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Senior Client Services Specialists bring the breadth and depth of their deep technical insurance experience to add significant value to our clients risk management strategies and programs. As senior members of ..
Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market ..
Description The Senior Utilization Manager RN provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The work assignments ..
Description The Senior Demand and Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Demand and Portfolio Management Professional work assignments involve ..
... TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.u003c/pu003enu003cpu003eu003cstrongu003eIn this ... TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems.u003c/liu003enu003cliu003eApply ... responses to inquiries.u003c/liu003enu003cliu003eObtain and analyze..
Description The Senior Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve moderately complex to complex ..
u003cpu003eu003cstrongu003eRole Summary:u003c/strongu003eu003c/pu003enu003cpu003eThis role will support and facilitate operational unitu0026rsquo;s business initiatives by performing project management, process analysis, solution design, and post live tracking activities to identify improvement opportunities for existing procedures. ..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
u003cpu003eu003cstrongu003eRole Summary:u0026nbsp; u003c/strongu003eProcess Medicare claims through effective use of online ... image.u003c/pu003enu003cpu003eu003cstrongu003eIn this role you will:u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu0026nbsp; u0026nbsp;Claims Processing (90%)u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eApply federal and internal ... payment or denial of services.u003c/liu003enu003cliu003eAudit claims for..
u003cpu003eu003cstrongu003eRole Summary:u003c/strongu003eu003c/pu003enu003cpu003eThe Internship Program with WPS Health Solutions has 3 parts. First and foremost, you will get real world experience. No getting coffee here (unless weu0026rsquo;re all getting coffee). Your role ..
Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare, Medicaid, and Commercial product implementation, operations, contract compliance, and federal contract application submissions. ..
Description The Insurance Product Manager 2 Manages insurance product offerings for each market and customer need. The Insurance Product Manager 2 work assignments are varied and frequently require interpretation and independent ..
... medical documentation for post pay claims submitted to Medicare to ensure ... Review Nurse Analyst will review claims and deliver provider education as ... (TPE) program.u003c/liu003enu003cliu003ePerform review of submitted..
Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments ..
