JOB DESCRIPTION Job Summary Leads and directs team responsible for configuration activities including accurate and timely implementation and maintenance of critical information on claims databases, validation of data stored on databases, and adherence to health plan
Overview OverviewThis role leads technology strategy, solution blueprinting, and architecture design for Core Administration modernization programs. You will work closely with payer executives, operations leaders, and technology teams to shape future-state platforms, guide modernization strategy, and
Overview Overview This role leads operations strategy and service design for Core Administration Business Process as a Service (BPaaS) programs. You will work closely with health plan executives, operations leaders, and transformation teams to shape future-state
Overview Overview This role leads operations strategy and service design for Core Administration Business Process as a Service (BPaaS) programs. You will work closely with health plan executives, operations leaders, and transformation teams to shape future-state
Hours M-F 5am - 1:30pm PST 6am - 2:30pm MST 7am - 3:30pm CST 8am - 4:40pm EST JOB DESCRIPTION Job Summary Provides level III support center customer service excellence to meet the needs of Molina
JOB DESCRIPTION Must currently reside in Florida Job Summary Leads and supervises team responsible for provision of support center customer service excellence to meet the needs of Molina members and providers. Ensures issues and needs are
City/StateRichmond, VA Work ShiftFirst (Days) Overview: Overview Responsible for day-to-day support and optimization of software applications, including support and maintenance. This position is involved with working with end users of these corporate applications to resolve problems
Company Description Technology is our how. And people are our why. For over two decades, we have been harnessing technology to drive meaningful change. By combining world-class engineering, industry expertise and a people-centric mindset, we consult
At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to
Senior Medical Claims Investigator At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have
Program Manager, Provider Data Config Molina of New Mexico is hiring for a Program Manager, Provider Data Config. This position is remote, however qualified candidates will have in-depth knowledge of New Mexico Medicaid operations. This role
Customer Service Support Center Manager Leads and manages team responsible for provision of support center customer service excellence to meet the needs of Molina members and providers. Ensures issues and needs are addressed fairly and effectively,
Medicaid/MMIS Subject Matter Expert Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modules Lead requirements gathering, business process analysis, and documentation (BRDs, FRDs, user stories) Translate complex business needs into clear functional and
City/State Richmond, VA Work Shift Multiple shifts available Overview: Sentara is hiring a Senior Benefit Configuration Analyst! No Degree required! This position is fully remote! Candidates must have a current residence in one of the following