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Conduct investigations into suspected insurance fraud by interviewing witnesses, analyzing databases, and gathering evidence. Coordinate with outside agencies and provide training to departments regarding the claims handling process.
The Provider Relations Representative serves as the primary liaison between the World Trade Center Health Program and healthcare providers to manage onboarding, education, and issue resolution. They collaborate with cross-functional teams to ensure operational excellence, provider satisfaction, and compliance with program policies.
The therapist will provide virtual psychosocial assessments and individual psychotherapy to adults with serious mental illness and substance use disorders. They will also facilitate group therapy sessions and collaborate with a multidisciplinary care team to monitor patient progress.
This role leads business analysis and ensures alignment across functional areas to support complex, enterprise-wide strategic initiatives. It involves coordinating project teams, managing budgets, and interacting with senior management to drive project completion.
The Inpatient Coding Auditor performs audits of medical records to ensure the accuracy of diagnosis and procedure codes according to regulatory guidelines. They also provide mentorship and training to new auditors while maintaining productivity and quality standards.
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The translator and editor will be responsible for translating and editing vital records, legal documents, and academic transcripts for a U.S. government client. The role requires maintaining high productivity and meeting tight one-to-two-day deadlines.
The translator and editor will be responsible for translating and editing vital records, legal documents, and academic transcripts for a U.S. government client. The role requires maintaining high productivity and meeting tight one-to-two-day deadlines.
The translator will be responsible for translating and editing various legal documents, official certificates, and academic transcripts for a U.S. government client. The role requires maintaining high productivity and meeting tight one-to-two-day deadlines.
The agent will conduct inbound and outbound calls to sell Medicare Advantage, PDPs, and supplemental plans while providing knowledgeable guidance to clients. They are responsible for maintaining client records, managing policy renewals, and addressing inquiries regarding claims, eligibility, and enrollment.
The Account Manager will manage regional sales activities and develop relationships with key customer contacts to achieve growth targets. They will also serve as a liaison between customers and company divisions while investigating and resolving product or service issues.
The Personal Lines Inside Sales Producer is responsible for driving and closing sales opportunities by handling inbound calls and managing customer accounts. They must maintain accurate records in the database and meet key performance metrics while providing professional service to clients.
The auditor reviews inpatient medical records and claims to ensure accurate coding, reimbursement, and appropriate DRG assignments. They also investigate provider disputes and collaborate with teams to improve payment accuracy and documentation integrity.
You will design, develop, and maintain custom scoped applications and workflows on the ServiceNow platform. Additionally, you will provide technical leadership and collaborate with stakeholders to deliver scalable, high-performing technical solutions.
The Senior Clinical Scientist will design and conduct clinical studies to evaluate the safety and efficacy of innovative treatments while providing strategic leadership for clinical programs. They will also collaborate with cross-functional teams to author clinical protocols, analyze data, and prepare regulatory submissions.
The Senior Security Engineer will lead the integration of security controls into the software development lifecycle and drive vulnerability risk reduction across the enterprise. They will also serve as a security advisor to engineering teams, mentor staff, and automate security toolchains to ensure high-fidelity detection.
The Lead Design Specialist oversees new product development, product improvements, and sustaining changes for a specific product line. They are responsible for mentoring junior staff, managing project schedules, and implementing process improvements to enhance design accuracy and efficiency.
The Facilities Coordinator manages the end-to-end work order system and coordinates service activities at postal sites to ensure operational excellence. They act as a liaison between clients and vendors while maintaining accurate data and ensuring SLA compliance.
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The Technical Director leads the Data Analytics team in managing databases and implementing metric-based dashboards to support real estate asset services. This role oversees process development, ensures data quality through QA/QC, and drives strategic initiatives to maximize asset value for clients.
The Regional Director is responsible for developing and executing sales strategies to meet regional targets while expanding the customer base in Texas, Louisiana, and New Mexico. They will collaborate with cross-functional teams to drive market share growth and ensure a positive customer experience.
The Senior Consultant will lead Workday implementation projects, managing workflow design, system configuration, and testing to ensure successful client outcomes. They will also facilitate stakeholder meetings, provide expert consulting advice, and support sales efforts by scoping opportunities and developing new service offerings.
The Principal Field Education Specialist leads the design, development, and execution of advanced clinical and field education programs to support commercial success. This role collaborates with cross-functional teams to drive scalable learning strategies and ensures training programs meet company and customer objectives.
The District Sales Manager is responsible for driving sales growth, managing a team, and ensuring the achievement of business objectives within the surgical portfolio. This role involves talent development, budget management, strategic planning, and cultivating key customer relationships.
The specialist reviews and processes prior authorization and referral requests while ensuring medical necessity and insurance compliance. They collaborate with clinicians and patients to resolve authorization issues and maintain accurate documentation in the electronic health record.
The Certified Coding Specialist is responsible for reviewing medical documentation to assign accurate diagnosis and procedure codes for inpatient and outpatient services. They also manage coding-related claim denials, front-end claim edits, and collaborate with revenue cycle teams to ensure compliance and maximize reimbursement.
The Senior Technical Project Manager will lead projects of varying complexity, ensuring effective coordination across regional and global teams. They are responsible for utilizing project management methodologies to scope, plan, execute, and monitor project tasks while managing risks and stakeholder communications.
The Account Manager is responsible for driving profitable sales growth and managing relationships within an assigned territory of WI, MN, and the Dakotas. They will coordinate with internal teams to implement business strategies, manage accounts, and ensure accurate sales forecasting.
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The Associate Director will lead regional cell therapy trial operations, overseeing site strategy, activation, and clinical workflow execution. They will partner with cross-functional teams to ensure high-quality, compliant patient care and efficient delivery of advanced therapies.
The Therapeutic Area Specialist drives demand for cardiovascular medicines by engaging healthcare providers through scientific dialogue and account management. They are responsible for executing territory plans, meeting sales targets, and collaborating cross-functionally to deliver a superior customer experience.
The Accountant II is responsible for applying accounting principles to analyze financial information, prepare reports, and ensure internal control procedures are followed. They will manage capital asset processes, perform period-end close activities, and reconcile balance sheet accounts.
The Utilization Management Market Operations Manager oversees operational activities, including policy development, team metrics, and statutory reporting for specific lines of business. They drive process improvement, mentor clinical staff, and manage relationships with internal and external partners to ensure adherence to regulatory and accreditation standards.
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