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* Lead and mentor personnel by directing and delegating tasks and managing overall workload of the team. * Foster staff growth and career development...
1. Works with stakeholders across organization to clearly define IT solution requirements and assists in the selection and / or design of new or...
- Operations Configure and maintain provider contracts, fee schedules, and pricing rules within QNXT and NetworX Pricer to support accurate...
* Builds and maintains relationships with external vendors and credentialing partners including Aperture & Texas Association of Health Plans...
- Operations Collaborates with internal and external stakeholders to gather, analyze, and document claims and payment data. Conducts audits...
- Maintain knowledge of applicable federal and state rules, regulations, policies and procedures, laws, and guidelines that impact all areas...
Operations: Oversees processing of periodic enrollment files / transactions across all plans. Reconciles and maintains accurate enrollment...
Operations Drives high-level solution design activities, collaborating with vendors and stakeholders to optimize workflows and intended...
Operations * Identify, validate, and pursue claims overpayments to ensure recovery from providers, participants, or other responsible parties...
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of...
- Assists in determining the direction and approach of assigned Information System audits (network, operating systems, database and applications...
- Operations Develop and execute data quality checks to ensure provider data accuracy and integrity across all systems and files. Analyze provider...
- Operations Develop and execute data quality checks to ensure provider data accuracy and integrity across all systems and files. Analyze provider...
- Operations Develop and execute data quality checks to ensure provider data accuracy and integrity across all systems and files. Analyze provider...
- Operations Develop and execute data quality checks to ensure provider data accuracy and integrity across all systems and files. Analyze provider...
- Operations Develop and execute data quality checks to ensure provider data accuracy and integrity across all systems and files. Analyze provider...
- Operations Develop and execute data quality checks to ensure provider data accuracy and integrity across all systems and files. Analyze provider...
Digital Marketing Intern at Starbird - Bring your creativity to our growing brand! Are you passionate about digital marketing and eager to make...
At BCG, our people and relationships are at the heart of everything we do. We believe that in-person work is essential to our culture, mentorship...
At BCG, our people and relationships are at the heart of everything we do. We believe that in-person work is essential to our culture, mentorship...
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