, Claims Operations, Customer Service, Provider Relations, Quality, and Compliance teams to ensure accurate and timely... in customer service, health plan operations, appeals/grievances, or…
Position Summary The Appeals Supervisor oversees day-to-day operations of the administrative (non-clinical)appeals... with NCQA standards, contractual obligations, and organizational polici…
support to the Administrative Appeals team to ensure compliance with NCQA and state requirements and organizational standards..., maintain quality standards, and support regulatory adherenc…
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…
our vision to lead nationally in innovating equitable whole-person health. Associate Research Support Specialist: · Evaluate
generation. This role is accountable for transforming operational data into executive-ready insights that drive performance... and data modeling capabilities Proven executive presence with…
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…
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
. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New
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…
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…
with Business Intelligence tolls (e.g., Tableau, Power BI) IBX is an Equal Opportunity Employer. All qualified applicants
Department Overview: The Product Services team supports plan inventory management through the Product Configurator application and related data entry. The department also develops templates…
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…
and associated financial terms. Demonstrated experience leading projects and mentoring junior staff. Strong Excel and analytical
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…
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