in this function are responsible for all related aspects of claim system processes and claim business rules. Includes claims systems... utilization, capacity analyses / planning and reporting. Includes claims - related business and systems analysis. Ensures data...
, investigation and recovery of claims overpayments, and analytic rule validation and approval. The Recovery Resolution Consultant... Document and communicate outcomes of claims investigations/overpayment/prepayment reviews Manage multiple line of business...
on at least one of the following claims platforms: UNET, COSMOS, or FACETS, needs working knowledge of the claims process Certified... most immediate solution to decrease business and compliance risks. Pre-Pay Inventory Team Lead analyzes coding inventory processes...
knowledge of the claims process Experience in Six Sigma or Lean methodologies and tools Knowledge of benefit structure... most immediate solution to decrease business and compliance risks. Pre-Pay Inventory Team Lead analyzes coding inventory processes...
documents and established policies and procedures. Project Managers will be responsible for projects from Business Case through... on schedule and on budget. Oversee the design review process to verify comments are tracked, responded to and closed out...
documents and established policies and procedures. Project Managers will be responsible for projects from Business Case through... on schedule and on budget. Oversee the design review process to verify comments are tracked, responded to and closed out...
will be responsible for projects from Business Case through Closeout. RESPONSIBILITIES Administer one or more projects, to include... to ensure design projects stay on schedule and on budget. Oversee the design review process to verify comments are tracked...
will be responsible for projects from Business Case through Closeout. RESPONSIBILITIES Administer one or more projects, to include... to ensure design projects stay on schedule and on budget. Oversee the design review process to verify comments are tracked...
with Producers in the handling and processing of new and renewal commercial business and maintaining high service standards. Duties... strategies, evaluating risks, and proposing coverage recommendations. Process and prepare renewal reviews 90 days out...