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New! YesterdayThe Operations Business Analyst II is responsible for reviewing and analyzing the effectiveness and efficiency of existing managed care claims processes and systems (Facets) and participates in the development of solutions to improve or further...
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New! YesterdayThis role will be responsible for 1) coordinating work efforts related to the Corporate Compliance Program across business units and departments, and 2) standardizing and aligning organizational guidance around applicable compliance standards and...
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New! YesterdayCollaborates with claims leadership and claims consultants to improve workflow, consistency, accountability, and claims outcomes. Ten years of leadership experience in claims in progressively responsible roles. Bachelor's degree, preferably in a...
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New! YesterdayLead the strategy, road mapping, and prioritization for your component (Data pipeline, Application, Integrations, Analytics, Campaigns etc.). Own the feature across the whole lifecycle, from opportunity identification, through specification...
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New! YesterdayManage the day-to-day operations of purchasing for the organization. Ensure transaction and ministry requests are handled in a manner that achieves the optimal balance between cost/efficiency and service delivery. Enhance end-user satisfaction by...
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New! YesterdayCollects, reviews, and enters rating information into the system to provide quotes to underwriters for complex new business, endorsements, renewals, cancellations and reinstatement. One year of underwriting support experience. Associate's degree or...
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New! YesterdayDeeply understand customers' complex scheduling needs and distill the complexity into an actionable, ambitious and exciting roadmap for your team. Define and track what success means for you, your team, and our customers. Previous experience owning a...
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New! YesterdayUnderstand the Claims Encounter Data requirements in detail to enable one to support efforts to ensure claims data submissions achieve the required SLAs through requested changes internally and externally.
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New! YesterdayResponsible for evaluating operations and identifying process improvement needs. Identify irregular trends with grievances and appeals; work with other areas as appropriate to identify root causes and appropriate steps for resolution.
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New! YesterdayReview, analyze, evaluate and compose a comprehensive rebuttal via the appeal process in a timely manner to the DRG denial claims for clinical and coding denials that are received from the insurer/auditor. Successful appeals result in our upholding the...
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New! YesterdayExamines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern.
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New! YesterdayPositions patient and performs imaging procedure(s). Analyzes results and identifies issues with the quality of imaging results. Takes appropriate action to resolve image quality issues, including re-positioning patient and repeating procedure.
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New! YesterdayThe regional Auditor position will manage the relationships, initiation, inside communication, workflow, progress, and completion of audit program projects for the SE region of the company. This position requires great attention to detail, excellent...
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New! YesterdayEngage in a wide-ranging array of projects that span visual design, user experience (UX), and user interface (UI), collaborating with content and development team members. Provide straightforward solutions to challenges, determined through insights...
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New! YesterdayDraft, negotiate and advise on a variety of commercial transactions, with a special focus on global channel sales and partner program initiatives Partner with our Go-To-Market team, Enterprise Sales team and Global Channel Program teams, as well as our...
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New! YesterdayThe Workforce Management Professional 1 assesses organizational staffing and identifies requirements and solutions to meet workforce objectives. Provides analysis of talent and staffing needs based on strategic planning at the enterprise level.
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New! YesterdayNegotiate enterprise cloud and license agreements for company products and services. Build trusted relationships with sales leaders in the region. Have a German law degree. Legal qualifications in other EMEA jurisdictions and knowledge of languages...
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New! YesterdayPrimarily focused on 1-2 SEM platforms which may include Google Ads, Microsoft Ads, Apple Ads, etc. Provides support as a key resource for flawless execution of account performance management across multiple digital channels. Proactively ensures...
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New! YesterdayProactive sourcing to identify potential candidates by effectively using recruitment technology, cold calling, database mining, and networking. A minimum of 1 year of experience in sourcing candidates. Associate's degree in Human Resources or the...
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New! YesterdayEnsure that customers receive the right product at the right time, at the right price, and following the appropriate customer requirements. Respond to customer queries via email and telephone in a timely manner. Bilingual English/Spanish required.
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New! YesterdayThe Sr. HR Generalist is responsible for managing the company's benefits, compensation, HRIS administration, and policies and compliance. This role will act as the main driver and primary contact for these functions. The Sr. HR Generalist will partner...
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New! YesterdayDefine delivery plans that provide a workable execution path in support of the product strategy and roadmap. Partner with product owners to deeply understand business needs and propose solutions. Facilitate and drive alignment among key stakeholders,...
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New! YesterdayAs a motion graphics and video creative producer, you will help deliver impactful work that supports the global marketing and business goals. You'll be joining the creative production & operations arm of the team, empowering the team to do incredible...
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New! YesterdayCreate forecasts, scenario analysis, and sensitivity analysis to outline funding strategy recommendations and advise management on expected outcomes in a variety of forums. 3+ years in treasury funding/liquidity, structured finance, consulting, banking...
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New! YesterdayReview and edit new and updated reference material files provided by internal business partners to prepare the content for publication on our communication platform. Production details to consider: ensuring template compliance; editing content to make...
