101 Awesome New Years Resolutions

Medical Analytics Senior Analyst

*This is a full time Work at Home opportunity in U.S. for the right candidate.

POSITION SUMMARY: As a member of the National Center of Excellence (COE) for COB Reporting and Analysis you will have a key role in identifying medical cost savings opportunities by data mining historical claims for competitor reimbursement trends.

RESPONSIBILITIES:
- Responsibilities include financial modeling of hospital and physician claims for our competitors vs. Aetna’s reimbursement to identify areas of opportunity, and advising network management on opportunities to achieve medical cost savings.
- Must have a complete understanding of contract compensation, claims processing/payment policy rules, as well as the ability to turn data into information.
- Must be able to develop and implement project plans working collaboratively with peers, across teams and provide management updates.

EDUCATION:
- Bachelor’s degree or equivalent experience.

REQUIRED SKILLS:
- Requires an understanding of the healthcare industry, healthcare data, common healthcare terminology and medical cost issues and strategies.
- Must be skilled in claims processing guidelines, ACAS benefit plans and member out of pocket components and systems (ex: ACAS, EWMP, MSW, SCM, etc.), and able to work with Microsoft Excel.
- Aetna “Data Warehouse” and other software experience (ex: Microsoft Access, SQL, DAF, Visual Basic, etc.) a plus but not required.
- Need ability to meet tight deadlines, within context of potentially changing priorities, working both independently and facilitating cross-functional solutions.
- Capable of taking project through issue identification and resolution/recommendation stages.
- General Business- Applying Reasoned Judgment, Ensuring Project Discipline, Turning Data into Information and Communicating for Impact.
- Finance/Servicing Customers Profitably.

FUNCTIONAL EXPERIENCES:
- Claims/Claim Processing – Medical or Hospital – ACAS/4-6 Years
- Claims/Claim Processing – Medical or Hospital- HMO/4-6 Years
- Network/Medical Cost Management/1-3 Years
- Network/Medical Economics/1-3 Years
- Network/Provider Relations/1-3 Years

Please note that benefit eligibility may vary by position. Go here (http://www.aetna.com/working/assets/2010_All_Benefits_Rates_at_a_Glance_OCT1.pdf) to review the benefits associated with this position.

Aetna does not permit the use of tobacco related products or drugs in the workplace.

To apply, go to https://sjobs.brassring.com/1033/ASP/TG/cim_jobdetail.asp?jobId=1608&PartnerId=25276&SiteId=5012&type=search&JobReqLang=1&recordstart=1

Work From Home Data Entry Jobs

Merry Christmas!

Share Comments & Graphics - Christmas Layouts - Photobucket

Do You Have Experience In Writing Grants?

The Living Room, one of the region’s largest HIV supportive housing providers, seeks a part-time contract grant writer.

The primary responsibilities include preparation of proposals and grant applications, and professional and administrative work in researching, identifying, developing and responding to public and private grant opportunities in the areas of housing, homelessness, and HIV/AIDS.

At least five years experience writing private and government grant proposals is required, and strong preference for those with experience writing HOPWA grant proposals. Qualified candidates should also possess excellent writing and computer skills (MS Word, PowerPoint and Excel). The candidate must be highly organized, able to work effectively within external deadlines, use independent judgment and produce a quality work product within tight time constraints.

As an independent contract, the grant writer will be paid a monthly fee, set their own schedule, work from home or their own office location, and determine the best mechanisms for completing tasks assigned under the very broad supervision of the Executive Director.

Interested candidates should submit a cover letter, resume of no more than two pages, and at least three references.

Pay: 2,000.00 – 3,000.00/Monthly
Travel Required: 1% of the time
Experience Required: 5 yrs
Preferred Major: social work, business, or public administration
Preferred Degree: Masters

Contact Employer : http://bit.ly/gCxoKP

One Week Until Christmas

Share The Magic Make A Memory

Only 9 days until Christmas, and you should check out my Barefoot Books store. There is something there for everyone on your list. I am an affiliate of Barefoot Books and I do make a small commission on all sales. There are gift sets, holiday favorites, family library, all ages including babies and toddlers all the way up to big kids. Stop by Melissas Barefoot Bookstore, and show some love for reading.

