• ON, Canada, or US National

Solve problems by identifying errors and over-payments for retail clients. Use creativity to generate new ideas for claim concepts and recovery opportunities. Learn and use multiple computer software, systems, and technology.

• US National

Use your creativity to help generate new ideas for claim concepts and recovery opportunities. Achieve excellence by meeting and exceeding audit team goals and quality measures. Learn and use multiple computer software, systems and technology.

• US National

Collaborate with cross-functional teams to design and implement standardized member engagement campaigns based on best practices for conducting efficient, targeted outreaches across multiple channels.

• US National

Conduct interviews and requirement workshops with a cross-disciplined team to elicit an understanding of business needs. Collaborate with key stakeholders and the development team to drive a solution TRAVEL">meeting the program's objectives and vision...

• US National

Conduct Sales Development activities using the telephone, email, CRM, and other web-based platforms. Proactively seek new account relationships through an outbound, cadenced, engagement process, following up on inbound Marketing Qualified Lead.

• US, or US National

Develop and maintain relationships with customer accounts, act as a liaison between company and client, manage and close all client issues, travel to clients, and communicate with operations and sales to align with changing client issues.

• US National

Supports achievement of company financial targets through successful management of assigned client performance. Understands drivers for any gaps in Client targets and supports strategy alignment with Client and internal partners for success.

• US National

Identify and quantify financial non-compliance, communicate results, utilize audit tools, meet productivity and quality standards, prepare audit reports, review contracts and transactions, participate in training and development activities.

• US National

Research medical claim info, gather third party info from attorneys and insurance adjusters, verify attorney representation and/or liability insurance involvement, negotiate payment arrangements, handle inbound/outbound calls, update internal systems..

• US National

Manage payment policies for health plan clients by interpreting and assessing policy, providing consultation and policy advice. Review and analyze client inquiries, build relationships, and communicate effectively with clients.

• US National

Provide coding expertise, write business logic, review medical policies, and perform multi-faceted analytics for data and report analysis. Mentoring and training new staff and maintaining current industry knowledge-base is required.

• US National

This clinical analyst position will perform daily audits on client data for completeness and accuracy of coding utilizing both coding and clinical knowledge and background to ensure appropriateness for reimbursement and will also respond to provider...

• US National

Resolve and escalate issues in a timely fashion. Review deliverables prepared by the team. Mitigate team conflict and communication problems. Define project scope, goals, and deliverables and create project work plans.

• US National

Architect and develop analytics and reporting solutions, configure reporting technologies, use SQL for databases, design and integrate solutions using Hadoop and other big data tools, manage Analytics Center of Excellence, drive automation capabiliti..

• US, or US National

Develop, enhance, and provide insight for data integration, act as company-wide subject matter expert (SME) for data/claims processing, and conduct thorough qualitative and quantitative analysis of medical claims data sets.

• US National

Build complex data pipelines, support and improve current data ingestion processes, develop and maintain data engineering processes using various tools, troubleshoot complex database issues, mentor junior team members.

• US National

Works and communicates directly with clients and management for any production events, escalating issues as needed while communicating status and risks and producing after outage documentation. Associates degree in computer science...

• US National

Track client purchase orders (POs) to ensure timely payments, analyze POs to determine relevant details, maintain positive relations with clients, assist in providing necessary information to auditors.

• US National

Lead and support the Business Development Team .Develop strategic plans to grow customer base.Collaborate with Sales VPs and Marketing to develop and execute account-level sales strategies.Complete all special projects and other duties as assigned.