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New! YesterdayReview clinical information for appropriateness, congruency, and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. Review and communicate OASIS edit recommendations to each clinician...
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New! YesterdayResponsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in...
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New! YesterdayPerformance in this role will set our customers up for success by making sure we have their loan information transferred efficiently and seamlessly. The Loan Transfer Servicing Lead will perform various operational tasks, with a key focus on data...
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New! YesterdayGreet all customers who enter the Branch. Process payments and withdrawals, working within the cash desk, lodgements, and general day-to-day banking errands. Help customers to set up and maintain accounts Deal with calls, emails, and face-to-face...
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New! YesterdayDevelop partnerships that generate material revenue and/or enable our company strategy. We work with a variety of partners, including strategic partners, hardware and software providers, and distribution partners. Reporting to the VP of Business...
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New! YesterdaySeeking a Senior Innovation Portfolio Strategy Professional who will play a critical role in the evolution of our innovative solutions and, more broadly, in helping Humana deliver on its well-being centered mission. They will support the oversight and...
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New! YesterdayLead conference partnerships with industry organizations. You'll develop relationships with their coordinators and monitor partnership opportunities for our brand. Secure opportunities such as speaking engagements (podcast, webinar, or keynote)...
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New! YesterdayWe are looking for an enthusiastic Recruiter to perform a variety of recruiting tasks for a long-standing Applied Behavior Analysis (ABA) company. Ideally, this position will be full-time at 30 hours per week. Duties include working with Regional...
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New! YesterdayPrepare short-term and long-term strategic plans as per Corporate guidelines. Evaluate correlation among various parameters impacting IBNR, including bed days and admits per 1,000, prescription drug utilization, billed dollars of inventory, and other...
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New! YesterdayDevelop and execute tailored recruiting strategies to support business operations throughout the United States. Create an acquisition/organic growth strategy including assessments, environmental scans, establishing policy and processes within a...
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New! YesterdayAccountant will be responsible for assorted accounting activities, ensuring payable and receivable invoices are processed and paid on time, and preparing, auditing, and processing invoices to clients, supporting the Finance Director with projects, tasks.
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New! YesterdayAs a Senior Product Marketer, you will lead the development and implementation of the sales support and enablement strategy targeted at B2B and B2C audiences for the Primary Care Organization supporting the Conviva Care Centers and CenterWell brands.
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New! YesterdayRespond to and control the disposition of all assigned Michigan No-Fault claims. Work with computer systems keying functions, including but not limited to letter composition, log entry, diary entry, report of investigation composition, and draft...
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New! YesterdayResearch and resolve escalated inquiries and complaints including review of in process, closed, or cancelled single loan or credit exceptions, applications, claims, files or online transactions. Determine appropriate course of action by conducting...
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New! YesterdayPerform low flow and disposable bailer groundwater sampling, gauging and product bailing, and surveying. Perform oversight of monitoring well installations and prepares boring logs and well construction diagrams. Compile and complete field notes on...
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New! YesterdayOwn the development of the lead-to-conversion journey, aiming to increase the adoption of value-added products and services through email and website channels. Collaborate with clinical and care teams to create and refine effective programs that...
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New! YesterdayManage company-wide strategic programs (e.g. expansion of services, adapting operations to legislative changes, develop new revenue stream GTM strategy), including design, process definition, project management, analysis and insights, and...
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New! YesterdayPartner with team leaders to understand business goals for Stars marketing outreaches and assist the team in executing strategies to meet those objectives. Collaborate with marketing partners on a flawless execution and measure success so we can...
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New! YesterdayThe Senior Data Analyst leverages its advanced knowledge of data, modeling, optimization, and tools. Applies disciplined analytics to predict behavior and optimize programs and products to maximize revenue growth. Utilizes advanced or predictive...
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New! YesterdayDefines and executes the supplier risk management framework for the enterprise. Provides risk advice, information and results. Develops techniques, policies and procedures for conducting and reporting, risk assessments, analysis and/or compliance audits.
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FeaturedNew! YesterdayWe're seeking a detail-oriented, efficient, and quality-focused Virtual Assistant to support our CEO. If you resonate with our core values of relentless reinvention, intelligent integration, speed with focus, and delivering outstanding outcomes...
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New! YesterdayReview, analyze, and ensure the quality of data loaded into database systems. Provide production job support from a quality perspective. Must be able to understand business rules, work with varying data formats, and develop metrics and audit procedure...
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New! YesterdaySeeking a customer service advisor for a hybrid remote position. Responsibilities include focusing on the customer and working on fast-paced, motivated teams, receiving coaching and feedback from highly trained supervisors, learning about green...
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New! YesterdayWork alongside Development Manager to execute events including set-up and clean-up; overseeing event volunteers; following event protocols and executing event procedures; troubleshooting and resolving issues as they...
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New! YesterdayReporting to the Senior Manager of Professional Billing and Revenue Cycle, the Manager of Professional Billing and Revenue Cycle will be the revenue cycle representative between designated department(s), the Professional Billing office, third-party...