we are proud to deliver best-in-class payment technology and software solutions. Join our dynamic team and make your mark on the payments technology landscape of tomorrow. Summary of this Role Manages the administration of the company's financial strategy. Oversees activities related to the management of funds, securities, and assets of the company. Plans, organizes, and directs financial and accounting activities and policies, including the management of general ledgers, financial planning, fiscal procedures, treasury, cost control, and investment studies and analyses....

Company : enGen Job Description : JOB SUMMARY This job is responsible for configuring, rolling out, and supporting the assigned Epic application(s). Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions. ESSENTIAL RESPONSIBILITIES Plans, designs/builds, tests, implements, and supports the needs of Epic software. Analyzes and determines system requirements and specifications. Performs and documents workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. Creates and maintains documentation and training materials regarding the implementation of applications. Using knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows. Corrects issues, conducts...

Every day, Global Payments makes it possible for millions of people to move money between buyers and sellers using our payments solutions for credit, debit, prepaid and merchant services. Our worldwide team helps over 3 million companies, more than 1,300 financial institutions and over 600 million cardholders grow with confidence and achieve amazing results. We are driven by our passion for success and we are proud to deliver best-in-class payment technology and software solutions. Join our dynamic team and make your mark on the payments technology landscape of tomorrow. As our Sales Commission Analyst , you will perform a variety of financial activities, including accounting, financial analysis, audit, tax, asset administration, general ledger, credit and collections, ensuring accuracy and compliance with U.S. Generally Accepted Accounting Principles (GAAP) and other accounting regulations. Responsible for developing, maintaining, and providing financial information, plans,...

Job Description Insight Global is looking for a Document Management Analyst to support a public utility company for a long term contract opportunity. This individual can sit remote, while the company is headquartered out of Louisville, KY. This individual needs to have expertise in AssetWise ALIM (formerly eB Bentley). Primary responsibilities will be managing and maintaining project documentation, ensuring accuracy, accessibility, and compliance. This role will be responsible for overseeing the end-to-end document lifecycle, supporting engineering and operational teams, and optimizing document workflows using Bentley's ALIM system. Document Control & Management: Maintain, organize, and distribute project and asset-related documentation within the ALIM system. Data Governance & Compliance: Ensure document integrity, version control, and compliance with industry standards and company policies. System Administration: Configure, optimize, and troubleshoot...

It's fun to work in a company where people truly BELIEVE in what they're doing! Job Description Summary: The Senior Benefit Analyst is responsible for building and delivering both global and local benefit programs that enhance the employee experience, through support and management of both global and country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and global benefit programs to enhance the employee experience and align with the company's total rewards philosophy. This role focuses on operational excellence, compliance, and data-driven insights to ensure competitive and cost-effective benefits offerings. The analyst collaborates with internal teams, vendors, and carriers to maintain accurate systems, resolve employee inquiries, and contribute to continuous improvement initiatives. Job Overview: The Senior Benefits Analyst supports the design,...

Company : enGen Job Description : JOB SUMMARY Candidates located within a 50-mile radius of Pittsburgh are expected to work from our office three days per week (Tuesday-Thursday). This role supports the full application product lifecycle for clinical and utilization management software , with a specific focus on driving key technical initiatives such as data integration, cloud migration, and the strategic integration of Artificial Intelligence. The Lead Technical Analyst leverages significant independent judgment and discretion to collaborate extensively with business stakeholders and technical teams. They function as a pivotal bridge, translating high-level clinical and utilization management software business needs into detailed technical requirements for new capabilities and enhancements, encompassing data structures, platform configurations, and AI model integration points. This involves gathering project specifications, developing business cases, and...