Description Who We Are - Motivated by Purpose. Powered by Clinical Expertise. Founded in 1983, we’re a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations. Excellence starts
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Procurement Systems Specialist - Remote The Procurement Systems Specialist provides operational and analytical support for Ryders Procure-to-Pay (P2P) and Vendor Management platforms. This role serves as a knowledgeable resource to internal stakeholders and suppliers, evaluating business
Associate/Senior Associate Royalty Audit (US - Remote) Are you looking for an opportunity to hone and apply your Accounting and Auditing skills to the next level? Connor Consulting International provides highly specialized accounting and advisory solutions
Essential Duties and Responsibilities - Provides ongoing production support of the financial and budgeting systems, support system enhancements, assists in testing and implementation of upgrades and patches/hotfixes. - Works across departments to define opportunities for improvement.
Essential Duties and Responsibilities - Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
Essential Duties and Responsibilities: - Facilitate the development of cross-line-of-business solutions by combining knowledge of business capabilities, value streams, and business processes. Consult with technical subject matter experts to develop technical solutions and advise on options,
Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals, denials or recommendations based on contract requirements.
Essential Duties and Responsibilities: - Supervise team members and processes to sustain an effective reporting program that gathers, prepares, trends, and analyzes operational activity. - Coordinate and evaluate the work of Reporting Specialist(s). - Assist with
Essential Duties and Responsibilities: - Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed - Interview and recommend hiring and promotion of
Essential Duties and Responsibilities: - Provide feedback regarding the design, development and distribution of training programs and materials as needed. - Conduct, plan, and coordinate training to a variety of audiences. - Coordinate logistics for instruction
Essential Duties and Responsibilities: - Facilitate the development of cross-line-of-business solutions by combining knowledge of business capabilities, value streams, and business processes. Consult with technical subject matter experts to develop technical solutions and advise on options,