The SME collaborates with trainers and support teams to assist and motivate agents during training activities. Responsibilities include monitoring learner behavior, managing team chats, and troubleshooting system issues for learners.
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The specialist provides guidance on regulatory requirements for consumer and commercial lending and loan operations. They are responsible for communicating compliance risks to management and assisting in the development of controls and policies to mitigate those risks.
Research denials and audits from commercial and governmental payors to ensure maximum reimbursement and prevent revenue loss. Perform compliance reviews to determine medical necessity and obtain necessary authorizations for services.
PI Medical Coding Reviewer I (CPC, RHIT or RHIA required)
CareSource
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Full Time
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1 Week Ago
CareSource
Responsible for managing medical record requests, tracking, and performing pre-payment and post-payment claim reviews. The role involves making payment decisions based on medical coding guidelines and identifying potential fraud, waste, or abuse.
Lead financial performance management for the Contact Center Services & Solutions unit, focusing on forecasting, revenue, and margin optimization. Serve as the primary financial partner to leadership to translate operational activity into actionable financial insights.
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The Care Coordinator supports the general case management process by conducting member outreach, triaging needs, and coordinating healthcare services. They also perform general office duties, data entry into specialized platforms, and support clinical quality initiatives.
Government Sales Specialist - Federal
Sunbelt Rentals, Inc.
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Full Time
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1 Week Ago
Sunbelt Rentals, Inc.
The role focuses on driving sales of equipment rental solutions specifically within the federal government sector. The specialist will leverage technical expertise to provide diversified product mixes to meet distinct customer needs.
Mastering the AWS Cloud, Department of Cybersecurity - Adjunct Faculty
University of Maryland Global Campus
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Full Time
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1 Week Ago
University of Maryland Global Campus
Teach the Mastering the AWS Cloud course remotely, engaging adult learners through active collaboration and project-based learning. Provide regular constructive feedback and suggest curricular improvements to the program chair.
Oversee the sales audit function and support the reconciliation of retail stores and e-commerce marketplaces. Partner with internal teams and offshore resources to resolve transaction discrepancies and manage month-end closing processes.
Senior Oncology Account Specialist Breast Cancer Sacramento, CA
Pfizer
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Full Time
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1 Week Ago
Pfizer
Promote Pfizer's oncology product portfolio to healthcare providers and specialists while educating the community on appropriate product use. Drive brand growth by linking account assessments with product resources to improve patient care and experience.
Serve as the primary point of contact for a book of business to drive revenue growth, ensure client retention, and manage contract renewals. Collaborate across the enterprise to optimize product utilization and deliver a superior customer experience for national health plans.
Medical Account Specialist II - Oncology - Richmond, VA
Regeneron Pharmaceuticals
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Full Time
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1 Week Ago
Regeneron Pharmaceuticals
Engage oncology specialists to deliver clinical messages and grow brand share for NSCLC and NMSC treatments. Collaborate with internal teams to resolve customer needs and execute market profiling to identify business opportunities.
Reimbursement Business Manager - New Jersey
Regeneron Pharmaceuticals
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Full Time
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1 Week Ago
Regeneron Pharmaceuticals
Support healthcare practitioners in obtaining appropriate access to Regeneron products by navigating payer formularies and reimbursement processes. Collaborate cross-functionally with sales and payer teams to execute access initiatives and educate physician offices on coverage.
Build and strengthen partnerships with nursing and allied health programs to create clinical experiences and career pathways for students. Collaborate with leadership to develop workforce pipelines and represent the organization at recruitment events.
Sr. Director, Technical Program Management (Remote-Eligible)
Capital One
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Full Time
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1 Week Ago
Capital One
Lead the strategy and execution of large-scale, technically complex cross-functional programs to deliver critical business goals and enterprise platforms. Drive technical tradeoffs, resolve dependencies, and lead technology discussions with senior leadership to guide decision-making.
Post Closing Specialist
CrossCountry Mortgage, LLC
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Full Time
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1 Week Ago
CrossCountry Mortgage, LLC
The Post Closing Specialist coordinates the resolution of conditions identified by investors during purchase reviews to clear loans for purchase. This involves researching loan files, collaborating with internal and external departments, and managing daily suspense reports via investor sites and LOS systems.
The role serves as a subject matter expert monitoring federal, state, and local statutory leave and disability regulations to translate them into business processes. It involves partnering with cross-functional teams to ensure compliant program design and managing regulatory filings via SERFF.
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The role focuses on executing the Empowered Careers roadmap by scaling tools like the Career Hub, mentoring, and career pathways. Additionally, it manages end-to-end enterprise performance processes, including priority setting and annual reviews, to ensure consistency across the company.
Lead Monitoring & DiagnosticsTechnical Support Specialist/Spécialiste principal(e) Soutien Technique – Surveillance et Diagnostics
GE Vernova
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Full Time
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1 Week Ago
GE Vernova
Provide high-level technical support and case management for GE Vernova customers, owning the process from request creation to resolution. This includes investigating technical problems, providing repair recommendations, and maintaining accurate records in CRM and ERP tools.
Develop and execute an integrated content and thought leadership strategy to enhance brand reputation across digital, social, and print channels. Lead executive visibility for C-suite leaders through ghostwriting, event participation, and strategic media placements.
Lead data entry initiatives and special projects while monitoring team requests and ensuring high data quality. Coordinate CRM record enrichment and manage the distribution of non-IT Compass tickets among team members.
Lead the statistical design, analysis, and reporting for Phase I to IV clinical studies and regulatory filings. Collaborate with cross-functional teams and manage external vendors to ensure high-quality statistical deliverables.
Managing Director of Strategy and Corporate Development
Blue Cross & Blue Shield of Rhode Island
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Full Time
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1 Week Ago
Blue Cross & Blue Shield of Rhode Island
Lead the corporate strategy function to shape BCBSRI's strategic direction in partnership with the Executive Leadership Team. Translate vision into actionable priorities and lead high-impact initiatives including growth opportunities and strategic partnerships.
Responsible for managing radiology appointments, obtaining insurance information, and handling multi-line phone calls for multiple locations. The role also involves processing incoming faxes and sending out medical records.
Generate $10M in annual contract value by positioning BPO, ITO, and consulting offerings to C-level buyers. Develop strategic sales plans and maintain a consistent pipeline of high-value outsourcing engagements.
The Director of Operations drives operational excellence and consistency across the Central Region while maintaining formal accountability for one assigned District. This role focuses on improving profitability, service execution, and safety through disciplined operating routines and strategic leadership.
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Independently manage a caseload of Long-Term Disability claims from intake to resolution by partnering with claimants, employers, and medical professionals. Deliver ethical claim determinations by reviewing complex medical records and collaborating with clinical and vocational experts.
Provide remote technical expertise and consultation to customers and internal teams to resolve software issues. Manage incident logging, documentation in the knowledge base, and escalation of complex problems to higher-level support teams.
Own and manage Okendo's full event program, including trade shows, webinars, and partner activations. Manage co-marketing relationships within the Shopify ecosystem to drive lead generation and pipeline growth.
Hospitality Customer Service – Hotel Reservations (Remote)
Destination Careers
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Full Time
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1 Week Ago
Destination Careers
Assist clients with selecting, booking, and managing hotel reservations while providing detailed information on amenities and pricing. Ensure a smooth reservation process through professional communication via phone, email, and messaging.
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