Description: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. Manages all aspects of investigative activity on complex claims. D...
Job Description: The Associate Cybersecurity Risk Analyst aids in the development and implementation of a comprehensive information security program including defining security policies, processes, and standards. The Associate Cybersecur...
Duties Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelin...
Duties Ensures the accuracy and quality of data that had been systematically or manually entered into an indexing system. 85% Verify the accuracy and quality of the data entered into the indexing system. Make necessary corrections to en...
Duties: The Enrollment Specialist works to enroll plan members into programs and initiatives that are appropriate to their circumstances and for which they are eligible. This requires making outbound and receiving inbound calls to enroll ...
Duties Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health mana...
Duties Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. Documents decisions using indicated protocol sets...
Duties Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health mana...
Job Description: Associate Cybersecurity Threat Analysts, under supervision, develop and implement comprehensive information security monitoring and threat analysis processes and programs. The Associate Cybersecurity Threat Analyst maint...
Job Description: The Clint Cybersecurity team develops and manages next generation solutions, systems and assets that support the business and its subsidiaries. Working in a collaborative, creative and fun environment, we offer technolog...