, or related field. 3-5 years of experience in utilization management, healthcare operations, or project management... automation. Dive into medical utilization and claims data to spot trends, identify cost drivers, and find areas for improvement...
with a comprehensive suite of innovative solutions, from AI-driven claims processing, Utilization management to program integrity,payment... a dedicated Utilization Management Specialist to join our team as a Remote UM specialist. In this role, you will be responsible...
with a comprehensive suite of innovative solutions, from AI-driven claims processing, Utilization management to program integrity,payment... Shift: Night Shift (9:00 PM – 6:00 AM IST) Reports To: Utilization Management Team Lead About the Role We are seeking...
. Policy Execution & Compliance Implement UM policies related to utilization cost management and ensure adherence... UM operations, including but not exclusive to provider redirection, cost control, and process automation. Identify inefficiencies...
with other UM, Medical, PNM, and Operations teams to execute projects and align strategies. Provide regular updates to management... on operational performance and project outcomes. Implement UM policies related to utilization cost management and ensure adherence...
with US Healthcare Insurance accounts, particularly in Utilization Management. This position entails semi-back-office work dealing... Review. Account Specific Roles and Responsibilities: Performs Utilization Management (UM) Reviews in accordance...
Insurance accounts, particularly in Utilization Management. This position entails semi-back-office work dealing with US-based... . Account Specific Roles and Responsibilities: Performs Utilization Management (UM) Reviews in accordance with US State/Federal...
Utilization Review Nurse Location: Philippines About Us: HBiz is a leading Revenue Cycle Management (RCM) company... that streamline revenue cycle operations and enhance overall revenue generation for healthcare organizations. Our mission...
from you. About the Role The Senior Manager, Claims Technical Management is responsible for ensuring that processing and releasing.... Roles and Responsibilities: Performance management Ensure that claims are processed in a timely and judicious manner...
is responsible for managing and maintaining the Configuration Management Database, ensuring the accuracy and completeness of IT asset... data and relationships. This role supports IT Service Management (ITSM) processes by providing reliable configuration data...
company that provides solutions for all businesses. Our respected client is looking for an HR Data Management Team Leader who... on the employment life cycle, from attraction, hiring, development, retention, data/HRIS management and offboarding processes...
As a Resource Management Intern, you will support the team in optimizing the allocation and utilization of resources... Resources, Business Administration, Operations Management, or a related field. Proficiency in MS Excel, Googlesheet...
proactive, efficient and effective communication to customers Guarantee compliance of operations Order Management Manage... management from customer account creation until order deliver and drives timely resolution of any roadblocks/issues preventing...
on its strategies. Ensures the fiscal integrity and management of operations within the approved budget, optimizing resource...The Internal Audit and Financial Risk Management Director provides leadership and direction on the strategic...
proactive, efficient and effective communication to customers Guarantee compliance of operations Order Management Manage... management from customer account creation until order deliver and drives timely resolution of any roadblocks/issues preventing...
proactive, efficient and effective communication to customers Guarantee compliance of operations Order Management Manage... management from customer account creation until order deliver and drives timely resolution of any roadblocks/issues preventing...
proactive, efficient and effective communication to customers Guarantee compliance of operations Order Management Manage... management from customer account creation until order deliver and drives timely resolution of any roadblocks/issues preventing...
approval if required Champion the utilization of a CLMS and follow best practices in engagement with our SMEs Works closely... with Sales Operations, Client Leads, Legal, ICS, LOBs, COEs and other SMEs Manage all contract versions, ensuring accurate...
compliance of operations Order Management Manage the orders of their own customer portfolio (Business channels & Retailers...Responsibilities : JOB/BUSINESS TITLE: Order Management Specialist Business Area: All Category: Order...
- responsible for strategically overseeing and enhancing project management practices specifically for Transport Backbone projects... and refinement of the project management framework, methodologies, templates, and processes used for Transport Backbone projects...