Providing moderately complex analytical support to actuaries in the development and implementation of recommendations Conducting and documenting moderately complex analysis and research Preparing, forecasting, and analyzing trends Initiating, compiling and preparing analytical models, tools and databases Assisting in developing innovative strategies, policies and procedur

Analyze and report on financials Assist in the development of program forecasts, budgets, and plans Research economic progressions to assist with the organization's financial planning Create annual budget templates Prepare spreadsheets to effectively show financial results and financial forecasts You'll be rewarded and recognized for your performance in an environment tha

Ensuring delivery of cost effective quality care that incorporates recovery, resiliency, and person centered services Level of Care guidelines and utilization management protocols Oversight and management, along with the Clinical Director and Clinical Program Director, utilization review, case management, and care coordination activities Provide clinical oversight to the

Researching errors by comparing Account Management documentation against multiple internal systems Analytical and Researching techniques to trend or quantify projects Preparing, processing, and maintaining new group installation and renewals Responding to member eligibility or group questions and verify enrollment status Reconciling reports and group set up discrepancies,

Management Manage and monitor producer and client assignments Training of sales staff, new hire and ongoing Maintain an acceptable office close ratio per management direction Maintain an acceptable level of persistency in overall book of business Recruit, hire and monitor sales staff Personnel development and management Manage the budget Set office strategy to achieve goa

Day to day management and administration of behavioral health benefits for facility based care Utilize clinical assessments to determining appropriate levels of care Evaluate additional clinical services are needed Effectively coordinate benefits and transitions between various levels of care Identify ways to add value to treatment plans and consult with facility staff to

Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs) Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems Own problem t

Consult with users and technology specialists to define business processes and be the liaison between the two parties Perform Business Analysis Ability to define project objective, scope, write business and technical requirements Business Liaison to refine business requirements Communicate and validate requirements with stakeholders Validate solution meets business needs

Plan, prioritize, organize, and complete work to meet established timelines and goals Coordinate, prepare, format, and/or integrate information needed to complete provider based screening campaigns to address open gaps in care (e.g., request forms, invitations, and outreach lists), working to ensure that all information is appropriate to the audience, complete/accurate, a

Maintain general ledger accounts and related activities for the production of financial statements and reports Reconcile, analyze and review general ledger accounts in preparation for month end close Prepare journal entries and reviews accounting classifications, in accordance with generally accepted accounting principles Prepare documentation in support of external and i

Identify and provide community service linkage Assist enrollees with aftercare appointments Provide subsequent member follow up as determined by individual member needs Work with enrollees to identify gaps in care or obstacles to care and problem solve for successful connection to needed services Review IP Census each day to determine which enrollees on the census are re

Contacts the aftercare providers (individual practitioners and/or Community Mental Health Centers) and records aftercare appointments in UBH Care Management system Determines if the enrollee is aware of his / her aftercare plan and provides assistance with any additional behavioral health needs Provide members an aftercare appointment Assists members with understanding lo

Gaining exposure to building financial forecasts, including but not limited to, projecting a target's future financial performance Deploying different valuation methodologies (DCF, precedent transactions, trading comparables and LBO) and performing various return metric calculations (EPS accretion / dilution analysis and IRR) Supporting deal teams in financial due diligen

Intermediate or higher proficiency with Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (ability to sort, filter, and create simple spreadsheets), and Microsoft Outlook (email and calendar management) and Microsoft PowerPoint (creating and editing slides and presentations) Intermediate proficiency in SharePoint

Participate in a 24 month Rotational Program that will provide a structured curriculum and on the job sessions that will expose you to broad skills, tools, and functional departments within the Sales & Distribution Organization. Along with training and a core role within the Producer Helpdesk Sales Support organization, you will also experience two, six month rotations fu