The Member Services Representative handles incoming calls from members, providers, and brokers to resolve inquiries regarding claims, eligibility, and authorizations. They are responsible for providing accurate benefits information and processing customer claims according to company policies.
Versant Health
11 Remote Job Openings at Versant Health
The Member Services Representative handles incoming calls from members, providers, and brokers to resolve inquiries regarding claims, eligibility, and authorizations. They are responsible for providing accurate benefits information and processing customer claims according to company policy.
Oversee customer service staff and lead team members to achieve business goals while handling escalated calls. Drive process improvements, increase quality, and ensure appropriate training levels for Customer Service Associates.
Oversee customer service staff and lead team members to achieve business goals through coaching and performance feedback. Drive process improvements, handle escalated calls, and ensure adherence to company policies and quality standards.
Network Development Specialist_ Temporary Position
Versant Health
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Part Time
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19 days ago
Versant Health
Recruit and contract new vision providers and facilities into the Superior Vision and Davis Vision networks. Manage the credentialing process, negotiate fee schedules, and maintain relationships with the provider community.
Oversees the tactical execution of benefit configuration across core claims platforms and leads a team of Configuration Analysts. Acts as a liaison between business and technical teams to ensure accurate implementation of plan designs and payment methodologies.
Provides strategic leadership for benefit configuration and claims platform operations, overseeing the multi-year roadmap and governance standards. Collaborates with cross-functional leadership to align configuration capabilities with organizational strategy and ensure operational excellence.
The Business Systems Analyst acts as the primary liaison between business users and IT teams to elicit and document functional requirements. They are responsible for managing project scope, creating design documentation, and ensuring the delivery of expected business value.
Architect and deploy enterprise-grade advanced analytics and machine learning solutions within the Microsoft cloud ecosystem to influence strategic healthcare decisions. Lead the end-to-end analytical lifecycle, ensuring model explainability, stability, and regulatory compliance in a healthcare environment.
Provider Relations Representative_ Temporary Position
Versant Health
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Part Time
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a month ago
Versant Health
Serve as the primary point of contact for the provider network to resolve claims issues and update demographic information. Assist with network recruitment activities and monitor provider complaints and grievances.
The Supervisor of Provider Data Management oversees the PDM team to ensure accurate and timely provider data updates across organizational environments. This role manages daily operations, monitors performance metrics, and acts as a subject matter expert to drive process improvements and data integrity.
