Investigator I
including, but not limited to Legal, Medical Management, Provider Operations and Claims Administration. Perform...
including, but not limited to Legal, Medical Management, Provider Operations and Claims Administration. Perform...
Job Description: Provides general production support: Monitor daily production performance and inventory levels as assigned. Conduct data and trend analysis to identify areas of improvements. Triage daily production issues. Recomme...
of public contact/customer service experience;or an equivalent combination of education and experience. Strong oral...
Job Description: Work with business owners on reporting requirements specified by government entities and plan sponsors ensure Customer Relations is compliant with the requirements. Define and communicate system changes needed to com...
Job Description: Program Coordination and Oversight Independently plan, coordinate and facilitate meetings with stakeholders, ensuring agenda and related materials are accurate and properly prepared. Coordinate, prepare, and ensure ...
to estimate performance needed to meet each stakeholder service level expectations. Serve as Customer Relations subject matter...
Job Description: Ensure that Self Direct Providers (SDP) and members are enrolled in Acumen and are trained to use the Electronic Visit Verification System (EVV). Audit enrollment for completion. Train new Health Coordinators (HC) in Ac...
and updates. Coordinate with printshop/vendors and freelance artists to establish printing/service costs and negotiate cost... Review of final product to ensure adherence to association guidelines/regulatory requirements. Assist Creative Director...
specific eligibility, benefit and provider requirement for selected service(s) based on member's primary line of business... validation of member specific eligibility, benefit and provider requirement for selected service(s) based on member's primary...
Job Description: Be the in-office service contact for assigned groups. Resolves day-to-day servicing inquiries... about benefits for medical, drug and dental lines of business, claims processing knowledge to work with Customer Relations...