Role Purpose: The primary purpose of the Subject Matter Expert (SME) is to produce a high quality Claims work through... Responsibilities: Act as subject matter expert of the team who handles and answers claims queries from the team. Manages the HFC...
, we'd love to hear from you! What you'll do Become the subject matter expert on the Workday Procurement tool and internal..., managing the claims process, and assisting with small-volume tenders to secure the most competitive offers for stakeholders...
Matter Expert (SME) in Travel & Expense, mentor new hires, and facilitate admin training programs. Provide after-hours... executive calendars, meetings, travel logistics, expenses, and events, while also acting as a travel expert for both domestic...
documents, supporting projects, building relationships, serving as a Subject Matter Expert (SME), and mentoring new hires..., while also acting as a travel expert for both domestic and international arrangements. Your role includes preparing high-quality...
, compliant Medicaid billing across all states. This role serves as the organization's Medicaid subject-matter authority... Compliance & Payer Policy Manager is a highly skilled Medicaid billing expert responsible for ensuring Client maintains accurate...
Navigator (PHRN) Develop and maintain Subject Matter Expert (SME) level knowledge of the relevant brand and customer... eligibility, claims and benefits (payer) Good English communication skills Knowledge of healthcare regulations and compliance...
issues, prioritizing and tracking them. Manage assigned development projects acting as a data and reporting subject matter.... Design and implement test cases and testing plans. Provide subject matter expertise with various levels of business...
Navigator (PHRN) Develop and maintain Subject Matter Expert (SME) level knowledge of the relevant brand and customer... eligibility, claims and benefits (payer) Good English communication skills Knowledge of healthcare regulations and compliance...
Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the specific assigned program...: Must have an active PHRN license PHRN with BPO experience at least 1 year in prior authorization or 1 year eligibility, claims...
Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the specific assigned program...: Must have an active PHRN license PHRN with BPO experience at least 1 year in prior authorization or 1 year eligibility, claims...
matter expert in Independence processes. Your key responsibilities An Associate Analyst/ Analyst in the GMS team..., Compliance, regulatory, policy and security issues as well as dealing with claims and queries regarding ethics. Formed in 2007...
high-quality programs and services that meet client requirements. Serve as a reliable subject-matter expert, advising... for assigned accounts, including rate computation, policy issuance, endorsements, cover note preparation, and claims management...
is a plus Strong design judgment, coordination, and productivity mindset 3. Subject Matter Expert (SME), Electrical Design This senior... and report generation Track claims, warranties, and contractor documentation Ideal Profile: Engineering degree (Electrical...
of coding guidelines for AI-assisted workflows. Validate criteria for policy or rule suitability. Serve as a subject matter... expert (SME) in cross-functional team with Clinical, technical, and product stakeholders. Required Qualifications Bachelor...
with a passion for teaching others how to master the craft My Mountain Mover is searching for a highly skilled Subject Matter Expert... a deployment-ready medical billing talent bench for our clients. Your Mission: The Core of the SME Program The Subject Matter...
claims and analytics reports to identify new editing opportunities. Function as a subject matter expert for coding scenarios... to the content topics backlog for editing consideration. This role will also function as a subject matter expert for current...
process owner and subject matter expert in claims monitoring and validation, dispute resolution, and service recovery... of logistics and supply chain processes. Key Responsibilities Claims Management: Handle logistics claims (e.g., damage, loss...
of coding guidelines for AI-assisted workflows. Validate criteria for policy or rule suitability. Serve as a subject matter... expert (SME) in cross-functional team with Clinical, technical, and product stakeholders. Required Qualifications Bachelor...
. Validate criteria for policy or rule suitability. Serve as a subject matter expert (SME) in cross-functional team with Clinical... including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes...
. Validate criteria for policy or rule suitability. Serve as a subject matter expert (SME) in cross-functional team with Clinical... including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes...