This position is responsible for performing functions under supervision of department leadership for designing, developing, maintaining and delivering informal and formal learning solutions to support department processes and systems. This position also participates in collaboration with customers and project teams in support of corporate initiatives. This position's time

This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been processed accurately. The incumbent will employ data mining and coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB ROLES AND RESPONSIBILITIES 1. Achieve measured production, quality, an

This role is responsible for gathering requirements, designing, developing, and maintaining solutions that optimize collaboration and efficiency in IT delivery and operations. This role is also responsible for system administration for productivity and project management tools as it relates to Agile Software Delivery. JOB ROLES AND RESPONSIBILITIES 1. Manage the administr

Under the Direction of the assigned Director of Business Channel or designee, the Senior Product Developer is responsible for managing the process of developing our product and enhancing existing products in order to meet business channel customer expectations effectively. This role researches, develops proposals, and supervises the design process. JOB ROLES AND RESPONSIB

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca

Mentor new team members as requested by the Team Leader. Monitor trainee accuracy and update Team Leader on progress. Manage professional growth by collaborating with Team Leader and quality assessors to identify individual training needs concerning performance, productivity and quality and ensure training goals are met. Work with Management to constantly improve procedur

1.) Understand business processes and how they are modeled in various systems 2.) Work with business users, technology teams, and executives to understand their data needs to create innovative solutions to fulfil them 3.) Implement data structures, workflows, and integrations between enterprise platforms to ensure the accurate and timely execution of business processes. 4

1. Completing data entry and new case creation. 2. Reviewing claims. 3. Retrieving, imaging and prioritizing the daily incoming mail 4. Performing ISO Index searches and identifying accidents to refer to Subrogation Specialists. 5. Generating and processing IQ batches with guidance for the Subrogation Business Analyst. 6. Obtaining information such as claims and plan docu

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca

Reporting to the Director of Enterprise Data Management, this position is responsible for mobilization, operationalization, and execution of the data maturity program and co architecting of the technical foundations of the new self service, store front analytics & data shopping architectures. Demonstrate technical thought leadership, strong project/program management and

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca

Manage the daily operations and related staff associated with the Support Services group. Participate in and lead the work of subordinates. JOB ROLES AND RESPONSIBILITIES 1. Utilize staffing models and monitor daily inventory in order to effectively manage the team. Reallocate resources as necessary in order to meet/exceed production, quality and cycle time goals for thes