Overview: Responsible for overseeing the Configuration and system changes for the claims adjudication and case...-solve and design solutions.  Responsible for maintaining an efficient, complete system to store all changes and updates...
quality and reporting. * Maintains in-depth knowledge of health plan operations, including claims processing, utilization... record of delivering impactful insights and solutions. Special Skills, Licenses and Certifications Proficiency...
, Finance, Legal, Marketing, Service, Claims, and Risk Management. Your work: Leadership · Lead team to drive the... key issues or emerging trends, and develops solutions. · Establish and assure adherence to budgets. · Establish...
collaborate with project stakeholders to minimize and avoid claims. Analyze and negotiate cost and time impacts associated... with change orders and claims. Serve as liaison in the interface between the design team and the projects’ construction teams...
together. The Tribal Liaison builds partnerships, bridges communication and offers solutions through a culturally appropriate... communities, cultural background of Tribal communities, and Tribal sovereignty in Idaho Tribal claims operations and I/T/U claims...
and successfully manage projects to full execution Recognizes cost avoidance opportunities and offers solutions Serves as a mentor... tools, claims adjudication, etc.);able to teach tools to others You’ll be rewarded and recognized for your performance...
together. The Tribal Liaison builds partnerships, bridges communication and offers solutions through a culturally appropriate... communities, cultural background of Tribal communities, and Tribal sovereignty in Idaho Tribal claims operations and I/T/U claims...
and successfully manage projects to full execution Recognizes cost avoidance opportunities and offers solutions Serves as a mentor... tools, claims adjudication, etc.);able to teach tools to others You’ll be rewarded and recognized for your performance...
hospital facility claims (inpatient and outpatient) 2+ years of experience configuring and customizing software solutions 1... understanding healthcare claims data, basic PPS concepts, UB04 and HCFA 1500 claim content, ability to conduct research of varying...
Government Solutions implements and operates a range of business services supporting State Governments. Client engagements... within our State Government Solutions Data and Analytics practice. The ideal candidate has extensive experience as a delivery...