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Responsible for on going, effective communications and service to the current clients via on site meetings, conference calls, and day to day interaction. Provide support to DentaQuest leadership for administration of the client's program, and communicate information accurately and efficiently, to ensure that DQ is meeting and exceeding client expectations, and the terms of the RFP and contract. Id
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DentaQuest
- Mequon, WI / Milwaukee, WI
Develop strategic plans for national partners to address their broad array of needs and objectives. Research, design and oversee a client engagement strategy that leverages multiple communication streams including targeted e mails, social media and in person meetings. Research healthcare Pay For Quality programs and aide DentaQuest in adopting best practices. Design program to effectively monitor
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DentaQuest
- Mequon, WI / Milwaukee, WI
The Application Developer is responsible for the development and implementation of technical solutions. This role will leverage technical expertise in database applications, ETL processes, and automation in support of internal and external customer’s data exchange and integration needs PRIMARY JOB RESPONSIBILITIES Develop complex data extracts, applications, and ad hoc queries as requested b
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The Provider Enrollment & Credentialing Supervisor is responsible for the management and monitoring of staff and systems which support the accurate and timely tracking and monitoring of provider related enrollment and credentialing activities. PRIMARY JOB RESPONSIBILITIES Oversee enrollment and credentialing of Providers in accordance with requirements (NCQA, CMS, etc.). Ensure DentaQuest&rsqu
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Primary responsibilities include answering provider calls by obtaining and communicating accurate information regarding eligibility, benefits, and authorization in a timely and friendly manner; claims and prior authorization entry. In addition determination of prior authorizations using pre defined algorithms. JOB RESPONSIBILITIES Provide information regarding eligibility, benefits, and authorizat
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The Complaints and Grievances Specialist is responsible to coordinate resolution for Member and Provider Complaints/Appeals/Grievances/Fair Hearings. This is done by documenting and maintaining the case in the assigned database. At times, it may be necessary to contact the Member to gather additional information or to contact the Provider or Provider's Office to request additional information,
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Maintain provider data in vision systems and build constructive working relationships with key individuals at provider offices Set up and maintain accurate and clean provider information in all vision systems. Ensure all data necessary to generate provider payments and reports is captured and accurate in vision systems. Ensure placement of all members for all services administered for vision progr
Posted 18 days ago
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