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At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position is responsible for ma
Posted 1 day ago
Zelis Healthcare, LLC
- Atlanta, GA / St. Louis, MO / Boston, MA / 3 more...
At Zelis, we're seeking a Network Account Manager to spearhead the management of key leased network partner relationships within an assigned portfolio. Your primary focus will be on ensuring client retention, pinpointing growth opportunities, and optimizing revenue streams. Collaborating closely with our VP and Director of Network Solutions, as well as the broader Busines
Posted 3 days ago
Own the 911 Operating Procedures and associated Compliance Manual Develop, implement, and improve upon processes in the evolving 911 environment Responsible for timely notifications and reporting of 911 events internal and external as required and defined by the FCC and regulatory bodies; including reporting of noncompliance of any portion of FCC mandated orders Handle hi
Posted 4 days ago
77 West Wacker Dr (35012), United States of America, Chicago, Illinois Senior Associate, Anti Money Laundering (AML) University Governance & Reporting The AML University (AMLU) Governance & Reporting team is seeking a Senior Associate who will work closely with members across the AML organization to support governance of the AML Training Program. This includes control owne
Posted 3 days ago
FedEx Services
- Plano, TX / Denver, CO / Memphis, TN / 1 more...
Leads team in the collection and supply of information needed for executive leadership reports, and insurance renewals and submissions. Works with the Corporate financial compliance team and Ernst & Young on Sarbanes Oxley Act compliance and audits. Process TPA Funding, invoices, and payment. Work with Business Transactions and other groups on contract renewals and RFPs f
Posted 8 days ago
RAPP Dallas is looking for a Director, Experience Strategy to join our award winning Experience Strategy team. WHO WE ARE We think too much marketing isn't us. It's mass markets not audiences of one. Homogenous groups to be targeted, not individuals to be inspired. Segments to reach, not people with their own ideas and ambitions. It's one size fits all and it's dull. When
Posted 15 days ago
The primary role of an Insurance Account Manager is to service our customers. The Account Manager is accountable for delivering high quality and efficient service to both internal and external clients through the day to day account management of a group ofmiddle market and/orlarge commercial lines accounts. You will directly contribute to key business outcomes such as cli
Posted 15 days ago
Primarily responsible for the oversight of all encompassing OFAC related activities, including, but not limited to, the answering of OFAC related questions, alerts, and inquiries. In addition, assist in the management of the Bank's OFAC program to ensure the Bank is in full compliance with all OFAC related activities, sanctions compliance, and governance. Responsibilities
Posted 23 days ago
Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management. Ensures timely, accurate documentation of claim activity. Selects, trains, coaches and mentors unit personnel. Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accor
Posted 30 days ago
Zelis Healthcare, LLC
- St. Petersburg, FL / St. Louis, MO / Boston, MA / 3 more...
The Senior Dental Network Recruiter embodies a proactive approach, driven by a passion for achieving results in this performance oriented role. Their primary responsibility involves securing signed contracts with dental providers listed for recruitment within the company. This entails implementing tailored recruitment strategies to meet both individual and divisional obje
Posted 1 month ago
The BSA Analyst I will report to the VP Client Risk Review Officer. Responsibilities will include, but not limited to, conducting BSA/AML investigations, due diligence, and tracking. In addition, analyzing alerts and incidents generated for unusual activity that are generated within the bank's Transaction Monitoring Systems (TMS), Verafin. Position may include preparation
Posted 1 month ago
This position is responsible for the SDO process improvements in any of the following areas eligibility, enrollment & billing, claims administration and member/provider services across one or more lines of business. Partnering with operational process owners to establish strategic goals and process measures. Modifying, monitoring, continually improving, and standardizing
Posted 23 days ago
Supervises the compiling and maintaining of records to assure information is complete , accurate, authenticated and consistent with medical, administrative, ethical and regulatory requirements of the healthcare system. Responsibilities Supervises the creating, updating and generally maintaining medical staff credentials and licenses in accordance with the local file manag
Posted 2 days ago
Be responsible for oversight of the insurance authorization process regarding case management of care clusters and patient pathways. To include timely and complete processing of eligibility and benefit verification, initial and ongoing authorization requests following set guidelines and accurate entry of related information in designated software system. Review and build
Posted 16 days ago
Educate providers to ensure they have the tools they need to meet quality, risk adjustment, growth (as appropriate), and total medical cost goals per business development plans Ensure providers have in depth understanding of WellMed Model of Care to include, but not limited to, contractual obligations, program incentives, and patient care best practices Conduct detailed a
Posted 1 day ago
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