The representative will handle inbound calls from members and providers to schedule non-emergency medical transportation while ensuring accurate data entry. They will also address member inquiries, verify eligibility, and collaborate with internal teams to resolve service issues.
The BPO Manager will lead cross-functional coordination across BPO partner networks to ensure performance, compliance, and client commitments are met. This role involves managing vendor relationships, monitoring SLAs, and aligning workforce management, training, and quality standards across multiple sites.
The manager will oversee workforce forecasting, scheduling, and intraday performance across a multi-vendor operation. They will lead a team of analysts and serve as the primary point of contact for WFM decisions across the organization.
The Prevention & Control Specialist monitors ride activity to identify and investigate potential instances of fraud, waste, or abuse within the transportation benefit program. They also collaborate with internal teams to analyze data trends and ensure compliance with company policies.
Manage monthly accounting close procedures, including journal entries, GL variance analysis, and balance sheet reconciliations. Oversee customer billing, revenue recognition across multiple contract types, and support annual external financial audits.
Manage end-to-end encounter data submissions to CMS and state Medicaid agencies to ensure regulatory compliance and accuracy. Act as a liaison between technical and business teams to optimize data pipelines and improve ETL efficiency.
The Strategic Account Manager serves as the primary liaison for assigned accounts, focusing on fostering long-term client relationships and driving data-driven performance improvements. They are responsible for identifying growth opportunities, managing contract implementations, and coordinating with operations to meet client goals.
Lead the resolution of complex, high-priority client issues from health plan partners while supervising a team of Client Escalation Specialists. Partner across departments to identify systemic issues and implement process improvements to enhance the client experience.
The Compliance Counsel will develop and oversee enterprise compliance programs and infrastructure while providing legal guidance on healthcare regulations. They will lead audit activities, manage corrective action plans, and partner cross-functionally to mitigate regulatory risks.
The Credentialing Audit Supervisor will oversee audit readiness by performing quality reviews of credentialing files and identifying process gaps. They will also coordinate corrective action plans and prepare compliance reports for stakeholders.
The VP of Government Sales will define and execute the end-to-end strategy for identifying, shaping, and winning state Medicaid RFP opportunities. This role involves building a specialized team, managing the full capture lifecycle, and maintaining a pipeline of high-probability opportunities to meet bookings targets.
The Network Vendor Manager will be responsible for building and managing strategic relationships with transportation providers to drive performance, accountability, and growth, while also leading, coaching, and developing a team of Network Specialists.
