Responsibilities Review hospital claims and determine action needed to resolve pended claims Process and evaluate hospital claims manually or through claims work flow Validate information entered in hospital claims module (QNXT);deter...
Responsibilities Source and review candidate resumes to ensure alignment with job qualifications and healthcare employer needs. Evaluate candidate profiles for job readiness and identify skill gaps or areas for improvement. Collaborate ...
Responsibilities Source and review candidate resumes to ensure alignment with job qualifications and healthcare employer needs. Evaluate candidate profiles for job readiness and identify skill gaps or areas for improvement. Collaborate ...
Responsibilities Lead process improvement initiatives within the department to achieve operational excellence and enhance claims services and outcomes Collaborate with functional leaders to define and implement strategies that support t...
Responsibilities · Provide high-level administrative support to External Affairs leadership and divisional staff, including calendar coordination, scheduling, and day-to-day assistance. · Coordinate and support daily operational and adm...
with other functional areas of the Funds Confirm existence of overpayments and verify amounts recoverable –for Optum refunds. Report audit...
, which is responsible for detecting, investigating, and mitigating potential fraud, waste, and abuse in the various the Funds benefits... and cost-savings strategies across the family of Funds, including implementing new technologies such as the STARSSentinel...
Responsibilities: · Oversee the daily operations of the Career Services Unit to ensure effective service delivery. · Lead the training and development of Career Services Specialists and Assistant Career Services Specialists, equipping t...
Responsibilities · Coordinate and schedule training programs, workshops, and onboarding sessions (virtual and in-person) · Manage learning logistics, including calendars, facilitators, materials, room bookings, and technology · Admini...
Responsibilities · Serve as the primary system administrator for the Salesforce.com environment, which includes over 250 users. · Handle essential administrative functions such as user account maintenance, report and dashboard creation,...