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The specialist is responsible for resolving inbound patient billing inquiries and managing insurance claims follow-up within a contact center environment. They must also identify revenue cycle inefficiencies and ensure compliance with government regulations and payer contracts.
The Provider Enrollment Associate oversees all credentialing, licensing, and payer enrollment tasks to ensure timely completion. They act as a liaison between providers and vendors while maintaining database accuracy and resolving enrollment-related claim denials.
The role involves hunting for net-new business and managing expansion revenue within an existing account base. You will be responsible for running complex sales motions, maintaining accurate CRM data, and collaborating cross-functionally to ensure a seamless customer experience.
The consultant will lead architectural strategy and solutioning for federal clients, bridging the gap between presales and delivery. They are responsible for driving program vision, managing risks, and ensuring the successful deployment of Salesforce-based solutions.
The Solution Architect will lead end-to-end MDM implementations, including data modeling, SKU migration, and Boomi integrations. They are responsible for aligning STEP implementations with business objectives and collaborating across teams to deliver scalable MDM solutions.
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Support customers by gathering information, diagnosing problems, and analyzing needs to provide timely resolutions. Maintain accurate records in the ticketing system and collaborate with team members to share knowledge on complex issues.
The role involves performing concurrent reviews, discharge planning, and episodic case management to meet individual health needs. You will collaborate with providers and members to implement appropriate services within the scope of their benefit plans.
This role supports the evaluation of Medicare regulatory requirements and CMS guidance to assess compliance risks for government contracts. The consultant will act as a subject matter expert to ensure regulatory requirements are implemented across internal operations and delegated entities.
The Business Development Manager will drive growth and expand HID's presence within the Life Sciences market across North America. This role involves managing the full sales cycle, building strategic relationships with key stakeholders, and promoting physical access control solutions.
You will manage a team of data scientists and machine learning engineers to ensure the development of safe, compliant, and fair AI products. This involves setting technical direction, driving large-scale initiatives, and collaborating with cross-functional teams to move projects from proof-of-concept to production.
You will lead a team of product managers to define and execute strategy for AI-powered product portfolios while ensuring alignment across engineering, design, and data science. Your role involves coaching team members, establishing success metrics, and driving cross-team coordination to deliver high-quality, scalable product outcomes.
The Software Production Support Lead ensures the stability and performance of products by managing ticket escalations, performing root cause analysis, and coordinating with cross-functional teams. They are responsible for tracking SLAs, generating performance metrics, and providing technical guidance to resolve issues efficiently.
The Team Lead is responsible for coaching and developing a team of Provider Marketing Agents to achieve enrollment and production targets. This role also involves direct field engagement with dental practices, managing tradeshow execution, and leveraging data to drive business growth.
You will own the design, development, and operation of foundational AI platform systems to support critical AI products and workflows. You will also drive technical decision-making and mentor other engineers to ensure system reliability, scalability, and maintainability.
The Product Management Excellence Leader will design and scale the product management and new product development operating model across the Precision Technologies business unit. They are responsible for driving market intelligence, managing the stage-gate process, and coordinating engineering priorities globally.
Lead multi-disciplinary engineering teams in the development and execution of advanced EO/IR imaging systems programs. Serve as the primary technical interface for customers while managing cost, schedule, and technical performance.
The RN Care Manager Lead provides lead care management services and mentors nurses and care coaches within the Family Care Partnership program. They collaborate with the Interdisciplinary Team to assess member needs and coordinate comprehensive medical, social, and behavioral health services.
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The Change & Continuous Improvement Leader will drive enterprise-wide transformation initiatives and process optimization across U.S. operations. This role involves partnering with executive leadership to implement change management strategies and foster a culture of operational excellence.
The instructional assistant will attend online synchronous lectures and office hours to support the instructor. Responsibilities include monitoring and grading lecture activities, discussions, and various online assessments.
The Director leads Humana's state advocacy and government engagement strategy across Illinois and a regional group of states. This role advances policy priorities, manages relationships with key stakeholders, and coordinates legislative and regulatory activities to support business growth.
The Medicaid Provider Materials Lead is responsible for creating and updating core provider educational materials, manuals, and training resources to ensure compliance with state contracts. This role involves collaborating across business segments to align provider learning needs with operational changes and state requirements.
The Measure Technician performs in-home measurements and provides professional customer service to support sales and installation coordination. They are responsible for managing daily travel routes, ensuring measurement accuracy, and maintaining positive customer relationships.
The Contact Center Supervisor leads and coaches a team to ensure quality customer interactions and the achievement of department performance goals. They are responsible for daily operations, personnel management, and resolving escalated customer issues.
The Regional Operations Manager will lead and support multiple locations to drive operational excellence, service performance, and profitability. They are responsible for coaching managers, improving processes, and fostering a culture of safety and accountability across the organization.
The Client Engagement Manager is responsible for managing client contracts, relationships, and ensuring operational performance meets contractual commitments. They also drive revenue growth through upselling services and monitoring strategic business goals.
The analyst delivers analytical insights to drive reinsurance strategy, loss monitoring, and financial performance across the organization. They are responsible for designing Power BI dashboards, validating complex datasets, and collaborating with stakeholders to support data-driven decision-making.
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Evaluate international production sites, manufacturing capacities, and operational bottlenecks for due diligence purposes. Analyze productivity, manufacturing costs, and investment needs while preparing findings in Excel and PowerPoint.
Design, develop, and maintain scalable data pipelines and processing workflows using Spark, Hive, and Databricks. Collaborate with cross-functional teams to build infrastructure, ensure data quality, and implement CI/CD methodologies.
Engage healthcare professionals and stakeholders through outbound calls to deliver program information and support objectives. Accurately document all interactions in the CRM system while maintaining high standards of quality and compliance.
The role involves leading continuous improvement and operational excellence initiatives across the Power Transformers organization to drive productivity and quality. You will partner with leadership to implement strategic objectives, standardize best practices, and coach teams in Lean and Six Sigma methodologies.
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