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Processing applications. Processes 30 initial credentialing practitioner applications daily according to departmental standards with error rate not to exceed .5% per day. Processes 100 re credentialing practitioner applications daily according to departmental standards with error rate not to exceed .5% per day. Accurately reviews practitioner applications to verify necess
Posted 2 days ago
Manage the Reporting and Analytics team and coordinate with related business units to maintain reporting needs for the organization. Works with leadership to provide goals and objectives for the Reporting and Analytics team. Monitors team progress on said goals. Executes the team's defined strategy. Facilitates the team's delivery of reporting and analytics and provides t
Posted 2 days ago
Leads and manages EDI operational teams in the successful development and maintenance of internal and client facing transactions; accountable for elements of the department strategy, and responsible for driving key initiatives that support drives key initiatives focused on continuous improvement. Sets goals and objectives for team providing clarity of the required work an
Posted 3 days ago
Develops, manages, evaluates and is responsible for oversight of all EDI operational functions and teams. Ensures service, support and efficiency achieves/exceeds company standards. Provides oversight to and production of all current reporting and data required to support reporting Facilitates the development of new projects with IMD managers, and key stakeholders Create
Posted 3 days ago
Answer incoming calls in a professional, accurate, timely and courteous manner. Ascertain the nature of the call and record information in the Communication Log. Look up member information using proprietary ASH systems and provide information to the caller. Forward logs requiring further research to the appropriate department. Transfer callers to the appropriate queue if
Posted 4 days ago
Follows coaching protocols and policies, to provide coaching support to members. Schedules coaching sessions to meet productivity expectations, performance and quality standards. Uses evidence based coaching skills and health information, works with members to set health related goals and develop and implement effective strategies to reach those goals. Creates and sustain
Posted 6 days ago
Cloud Architecture and Design Play a pivotal role in the architectural design and roadmap of Azure based solutions, ensuring they align with organizational goals and best practices. Work with stakeholders to ensure ASH cloud platform design unlocks promise of cloud benefits realization. Engage with development, engineering and operational teams early and often in cycles t
Posted 9 days ago
Compiles and analyzes financial information for entry into general ledger and reporting in the financial statements. Applies principles of accounting and maintains the financial records in compliance with generally accepted accounting principles, Company policies, Finance Policies and internal controls. Adheres to corporate policy with respect to HIPAA and PHI. Meets depa
Posted 10 days ago
Strategize, collaborate, plan, execute, and provide insights on marketing campaigns for our business to business and consumer direct lines of business. Assist the Senior Managers and Campaign Managers with various tasks including campaign building, creative briefs, file management and other admin responsibilities. With oversight, execute a full range of digital marketing
Posted 11 days ago
Reconciles, resolves, and researches 2 step claims and payments to ASH. Receives and sorts incoming mail including paper EOBs, faxes, Interoffice Mail, and Health Plan letters. Downloads electronic EOBs from Health Plan Portals. Count and scan EOBs and Health plan letters for distribution and track counts into daily inventory. Manually reconciles claims for payment from H
Posted 11 days ago
Performs Mail Center production and validation. Completes assigned copy and mail production jobs accurately creating assembly and validation instructions. Accurately manages data ensuring folders are maintained accurately using complex instructions subject to a high amount of variance from process. Interacts with other departments at all levels ensuring submissions instru
Posted 11 days ago
Receives and responds to telephone calls from members, and health plans/employer groups. Demonstrates knowledge and understanding of all ASH products and programs through consistent proficiency in quality, quantity, and responsiveness. Responsive to customer contacts in a professional, accurate, timely and courteous manner. Ascertains the nature of the contact and records
Posted 12 days ago
Work with other departments and product teams to assess, initiate, refine and drive appropriate functional solutions. Gather requirements from key stakeholders and break those down into user stories for your scrum team to develop. Be present in all scrum ceremonies as well as available to scrum team Ensure that the team always has an adequate amount of groomed user storie
Posted 15 days ago
Answers incoming calls in a professional, accurate, timely and courteous manner from the Provider Relations and Credentialing queue. Assistspractitioners, staff, and clients with questions regarding credentialing, re credentialing, participation requirements, contractual issues and high level administrative problems. Performscredentialing and re credentialing activities a
Posted 17 days ago
Interfaces with various fitness facilities to promote ASH Fitness network options and to execute contracts for key health plan clients to support relationships and to provide delivery system updates. Maintain ongoing focus for productivity in a fast paced environment and meets deadlines in an environment where priorities may change. Successful track record in negotiating
Posted 18 days ago
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