highest level of care to our members. Engage with providers to align on network performance opportunities and solutions... and claims submission, web site usage, EDI solicitation and related topics Perform provider orientations and ongoing provider...
, and compliance of ALIP-based insurance solutions through comprehensive manual and automated testing, with strong emphasis..., integration, system, and UAT testing;ensure data accuracy across policy, billing, claims, commissions, and underwriting workflows...
as a trusted partner to providers, identifying barriers and facilitating solutions Collaborate with internal teams including... Experience with HEDIS and Quality Improvement initiatives Background in value-based care environments Knowledge of claims...
that offers strategic talent solutions to our clients worldwide. Job Title: HR Consultant 2 Location: Rosemead, CA, 91770 Duration: 12...;assists with benefit claims resolution working with vendors and staff;ensures appropriate documents are received and provided...
and ensuring fair and consistent responses to harassment and discrimination claims, ethics hotline calls, EEOC and /or state... situations Strong investigation and discipline skills Ability to research issues, propose strategies / solutions and make...
Solutions Architect - Platform Services Experience:- 18+ year Location:- Remote anywhere in USA with Travel...-grade solutions including: Event-driven architecture patterns Complex multi-party relationship models Scalable data...
to build the data model for the enterprise data warehouse and analytics needs across areas such areas as Underwriting, Claims... Perform data quality analysis and propose solutions to identified issues Guide product teams in creating physical data model...
, general liability, and excess and surplus to assess and price risk with speed and precision ClaimsSolutions - supports end..., managing, and reporting on marketing campaigns and offering marketing solutions to stakeholders across solutions/products...
to develop creative solutions with an emphasis on our respect for our land, culture, language, tradition, and one another. WORK... of the passage of the Alaska Native Claims Settlement Act, which was signed into law in 1971. The act was intended to resolve...
experience, technical leadership, and the ability to translate complex requirements into robust solutions supporting claims... applications (.NET, React, SQL, APIs) for provider-facing healthcare solutions. Architect and implement secure, scalable services...