A company is looking for a Specialist, Claims Quality Regulatory Operations to join their Claims Quality team.Key ResponsibilitiesCollaborate with team members to identify process gaps and improvementsConduct data analysis to support compliance initiatives and prepare reportsAssist in preparing for regulatory reviews and maintain up-to-date policies and proceduresRequired Qualifications1+ years of relevant experience in operational compliance and data analysis within Healthcare ClaimsDemonstrated understanding of Provider operations in the health payer industryExperience in designing and improving workflows1+ years experience using data software to analyze large data setsKnowledge of regulatory bodies and Market Conduct Exams is a plus
Claims Quality Specialist
A company is looking for a Specialist, Claims Quality Regulatory Operations to join their Claims Quality team. ...
Entry-Level Data Analyst (Remote)
D Aceto Services LLC is seeking a motivated and detail-oriented Entry-Level Data Analyst to join our team. Help maintain data integrity and accuracy within databases. In this remote position, you will work closely with various departments to analyze data, generate insights, and support decision-maki...
Healthcare Customer Service Representative
A company is looking for a Remote Healthcare Customer Service Representative in Ohio. ...
Senior Data Analyst
Review existing databases and database management systems and direct programmers and analysts to make changes. Review and approve the testing of programs or databases. Coordinate database development and determine project scope and limitations. Review project requests describing database user needs ...
Construction Project Manager
Oversee project execution, monitor progress, and adjust plans to ensure project delivery meets quality standards and stays within budget. Coordinate and lead project meetings with stakeholders, subcontractors, and team members to ensure project objectives are clear and met. Minimum of 5 years of exp...
Customer Service Representative - State Farm Agent Team Member
Do you have B2B experience? Are you a self starter, are you a competitor? Does being on a winning team excite you? Is it your passion to take great care of customers and do what's right for them? Have you topped out where you are at? Would you like more personal and financial growth? How's y...
IT Project Manager
The IT Project Manager will be responsible for leading software implementation projects, gathering stakeholder requirements, identifying technology solutions, providing help desk support, and managing vendor relationships. We're seeking an experienced IT Project Manager to oversee our technology ini...
Customer Service Representative (Part-time)
Customer Service Representatives are team players who are enthusiastic, reliable, detail-oriented, and willing to go the extra mile for all customers. Salmon Creek Indoor Customer Service Representatives are vital to the success of our business. Join our Customer Service Team!. As the face of Salmon...
Customer Service Representative
We are searching for a Customer Service Representative to join our growing Operations. Customer Service Representative. How will you impact our organization as an Customer Service Representative on a daily basis?. Maintain customer accounts and resolve customer issues. ...
Customer Service Representative (Loan Consultant I)
At Lendmark Financial Services, we believe the success of our company is specifically attributable to the quality of our employees and their commitment to our customers. Cash handling; computer skills; customer service skills. We value each customer and understand that people want to do business wit...