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The specialist manages the integrity of provider data to ensure compliance with CMS and federal requirements. They are responsible for conducting audits, resolving data discrepancies, and preparing credentialing rosters for automated processing.
The Clinical Documentation Specialist facilitates the quality, completeness, and accuracy of medical record documentation through extensive record reviews and physician education. They collaborate with coding staff to ensure diagnoses and co-morbidities accurately reflect the patient's clinical status and care.
The Scheduling Specialist II performs administrative and complex scheduling tasks for multiple hospital areas, including high-dollar testing and diagnostic procedures. They are responsible for pre-registration, insurance verification, and initiating the patient billing process.
The Utilization Management Nurse Consultant assesses, plans, and coordinates healthcare services to ensure appropriate benefit utilization for members. They apply clinical criteria and guidelines to render coverage determinations while collaborating with providers to facilitate effective treatment.
The Utilization Management Nurse Consultant assesses, plans, and coordinates healthcare services to ensure appropriate benefit utilization for members. They apply clinical criteria to render coverage determinations and collaborate with providers to facilitate effective treatment plans.
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The Staff Software Engineer will design, develop, and implement scalable platform solutions while collaborating with cross-functional teams to ensure technical excellence. They will also contribute to the adoption of best practices and new technologies to enhance productivity and system performance.
Process prior authorization requests by utilizing clinical research, medication guidelines, and internal computer systems to support review decisions. Maintain accurate documentation and communicate status updates to providers, pharmacies, and internal partners via phone and electronic channels.
The role involves coordinating Medicaid and Medicare pharmacy services by processing authorization requests and evaluating them against clinical guidelines. You will communicate decisions to healthcare providers and members while maintaining accurate documentation in compliance with regulatory requirements.
The Medical Director will develop, implement, and evaluate clinical programs while providing medical management oversight across the continuum of care. They will also act as a clinical liaison to network providers and support the medical management staff in handling authorizations and appeals.
Design, develop, and maintain scalable full stack applications, APIs, and automation solutions to enhance operational efficiency. Collaborate with cross-functional teams to translate business requirements into secure, reliable, and maintainable software solutions.
The Food Prep Specialist is responsible for maintaining high standards of food quality, hygiene, and safety while assisting customers and managing transactions. They also perform inventory maintenance, stock food stations, and ensure efficient service across various dining outlets.
You will lead the validation direction and engineering excellence for advanced networking solutions in large-scale AI cluster environments. This involves developing automation tools, conducting performance analysis, and investigating complex system issues across the hardware and software stack.
The coordinator manages vendor master data requests, ensuring accuracy and compliance with internal policies and regulatory requirements. They also support the accounts payable department by generating reports, reconciling 1099 data, and assisting with internal audits.
The FP&A Anaplan Manager is responsible for delivering Anaplan planning solutions and driving the development and execution of annual operating plans and rolling forecasts. This role involves leading a team of model builders, managing data integration, and ensuring alignment between functional finance and senior leadership.
The role supports the revenue cycle management team by monitoring accounts receivable, ensuring compliance, and managing payor setups. It also involves training staff on software systems and troubleshooting claim or EMR issues for home health and hospice agencies.
The Tax Processing Assistant II is responsible for completing electronic tax filings and payments while ensuring accuracy and adherence to deadlines. They also manage jurisdictional notices, resolve compliance issues, and maintain accurate records within the company's systems.
The specialist will provide exceptional customer experiences by responding to inquiries via phone, email, and live chat. They are responsible for resolving order issues, making product recommendations, and collaborating with internal teams to improve service processes.
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The Payroll Processor is responsible for managing payroll settlements and on-demand payments within the Workday application for a diverse client base. They will also maintain support documentation, manage daily control reports, and handle treasury exceptions while ensuring high-quality customer service.
The Senior Cloud Solutions Engineer designs, builds, and supports scalable cloud and on-premises solutions while bridging front-end and back-end systems. This role also provides technical leadership, mentors team members, and evaluates emerging AI technologies to drive enterprise modernization.
The candidate will design and implement complex FPGA solutions, including developing Verilog/System Verilog code and performing simulation, synthesis, and validation. They will also collaborate with cross-functional engineering teams to integrate designs into larger system architectures and mentor junior staff.
The Key Account Manager will manage institutional sales for a portfolio of generic injectables and brands across the Carolinas, ensuring contract compliance and optimal pricing. They will also analyze sales data, monitor market supply conditions, and maintain strong relationships with hospital buyers and key stakeholders.
The Project Manager oversees day-to-day contractor support operations, coordinating multidisciplinary teams across multiple locations to ensure program success. They are responsible for managing budgets, schedules, and project execution plans while acting as the primary company representative to government clients.
The Director will lead competitive intelligence and price-to-win strategies to strengthen the company's position in major federal pursuits. This role involves delivering market assessments, guiding capture teams, and facilitating executive-level strategic reviews.
The Project Engineer will assist with managing transportation projects and programs, including roadway, bridge, tunnel, or rail elements. They will also drive marketing and pursuit strategies while fostering collaboration across multiple project stakeholders.
The Senior Oncology Account Specialist is responsible for promoting Pfizer's oncology portfolio to healthcare providers and specialists to improve patient care. They must develop and execute strategic account plans while cultivating relationships with key opinion leaders and high-value customers.
The Senior Oncology Account Specialist promotes Pfizer's oncology portfolio to healthcare providers and specialists to improve patient care. They are responsible for developing territory plans, cultivating relationships with key opinion leaders, and driving demand within assigned accounts.
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The Logistics Analyst provides comprehensive project management support for logistics operations, including procurement, property control, and FAR compliance. The role also involves analyzing procurement metrics, managing inventory records, and coordinating with vendors to ensure operational continuity.
The Senior Analyst will assess the impact of product function and cost across the clinical spend landscape to identify savings and operational enhancements. They are responsible for managing financial spend analysis, conducting research, and facilitating consensus among multidisciplinary value analysis teams.
The Senior Database Administrator will lead database management efforts, including performance tuning, disaster recovery, and cloud-based system optimization. They are also responsible for mentoring team members, overseeing database projects, and collaborating with cross-functional teams to ensure scalability and security.
The Medical Safety Manager conducts comprehensive evaluations of safety information from post-marketing surveillance and literature to identify emerging risks. They provide critical safety insights for regulatory submissions, clinical studies, and product lifecycle management to ensure compliance and patient safety.
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