Univera Healthcare Jobs

Summary. The Manager of Actuarial Services is responsible for managing a team that preforms financial projections and actuarial analyses for complex projects in support of our organization’s diverse product portfolio. This role will oversee the development of actuarial assumptions and analysis of actuarial research to determine appropriate claim reserves and related liabilities, forecasts financial results. prepares financial reports. establishes...

Summary. Job Description. Responsible for delivering quality projects and programs to plan and within budget. Essential Accountabilities. Level I. Plans, directs, and coordinates matrixed team(s) activities to manage and implement interrelated projects from contract/proposal initiation to final operational stage. Plans, schedules, monitors, and reports on activities related to the project. Leads the project team(s) in determining customer require...

Summary. Job Description. Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member’s case assignment. Uses a systematic approach to identify members meeting program criteria. assessing for opportunities...

Summary. Job Description. This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) services for members, ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as req...

Job Description. Summer. The Summer College Internship Program is a 10-week, paid internship experience that provides undergraduate and graduate students the opportunity to attend development workshops, network, and be part of our company. Our college interns work on meaningful projects, are mentored under their respective managers, and continue to develop throughout the entire summer. In addition, through the internship program, our interns can ...

Summary. This role is responsible for leading and managing all aspects of the payroll process within the organization. The Manager drives process execution to ensure effective and efficient service delivery through timely and accurate processing of employee compensation in accordance with company policies and controls, good accounting standards, and in compliance with government regulations. This position is responsible for the management and dai...

Summary. Job Description. The SCRUM Master improves the team & customer experience by leveraging Agile delivery techniques. This position is responsible for the continuation of Agile Scrum growth throughout the organization, utilizing the processes and tools that have been established during the Agile transformation to date. This position ensures existing and new Agile Scrum processes and workflows maintain a high level of performance while conti...