Summary Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents
The Technical Documentation Analyst role performs routine platform administration tasks including project management support and workflow and process automations while solving difficult but typically not complex problems related to platform solutions. The role operates under general supervision,
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part
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 adjusters, experts, and
Total Care ABA – BCBAs - Board Certified Behavior Analyst (BCBA) Remote Earn $80,000–$90,000/year (Based on Experience) Help Children Thrive… Enjoy the Flexibility of Remote Work While Making a Meaningful Impact Are you a BCBA looking for
Essential Duties and Responsibilities: - Lead the development and implementation of advanced sourcing and category management strategies through the RFx process. - Oversee the negotiation and development of contracts with new suppliers and/or renegotiate existing contracts
Essential Duties and Responsibilities: - Build and maintain knowledge base in SharePoint. - Build document management processes and procedures. - Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current. - Work
Essential Duties and Responsibilities: - Generate and implement efficient sourcing and category management strategies through the RFx process. - Develop and negotiate contracts with new suppliers and/or renegotiate existing contracts to accomplish the lowest total system
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.
Board Certified Behavior Analyst (BCBA) Pay: $82,651.00 - $90,806.00 per year Job Summary: We are seeking a dedicated and compassionate hybrid Board Certified Behavior Analyst (BCBA) to join our team. The ideal candidate will be responsible for developing
Board Certified Behavior Analyst (BCBA) Pay: $82,651.00 - $90,806.00 per year Job Summary: We are seeking a dedicated and compassionate hybrid Board Certified Behavior Analyst (BCBA) to join our team. The ideal candidate will be responsible for developing