Conduct quality audits, document findings, recommend improvements, train employees, and support project implementations to enhance operational effectiveness.

The Sr. Provider Enrollment Analyst leads a team, processes complex inquiries, trains staff, and conducts audits while ensuring quality service to providers and stakeholders.

The Business Analyst I assists in defining systems scope, conducts business process analyses, and documents system issues. They prepare test data and reports while communicating with management and fulfil project-related tasks under guidance.

Responsible for processing claims accurately and timely, verifying codes, resolving errors, and coordinating with departments for updates.

As a Claims Processor, you will research and process claims, verify codes, resolve errors, and coordinate with departments to manage claims efficiently.

Responsible for accurate processing of claims, verifying codes, resolving errors, and coordinating with departments to update necessary files.

Supervise quality control activities, manage staff, conduct audits, prepare reports, and ensure minimal processing errors in claims and customer service operations.

The Auditor III will conduct financial, compliance, and operational audits while providing recommendations and conducting training for other auditors.

Design, develop and implement complex applications, provide technical direction, and mentor team members. Analyze business needs and optimize solutions while ensuring adherence to standards.

Responsible for sourcing and recruiting candidates for various roles, collaborating with management, and ensuring compliance with regulations. Develops staffing plans and utilizes recruitment tools effectively.

The Executive Development Specialist assesses and improves leadership presence by mentoring leaders on assessment tools and aligning behaviors with corporate strategies while facilitating leadership programs.

Conduct and assist in financial analysis projects, improve operational effectiveness, extract data from systems, and analyze financial transactions.

Responsible for conducting financial analyses, developing reports, and assisting with documentation to improve operational and financial effectiveness.

The Administrative Analyst assists in defining systems objectives using research, conducts business process analyses, helps in testing, and communicates with teams regarding business changes.

The Stop Loss Accounting Analyst is responsible for preparing and filing stop loss claim packets, auditing positions, tracking claims, and performing data analysis.

The Senior Buyer processes complex RFPs, develops business opportunities, manages supplier partnerships, and reports workflows. Requires strong communication and analytical skills.

The Appeals Specialist performs non-medical reviews, processes redetermination letters, analyzes workload, and prepares documents for inquiries.

The Appeals Specialist performs non-medical reviews and processes redetermination letters, prepares reports, and updates documents as needed.

As an Enrollment Manager, you'll oversee the enrollment unit, ensuring timely provider enrollment, compliance with regulations, and team performance management.

Conduct financial analyses, prepare reports, and improve operational effectiveness while ensuring compliance with accounting principles and assisting in training.