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This position is responsible for assisting PDL with end to end delivery of portfolio programs and projects to ensure successful execution and alignment with business needs; ensuring program and project performance metrics are met to deliver key business value; providing technical insight to assist with troubleshooting of delivery issues. Required Job Qualifications Bachelor's Degree and 4 years of
Posted Today
This position is responsible for assisting PDL with end to end delivery of portfolio programs and projects to ensure successful execution and alignment with business needs; ensuring program and project performance metrics are met to deliver key business value; providing technical insight to assist with troubleshooting of delivery issues. Required Job Qualifications Bachelor's Degree and 2 years of
Posted Today
This role will be supporting a dedicated client account and is located on site at the C1 Innovation Lab in the West End in Downtown Dallas. The initial training for this position will be for approximately 2 3 weeks in Richardson, TX. THIS POSITION IS BASED ON SITE AND IS NOT WORK FROM HOME (WFH) / TELECOMMUTE. C1 Innovation Lab (Downtown Dallas) Helping Customers Reimagine the Purpose of Health
Posted Today
Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pended claims. Required Job Qualifications High School diploma or GED. Data entry and/or typing experience. Clear and concise written and verbal communication skills. Experience processing medical claims. Preferred Job Qualifications Referr
Posted Today
To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose This position is responsible for leading the plan and development of groundbreaking and innovative Infrastructure Devel
Posted 4 days ago
The position is responsible for the business analysis and process design/implementation for one or more end to end processes within SDO; documenting the detailed end to end process including its technological underpinnings; supporting operational process owners to modify, monitor, continually improve, and standardize in scope processes to achieve best in class efficiency, timeliness, quality and o
Posted 4 days 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 in scope processes to
Posted 4 days ago
Health Care Service Corporation
- Downers Grove, IL / Richardson, TX / Chicago, IL / 2 more...
BASIC FUNCTION This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross functional teams to address the division's issues; producing datasets and reports for analysis using system reporting tools; possibly performing re
Posted 10 days ago
BASIC FUNCTION This position is responsible for ensuring continued and increased growth by renewing small group accounts or selling products and services to existing customers, understanding customer needs, and providing customer support in a call center environment. This position is responsible for researching and responding to telephone and written inquiries plus handling escalated issues in a p
Posted 5 days ago
The Senior Systems Analyst will be part of the Data Consumption team within Data & Analytics Solutions division and will support our Health Care Management business. This is a business facing role that requires strong communication, problem solving, analytical and technical skills. This position is responsible for analyzing data on multiple technical platforms, capturing business logic, developing
Posted 6 days ago
This position is responsible for providing expert level knowledge, counsel, and direction in major legal focused areas for a market leading health insurance company. The role will focus on providing strategic corporate transaction legal guidance, drafting and negotiation support. Regarded as a top attorney for expertise in those areas the position will provide in depth legal counsel, direction and
Posted 6 days ago
This position is responsible for quoting and rating proposals and renewal projections and approves cases. In this role, you will be the SME for the team and provide guidance and mentorship to junior staff. Conduct in depth analyses to identify client specific trends, explain past program performance and recommend opportunities for improvement. Provide analytical, quantitative, and financial cost m
Posted 6 days ago
This position is responsible for quoting and rating proposals and renewal projections and approves cases. In this role, you will be the SME for the team and provide guidance and mentorship to junior staff. Conduct in depth analyses to identify client specific trends, explain past program performance and recommend opportunities for improvement. Provide analytical, quantitative, and financial cost m
Posted 6 days ago
Health Care Service Corporation
- Richardson, TX / Chicago, IL / Albuquerque, NM
to do everything in our power to stand by our members in sickness and in health. BASIC FUNCTION This position is a board certified psychiatrist responsible for medical necessity determinations with respect to behavioral health disorders at all levels of care which includes telephonic peer to peer (physician to physician) reviews and telephone reviews with facility UR personnel. Additional duties i
Posted 6 days ago
This position is responsible for translating the business partner's processes and requirements into specific systems, applications, integrations, and/or data designs for very large complex IT solutions; driving decisions, even when requirements are ambiguous. Identifies solution options with associated risks and issues, costs vs benefits, and impacts to the business processes; acting as an advocat
Posted 7 days ago
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