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Confidential
A company is looking for a Supervisor, Grievances and Appeals. Key Responsibilities: Process and report grievances and appeals accurately and timely Ensure compliance with CMS requirements and develop trends for management reporting Lead,...
Confidential
A company is looking for an Appeals and Grievances Medical Director - Plastic Surgeon. Key Responsibilities: Perform individual case review for appeals and grievances related to medical services Communicate with medical directors and network...
Confidential
A company is looking for a Clinical Appeals Analyst. Responsibilities: Exercise clinical knowledge to make determinations about medical needs or alternatives Assess, process, and complete non-routine appeals and grievance to ensure customer...
Confidential
A company is looking for a Sr - Admin Appeals. Key Responsibilities: Maintains updated knowledge of project and corporate policies and procedures Understand implications or work and make recommendations for solutions Perform other duties as...
Confidential
A company is looking for a Complaints & Grievances Specialist II. Key Responsibilities: Investigate and resolve member appeals, complaints, and grievances based on regulatory requirements Prepare State Fair Hearing packets and...
Confidential
A company is looking for a Demand Generation Manager for a remote role. Key Responsibilities: Develop, execute, and refine a comprehensive demand strategy Generate high-quality leads through organic and paid channels Collaborate...
Confidential
A company is looking for an Enrollment Systems Administrator. Responsibilities: Implement insurance products on Benefit Administration or HRIS systems for clients Manage the technical onboarding of clients and ensure data feeds are in place...
Confidential
A company is looking for a Weekend Only RN Telephone Triage for remote work. Key Responsibilities: Provide remote telephone triage and health information services Assist hospitals, physician offices, and insurance plans Deliver excellent...
Confidential
A company is looking for a Lead Biostatistician for a remote contract position. Key Responsibilities: Lead projects and/or people as a biostatistician Contribute to study protocol, study design, statistical analysis plans, and ad-hoc analysis...
Confidential
A company is looking for a Lead Operations Engineer to work remotely in the US. Main Responsibilities: Lead the development, evaluation, and implementation of new principles, processes, and applications Analyze complex network systems and...
Confidential
A company is looking for a Lead Instructor in Cybersecurity. Key Responsibilities: Instruct Fellows using Cybersecurity content provided by the company Prepare for live sessions and provide curricular input and feedback Offer additional...
Confidential
A company is looking for a People Operations Lead. Key Responsibilities: Lead the strategy and day-to-day operations across employee lifecycle Drive employee engagement surveying and action planning Spearhead talent development programs and...
Confidential
A company is looking for a Lead Polling Manager for a remote position. Key Responsibilities: Prepare and program survey questionnaires, construct samples, compute survey weights, and analyze results for clients Manage and mentor other members...
Confidential
A company is looking for a Test Data Lead to join their team remotely in the United States. Key Responsibilities: Analysis, estimation, design, development, testing, and implementation of data archiving, test data management, and data privacy...
Confidential
A company is looking for a Senior Lead Program Manager for remote US locations. Key Responsibilities: Develop plans and manage implementation activities for large complex projects and programs Build and maintain business relationships with...
Confidential
A company is looking for an Accounting Technical Lead V for a temporary remote position in the USA. Key Responsibilities: Working with loss accounting, including indemnity, alae, reserves, and recoveries Understanding the application of...
Confidential
A company is looking for a Senior Lead Program Manager for remote US locations. Key Responsibilities: Develop plans and manage implementation activities for large complex projects and programs Collaborate with cross-functional teams to solve...
Confidential
A company is looking for a Clinical Risk Adjustment Lead. Key Responsibilities: Assist Managers with clinical pends Assign manual assignments and assist with individual data entry production Review reports daily for QA scores and ensure...
Confidential
A company is looking for an Associate Site Contract Lead in the United States of America, to work remotely. Key Responsibilities: Negotiate study-specific generic and country Clinical Site Agreement (CSA) templates with the Sponsor Support the...
Confidential
A company is looking for a Lead Software Engineer, Front End (JavaScript & React) for a remote position. Key Responsibilities: Work with product owners to understand desired application capabilities and testing scenarios Continuously...
Confidential
A company is looking for a Tech Lead Front-End Developer with expertise in Angular 15+ for a remote position based in the US. Key Responsibilities: Collaborate with PM, Design, and Data Science to solve customer problems with elegant solutions...
Confidential
A company is looking for a Lead Backend Engineer (Typescript/AWS) for a remote or hybrid position in the United States. Key Responsibilities: Collaborate with cross-functional teams to understand business requirements and translate them into...
Confidential
A company is looking for a Lead Software Engineer (Liferay DXP) who can work remotely and has experience with Liferay DXP, ReactJS, and AWS. Key Responsibilities: Break down complex systems into smaller components and lead a team of software...
Confidential
A company is looking for a Lead Technical Consultant for a remote AEM Forms Developer position in the US. Key Responsibilities: Lead the technical planning, development, testing, and delivery of software applications Provide technical support...
Confidential
A company is looking for a Member Services Coordinator - Bilingual Chinese in California, United States. Key Responsibilities: Assist and respond to all Medicare members? requests, questions, and concerns in a timely and professional manner...
Confidential
A company is looking for a Marketing Entrepreneurship Department Chair in the United States. Key Responsibilities: Articulate department goals and needs to advance programs within the School and outside the institution Collaborate with...
Confidential
A company is looking for an Associate Manager, Claims Processing. Key Responsibilities: Provide leadership and development of people as well as management of projects and initiatives Support Commercial and Medicaid Claims processing rules,...
Confidential
A company is looking for a Graphic Designer for a part-time remote position in the United States. Key Responsibilities: Create visually appealing designs for various projects Collaborate with the team to develop and execute design concepts...
Confidential
A company is looking for a Senior Business Analyst. Key Responsibilities: Develop and maintain letter templates in an enterprise letter generation system Collaborate with business partners and Letter Owners for letter template design and...
