Healthcare Call Center Representative Its fun to work in a company where people truly BELIEVE in what they are doing! Were committed to bringing passion and customer focus to the business. Location: Remote (Virtual Environment) Company:
Job Description Leads and manages team responsible for health plan provider engagement activities. Collaborates with senior leadership and the health plan network team to drive value-based care strategies, and operational direction for risk adjustment and quality improvement.
Claims Analyst - REMOTE The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryders self-administered liability program. This position investigates and adjusts claims, as well as directs defense counsel, independent
Job Title Provides support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes. Uses a consultative approach, emphasizing physician engagement and behavior change through actionable data and analytics. Drives
Inbound Customer Service Agent Consumer Relations (Remote) Interested in joining us on our journey? Since 1990, Advanced Services Inc. (ASI) has been providing excellent customer service to GE Appliances consumers by resolving their questions or concerns
Inbound Customer Service Agent-Bodewell Remote At GE Appliances, a Haier company, we come together to make good things, for life. As the fastest-growing appliance company in the U.S., were powered by creators, thinkers and makers who
Remote Response Associate, Roadside Assistance (CSR) Mississippi Remote About Agero: Wherever drivers go, were leading the way. Ageros mission is to rethink the vehicle ownership experience through a powerful combination of passionate people and data-driven technology, strengthening
Senior Claims Representative - REMOTE The Senior Claims Representative handles complex and mid-to-high exposure bodily injury and property damage claims under Ryders self-administered liability program. This position investigates and adjusts claims, as well as directs defense
Essential Duties and Responsibilities: - Responsible for directing all quality operations including planning, implementation monitoring and reporting functions. - Develop and oversee an effective management system to continuously identify opportunities for improvement while maintaining adherence to contract
Essential Duties and Responsibilities: - Perform hands-on data analysis and modeling with huge data sets. - Apply data mining, NLP, and machine learning (both supervised and unsupervised) to improve relevance and personalization algorithms. - Work side-by-side with product managers,
Essential Duties and Responsibilities: - Perform hands-on data analysis and modeling with huge data sets. - Apply data mining, NLP, and machine learning (both supervised and unsupervised) to improve relevance and personalization algorithms. - Work side-by-side with product managers,
Essential Duties and Responsibilities: - Develop and drive integrated marketing strategies tailored to Defense, National Security and the Space Sector. Strategies will be built annually/quarterly, include demand generation, account-based marketing and pipeline support for key franchise
Essential Duties and Responsibilities: - Lead and execute sensitive, high-risk investigations (e.g., harassment, discrimination, retaliation, serious misconduct), including matters involving senior leaders and significant organizational risk; gather evidence, conduct interviews, assess credibility, and document findings. -
Essential Duties and Responsibilities: - Collaborate with project staff, client office personnel, and community agencies to address and resolve project-related issues effectively. - Deliver public speaking sessions and educational programs to community agencies and local office
Essential Duties and Responsibilities: - Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments. - Provide written clinical rationales for CA Workers Compensation
- Partner with senior business leaders and executives to define and execute HR strategies that align with business goals, driving organizational performance and operational effectiveness. - Provide thought leadership on key HR initiatives, advising leadership on
Essential Duties and Responsibilities: - Responsible for producing accurate project financial reporting and submit on a monthly basis to Corporate Finance. - Track financial status by monitoring variances from forecasts. - Organize monthly Finance Calendar activities.
Essential Duties and Responsibilities: - Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations. - Render medical necessity determinations for Medicare State East cases assigned. - Resolve all other technical issues within
Essential Duties and Responsibilities: - Provide expert psychological consultation and guidance to clients, stakeholders, and project teams. - Lead the design, implementation, and evaluation of psychology-based programs, services, and initiatives. - Develop and enhance assessment methodologies,
Essential Duties and Responsibilities: - Supervise a designated team of unit staff - Responsible for the training and development of unit staff - Monitor the activities, schedules, productivity and work product results of the assigned unit