Leapfrog TAG Reading System

Only 11 days until Christmas. I better start wrapping gifts LOL! This is one of the best learning products on the market. My kids have several Leapfrog items, but were already reading when this system came out. I wish they had this when I had to teach my four year old to read. Get one for the child in your life.

Website Designer Wanted

Small World News is seeking a website designer to design our new online presence. We are an international organization providing tools and technology to journalists and citizens around the world to tell stories about their lives and their communities, through everyday engagement, elections, and crises. We’re looking for a designer who can help us envision and create a design that captures the work we do around the world while employing current design trends and standards. You’ll work with key members of our core team to present wireframes, initial comps, and final designs. We are launching the site on the WordPress platform, so the design should take into account the functionality and limitations of the CMS as they translate to the public theme.

Expectations for this project are someone with proven experience in web design and an online portfolio we may review. While we are only seeking a designer for this project, you may also include additional information about the schedule and costs to develop your design into a working WordPress theme as well.

You may read about who we are and what we do on our current website: http://smallworldnews.com

Requirements

* Have a working knowledge of Adobe Photoshop, Illustrator, and/or Fireworks
* Knowledge of WordPress administration, understanding the elements of that system and how to integrate the design into a working theme
* An ability to produce appropriate sketches, wireframes, navigation models
* Fluency with evolving web standards and technologies, usability best practices and an interest in emerging interactive design trends
* An excellent visual design aesthetic that incorporates typography, color and other aspects of visual design
* collaborate well with others while having the ability to work independently
* Are detail orientated and strive to achieve the highest levels of quality in the work you produce.

Additional skills/background that are a plus:

* Formal Design Education
* CSS/HTML experience/knowledge
* Previous work with non-profit organizations
* Experience with usability testing
* Excellent written and verbal communication skills

Contact Employer : http://www.authenticjobs.com/jobs/7054

Dean Koontz: Lost Souls

This is the fourth book in the Frankenstein series, by Dean Koontz. I am going to be entirely honest here, he should have stopped at three. The first three were amazing, and very well done, this one stinks. I am having a hard time getting through it. Granted it is setting us up for a whole another set of books in the series, but it is just awful. No excitement at all. It is humorous, I will give it that, with a whole new set of characters, but really just boring. The fifth book, or number 2 book in this new set, will be out very soon. I hope it will be better than this one.

Nikon Digital Camera

Countdown to Christmas continues and today's gift idea is this Nikon digital camera. There are only 17 days until Christmas.

Only 18 Days Until Christmas

I kind of forgot all about my Countdown to Christmas on this blog. For all the young entrepeneurs on your gift giving list, this books is awesome.

Make Money With Cashcrate

I do not personally use Cashcrate. However, there are a lot of people who do, and say they make good money. You can always check it out, and see if it is for you at Cashcrate.

Make Money With Sidetick Social Network

OK, I have other sites that claim you can make money from social networking, like People String, and Yuwie. However, these were mainly useless and I didn't stay long. Now I have discovered Sidetick. I have been there just a few days now, and I really like it. It is like Facebook only you get paid. There are a lot of people who have said they have been paid. I assume the site earns its revenue from paid advertising, like many other sites. The only negative I have found so far is that sometimes it is very slow. Be sure to read the TOS because they have age limitations, and some country restrictions you will want to know about. Check it out, and start getting paid to have fun~

Promote Your Product With Tomoson

If you have an item you need or want to promote, check out Tomoson. You will immediately have hundreds of bloggers opting to try and review your product. You set the limits, and details, and then wait. It won't take long, trust me. View the video below to see if Tomoson can help you get your product noticed.

Mama Panya's Pancakes Learn About Kenya

Help your child learn about different customs in Kenya. Visit Melissa's Barefoot Bookstore, to purchase this lovely book. Free shipping is being offered until December 24, 2010.

Mama Panya's Pancakes

A Village Tale from Kenya

Glimpse into a Kenyan village with the story of Mama Panya and Adika’s market day, and learn an important lesson about community and the rewards of sharing. Includes a helpful map, facts about Kenya, Kiswahili greetings, and even an easy-to-make pancake recipe.

Ages 4 to 10 years