, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare...
, CA. Client Solution Specialist (CSS) provides support to Underwriters (UW), Credit Products Specialists (CPS), Regional Managers... and able to leverage that information in creating customized customer solutions. Managing Risk - Assessing and effectively...
solutions Facilitate development of process documentation Follow standard programming guidelines and requirements as set... CPS) / Jacada experience (claims processing system) (UMR is UnitedHealthcare's third-party administrator (TPA) solution...
Processing System (UMR CPS) / Jacada experience (claims processing system) (UMR is UnitedHealthcare's third-party administrator...
in. Required Qualifications: High School Diploma / GED Must be 18 years of age OR older 1+ year experience with UMR Medical/Dental CPS or CUS...
OR older 1+ years of current UMR CPS medical claims processing experience (UMR is UnitedHealthcare's third-party administrator...
employer groups under UMR are set up correctly in our system. You will mainly work in UMR CPS, Teams, Excel and Word... with utilizing UMR's Claims Processing System (UMR CPS / Jacada) (UMR is UnitedHealthcare's third - party administrator (TPA...
with Healthcare/Medical/Pharmacy terminology 12+ months of experience with CPS (UMR Claim Processing System) Telecommuting...
experience analyzing and solving customer problems 1+ years of UMR Claims Processing System (UMR CPS) / Jacada experience...
/skills to a range of moderately complex activities Proactively identify solutions to non-standard requests Readjust...
opportunities, developing innovative solutions, managing a work - queue and leading meetings with providers and clients...
customer experience Solves complex problems on their own and proactively identifies new solutions to problems Often acts... and willing to embrace change and provide feedback and solutions in a constructive manner You'll be rewarded and recognized...
cases and responsible usage. Support validation/implementation of AI and automation solutions within UM operations (pilots... and proposes workable solutions. Clinical Focus: Recognizes and troubleshoots issues or limitations within client submitted...
and developing online learning solutions. Knowledge of basic ID principles such as ADDIE, Bloom's taxonomy, Adult Learning...
, and understand application/system specifications for solutions that address business needs, including methods for testing...
and guide solutions for workflow and document management within varied operational structures. The analyst... and methods for testing and installation Prepare detailed specifications from which solutions will be built that coincide...
innovative solutions for resolving escalated provider issues and to decrease the overall number of escalated provider issues...
care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual...
. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical...
and procedures, recommend and implement changes and enhancements Identify process gaps, recommend solutions, implement...