Operations * Analyze, configure, and maintain provider data to support operational and business requirements. * Supports provider contract...
Operations * Identify, validate, and pursue claims overpayments to ensure recovery from providers, participants, or other responsible parties...
* 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...
1. Works with stakeholders across organization to clearly define IT solution requirements and assists in the selection and / or design of new or...
* Builds and maintains relationships with external vendors and credentialing partners including Aperture & Texas Association of Health Plans...
* Operations Configure and maintain provider contracts, fee schedules, and pricing rules within QNXT and NetworX Pricer to support accurate...
* Model customer support courtesy across all technology verticals – IT service delivery, operations, business processes, and clinical areas...
* Lead the development, socialization, and continued ideation of the Data Foundation Playbook aiding the organization in leveraging sustainable...
The Senior Director of Development Research is responsible for implementing and managing donor/prospect research and prospect management...
Conduct descriptive and systematic behavioral assessments, including functional analyses, and provides behavior analytic interpretations...
A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible. The...
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