' pediatric care experience American Association of Medical Assistants (AAMA)... in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first...
and interpret documents such as group agreements, financial reports and procedure manuals. Knowledge/experience of medical...
reports, and procedure manuals. Knowledge/experience of medical insurance plans and rating methods. Proficient...
to laptop. Provides input regarding port availability, equipment locations, device installations and service during project... and assists with Internet access. Assists external users with dial-up access problems. Coordinates and sets up access or service...
and external customers. Types of projects include the development, maintenance, and enhancements of self-service reporting tools...
include the development and or maintenance of self-service reporting tools and regular or ad hoc reporting. Applies a whole...
and written communication skills Excellent customer service skills Basic knowledge of Microsoft Office applications. Including...
. Demonstrated leadership experience. Excellent verbal and written communication skills Excellent customer service skills...
and to identify actionable tasks. Achieve service commitments from core and support functional areas. Prioritize, track and manage...
governance principles to determine optimal integration into the governance environment. Stakeholders, Project, and Service... Requests Provide support and coordinate stakeholder interactions, projects, and service requests across the enterprise...
metrics across all provider contract requirements and Service Level Agreements (SLAs). Recommend actions for improvement... performance reporting. Capture potential value leakage and/or service level penalties. Coordinate implementation of SLA...
Job Description: Monitor the performance and address issues with any business partners or vendors that supports the Members Servicing Department. Build relationships with both internal and external customers to include members and emplo...
Job Description: Sustains mastery of encounter system processes within HMSA and external partners, for multiple lines of business. Monitors trends in data exchange with external entities and recommends adjustments as needed. Researches...
Job Description: Analyzes encounter system processes within HMSA and external partners. Coordinates and reconciles exchange of data with external entities. Researches various claim-member-provider scenarios to determine root cause of d...
Job Description: Sustains strong knowledge of encounter system processes within HMSA and external partners. Coordinates and reconciles data exchange with external entities, monitoring quality. Researches complex claim-member-provider s...
Job Description: Stakeholder Management: Build strong relationships with stakeholders at all levels, understanding their needs, and ensuring clear communication throughout the product development lifecycle. Understand stakeholders' ...
Job Description: Prioritizes approved invoices and check requests according to payment terms. Assist with month-end accruals as needed. Familiarizes with company policies and navigating steps in Dynamics GP, Certify and CentreSuite. ...
Job Description: Responsible for managing all aspects of the planning, execution, controlling, and closure of projects/programs. Responsibilities include, but are not limited to, the following: Receives high-level business requirements a...
Job Description: Responsible for accurately calculating and analyzing rates for large employer groups using the historical utilization and demographics of the account. Extract and analyze historical data of the account to ensure accuracy...
Job Description: Responsible for analysis, design, development, integration, maintenance and support of applications. Responsibilities include, but may not be limited to, the following: Participates in the project planning and analys...