The EDI Implementation Analyst manages the full lifecycle of healthcare EDI implementations, including requirements gathering, data mapping, testing, and deployment. They collaborate with internal and external stakeholders to ensure accurate, compliant data exchange and resolve production discrepancies.
The EDI Implementation Analyst coordinates the full lifecycle of healthcare EDI implementations, including requirements gathering, data mapping, testing, and deployment. They also manage implementation milestones, validate file configurations, and perform root-cause analysis to resolve data discrepancies.
The EDI Implementation Analyst manages the full lifecycle of healthcare EDI implementations, including requirements gathering, data mapping, and testing. They coordinate with internal and external stakeholders to ensure accurate, compliant, and timely data exchange.
The Eligibility Benefits Representative processes enrollments, manages plan participant data, and handles inquiries regarding benefits and appeals. They also support internal teams with new group implementations and maintain accurate records for audits.
The Senior Account Executive acts as the primary executive-facing contact for national accounts, building trusted partnerships and providing strategic guidance on benefit plans. They lead performance meetings, analyze claim trends, and collaborate with internal teams to drive client retention and revenue growth.
The National Account Manager serves as the primary day-to-day contact for strategic clients, ensuring concierge-level service, claims resolution, and proactive support. They partner with the National Account Executive to manage client relationships, monitor operational performance, and ensure compliance with service standards.
The National Account Manager serves as the primary day-to-day contact for strategic clients, ensuring concierge-level service, claims resolution, and proactive support. They partner with the National Account Executive to manage client relationships, monitor service trends, and ensure operational excellence across all internal departments.
The Utilization Review Nurse evaluates clinical information to determine the medical necessity, appropriateness, and efficiency of healthcare services. They collaborate with care teams to facilitate timely authorizations and maintain accurate documentation in compliance with audit standards.
The Utilization Review Nurse evaluates clinical information to determine the medical necessity, appropriateness, and efficiency of healthcare services. They collaborate with care teams to facilitate timely authorizations and ensure compliance with organizational policies and payer guidelines.
The Account Manager acts as a key liaison between clients and internal departments to manage onboarding, implementation, and ongoing service delivery. They are responsible for building sustainable client relationships, managing projects, and providing expert recommendations on benefit products.
