, and actionable insights help drive quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst... Department, for the BSC CalPERS HMO/PPO lines of business. This includes monthly executive reporting, tableau dashboards, member...
quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst - Consultant will report... BSC CalPERS HMO/PPO lines of business. This includes monthly executive reporting, tableau dashboards, member engagement...
and business partners as it relates to the company’s export compliance activities. Manage communication and awareness efforts... duty drawback claims in compliance with the U.S. Customs Regulations. Prepare and sustain the annual duty drawback plan...
Analyst will bridge the gap between the business needs and technical solutions, contributing to the development...Position Summary Are you looking to make an immediate impact where you can help our clients solve their business...
, and Abuse – Support team in areas that range from claims monitoring through invoice reconciliation and contract review.... Desired Majors: Arts & Sciences: i.e. Business Management, Communications, Supply Chain Management, Pharmacy, Public Health...
, and makes recommendations. You will create business requirement and process artifacts and assist with the overall deployment... of education. At least 11 years of experience with Information Technology. At least 7 years of experience working as a Business...
and monitoring agency financials (policy counts, written premiums, loss ratios, large losses, etc.), quality of business, submission... underwriting guidelines. Work in unison with Agents, PLMS, and other departments to grow and maintain a profitable book of business...
, in a timely manner, necessary to get claims paid. Understands the idiosyncrasies of the government forms, which forms are used..., and residents. Responsible for investigation or follow-up of claims work que. Understands facility enrollment as appropriate...
. Instructs staff on proper documentation in medical records. Reviews inpatient claims with medical necessity denials. Maintains... be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update...
Position Title - Business Administrator, Sr. Analyst Location – Chicago, IL REMOTE - this position is a 100% remote... Education Bachelor's degree in business, finance, human resources or a related field preferred. Experience Three to five...
with Analyst and vendors to resolve issues. Re-verifies eligibility and ensure authorization of days extended for large dollar... in business or healthcare, or equivalent experience, required. Experience: Two years of directly applicable healthcare...
quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst - Senior will report to the... of high complexity Produce analysis of high complexity under the guidance and direction of Clinical Quality Analyst...
quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst - Senior will report to the... of high complexity Produce analysis of high complexity under the guidance and direction of Clinical Quality Analyst...
with Analyst and vendors to resolve issues. Re-verifies eligibility and ensure authorization of days extended for large dollar... in business or healthcare, or equivalent experience, required. Experience: Two years of directly applicable healthcare...
Line manage US-based risk consultant/risk analyst for Arium Qualifications: Experience: Minimum of 5+ years... is required, preferably in insurance, mathematics, actuarial science, computer science, or business. #LI-ZP1 #LI-Hybrid...
, incentive funds, and expenses. + Reviews, aggregates, and summarizes data prepared by Analyst (including sales results..., underwriting results, coverages, and claims handling) and makes recommendations to F&I Development Manager to increase penetration...
junior team members, such as reinsurance analyst (RAs) or client services associates (CSAs) in the management of critical..., 10+ years of insurance and/or reinsurance experience, ideally in underwriting, claims or actuarial. Preference...
functions as designed. · Review system use cases and functional specifications with the appropriate business analyst/System... about business intelligence / analytics / tool experience – Cognos/Tableau · Knowledge about medical and Rx claims processing...
related Data Quality improvement Documenting and standardizing business process flows. PRIMARY PURPOSE: To design... and data integrity throughout all claims-related applications. Ensures software compatibility and alignment with overall...
, and BHS grant analyst staff to aid in federal and state claims reporting of ARPA and/or other federal and state grant funded...), Office of Corporation Counsel, and Office of the Comptroller for contract related matters. Monitor Targeted Business...