1. Manage a high volume of healthcare claims thoroughly to maximize savings opportunities on each claim within the established department production standards and individual goals by contacting provider on all assigned claims and presenting a proposal while maintaining high quality standards. Perform provider research to provide support for desired savings Address counter

JOB SUMMARY This position encompasses operational support and systems engineering disciplines. The operations side includes the normal day to day tasks associated with a support role including troubleshooting issues, systems lifecycle maintenance, and participation in the on call rotation. The engineering side is primarily designing and implementing Infrastructure As Code

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company that helps our customers thrive by interpreting our client's needs and tailoring innovative cost management solutions. We

Receive communication of a client issue and analyze, research and resolve claim appeals through effective use of provider contract rates and fee schedule reimbursement considering products and contract association. Responsible for all customer service client correspondence including client calls, e mails, written correspondence and portal. Holds regularly scheduled meetin

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca

JOB SUMMARY In addition to managing a substantial arbitration case load, this role works with the leadership team to assure that the arbitration team meets its performance metrics, quality performance, and business objectives. This role manages an arbitration case load including evaluation of provider disputes and appropriate client payment offers. The incumbent will coor

1.) Understand business processes and how they are modeled in various systems 2.) Work with business users, technology teams, and executives to understand their data needs to create innovative solutions to fulfil them 3.) Implement data structures, workflows, and integrations between enterprise platforms to ensure the accurate and timely execution of business processes. 4

In this role you will perform data quality processes, measurements, and analyses to assess patterns, identify root cause, define data quality rules. JOB ROLES AND RESPONSIBILITIES 1. Work with source systems and downstream data consumers to apply advanced data quality techniques through automation to remediate issues, and implement processes to monitor data quality risks

A successful Machine Learning Operations Engineer 2 candidate will join our growing data science team to support the creation and implementation of processes and technologies to make the development, deployment, and operation of AI and Machine Learning systems more efficient, effective, and responsible. Reporting to the Director of Machine Learning Operations, this positi

This role will be responsible for the product strategy, road map definition, product requirements definition, and product build of 1 or more products. The role will form part of a Product team whose mandate as a group is to ensure the Organization's product competitiveness with continuous product enhancement. The group will also ensure company competitiveness through aggr

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40 year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthca