Job Description: Audit Coordination. Coordinates Compliance Operations activities for internal and external audits, including requests, documentation, evidence, deadlines, and follow-up. Maintains audit records and tracking mechanis...
Job Description: Compliance Monitoring and Auditing Develops and executes risk-based compliance monitoring and auditing activities across all lines of business. Provides guidance to operational areas on regulatory requirements and a...
or optimize offerings and integrate ancillary bundles with major medical. Develop and present data driven business cases...
Job Description: Contract Drafting, Review & Redlining Draft, review, and edit standard or low-risk agreements, including renewals, amendments, extensions, NDAs, and supporting exhibits, using HMSA templates and playbooks (subject to...
Job Description: Responsible for feasibility and requirements throughout the product lifecycle, including: gathering and prioritizing product and client (employer group, agent, consultant) requirements, refining the product vision, asses...
with organizational goals and business strategy. Drive vendor corrective actions, service recovery efforts, and continuous improvement... with operational areas and internal departments to resolve escalated sales, service, risk, compliance, audit, and issue-resolution...
Publishing Company Updates, BCBS Association updates. Research and analyze other Federal and State regulatory requirement. Leads...
. Triage cases to resolve them upon initial inquiry/intake to best service members and reduce cases escalated to Case... internal and external customer service calls regarding member or provider appeals or grievance requests. Is able to handle...
Publishing Company Updates, BCBS Association updates. Research and analyze other Federal and State regulatory requirement. Leads...
, telephone, email/internet, power point presentations, and one-on-one customer service. Protect and increase HMSA's market share... a base of accounts by strategically prioritizing account sales and service activities. Lead a team that consists of the...