Position Summary The Appeals Supervisor oversees day-to-day operations of the administrative (non-clinical)appeals... with NCQA standards, contractual obligations, and organizational polici…
improvement, cost containment, and member experience outcomes. This role manages multiple managers and/or senior leads... from reactive reporting to proactive issue and opportunity analytic…
generation. This role is accountable for transforming operational data into executive-ready insights that drive performance... and data modeling capabilities Proven executive presence with…
our vision to lead nationally in innovating equitable whole-person health. Associate Research Support Specialist: · Evaluate
Description - Internal Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describe…
About the Department: The Accounts Payable department is responsible for the accurate processing and reconciliation of payments to providers, members, groups, and vendors. Co-op Job Descrip…
and implement changes. Ability to develop, plan, and create timelines and dashboards to support senior management visibility
. Qualifications Bachelor's Degree Minimum 5+ years proven supervisor and working experience in operations, medical policy
with Business Intelligence tolls (e.g., Tableau, Power BI) IBX is an Equal Opportunity Employer. All qualified applicants
of claims-based analytics · Experience with statistical or programming software (SAS, Python, or R) · Experience
are performing the way they are. Required: · Bachelor's Degree in Math, Business, Finance, Economics, Actuarial Science
, and health plan performance. Working closely with Population Health, provider partners, team members, and executive leadership
The Sr. Data Insights & Reporting Analyst plays a critical role in advancing our provider accurate coding...-driven decision making. As a key contributor to an evolving program, the analyst…
About the Hiring Department: Cash Application is responsible for applying both premium and non-premium payments into the appropriate systems as well as reconciling these payments. Collabora…
Department Overview: The Product Services team supports plan inventory management through the Product Configurator application and related data entry. The department also develops templates…
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak…
and associated financial terms. Demonstrated experience leading projects and mentoring junior staff. Strong Excel and analytical
Position Summary The Senior Analyst, Appeals & Grievances Operations serves as the business owner and technical... the efficiency, accuracy, and compliance of Appeals & Grievances operation…
and accuracy, and mentoring junior audit analysts. Serve in a senior role to ensure the timely completion of operational
our business and shape the future of health care. The Senior Audit Analyst assists as a senior audit professional responsible
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