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. ...
Claims Quality Assurance Specialist
A company is looking for a Claims Quality Assurance Specialist responsible for auditing claims processes and supporting quality assurance for claims adjusting teams. ...
Trilingual Customer Service Representative
A company is looking for a Trilingual Customer Service Representative (Portuguese, Spanish, English) to provide patient support in a remote setting. ...
Customer Service Representative
Take inbound calls being the first impression for the customer. Utilize great communication skills to ensure the customer is satisfied and all needed information is received during the call. Enable calls to answering service at end of day. ...
Customer Service Representative
The Customer Service Specialist plays a vital role in communication and relationship building with our client’s suppliers capturing outstanding transactions not yet processed by our client. Two (2) years of customer service, accounting/business related experience. Experience contacting suppliers/cus...
SAP (PTP) Project Manager
Position: SAP Project/Program Manager (PTP). Should have 10+ Years in Project/Program Manager with Source to Pay (Procurement) experience including direct procurement, indirect procurement, contracts, etc. Able to manage tasks and keep project stakeholders up to date. ...
Quality Control Specialist
The position of Quality Control Specialist ensures the quality of the products built and delivered are according to the agreed-upon customer requirements. Check quality of product going through plant. Identify quality issues and bring to the attention of the Plant Manager and work toward correcting ...
Project Manager
Preferred Certification:Project Management Professional (PMP)Professional Engineer (PE), Professional Geologist (PG) or similar professional registration/certification relevant to the type of services and projects being managedExemption:ExemptRequisition ID:29248BRPosting Title:Constructions Materia...
Quality Assurance Specialist
Collaborate with manufacturing, quality control, and regulatory teams to resolve quality issues and discrepancies in production records. We are seeking an experienced Quality Assurance Reviewer with a strong background in both biologics and small molecules to join our team. The successful candidate ...
Flooring Project Manager
We are seeking a motivated and skilled Project Manager to join our team and oversee the successful execution of our diverse range of projects. Job Description: As a Project Manager you will be responsible for planning, executing, and finalizing projects according to strict deadlines and within ...