(potential claims) with Director of Operations Mentor staff Be responsible for ensuring Project Data (cost, schedule, change... discipline environment to produce integrated project documents, and insure integrated design approaches and solutions...
Job Description: At EXP, we're driven to provide innovative solutions for the world's built and natural environments... correspondence, RFIs and technical submittals. Proactively manages construction changes and claims and work with client to resolve...
must have strong expertise in SQL, Power BI, and Excel, along with experience in financial data, healthcare claims, and revenue cycle management... to translate business needs into data-driven solutions. Data Management & Analysis Oversee the development and maintenance...
includes pre-receiving, audit, Over, Short and Damages (OS&D), carrier claims, and information required for downstream... interdependencies across the business, create solutions that consider sequencing and value creation, and optimize for enterprise...
and develop solutions. Ability to effectively exchange information clearly and concisely, present ideas, report facts... techniques, including knowledge of occupational classification codes, loss ratios, claims histories, retention plans, scheduled...
interpretation and application of relevant laws and regulations, including the Stark Law, Anti-Kickback Statute, the False Claims Act... and long-term impact Provides solutions which may set precedent Independently determines method for completion of new...
solutions and other voluntary employee benefits. This role works closely with the Benefits Specialists and Service Delivery... articulate claims trends, develop strategies for cost mitigation, analyze current patterns of program usage to evaluate...
healthcare claims data Develop complex business intelligence solution and supporting data strategy leveraging acquired subject... Participate in project discussions to document and recommend alternative technical solutions or requirements Participating...
healthcare claims data Develop complex business intelligence solution and supporting data strategy leveraging acquired subject... Participate in project discussions to document and recommend alternative technical solutions or requirements Participating...
-United Health Group payer entities and focuses on creating top tier actuarial solutions for its customers... Design and run complex data programs to analyze medical claims and create actuarial models Contribute on multiple work...