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The Group Actuary Manager oversees actuaries, ensuring accurate actuarial reporting and analysis. They direct the preparation of reports, conduct profitability analysis, review rating bureau changes, and ensure compliance with regulatory submissions. They also manage hiring, coaching, and staff performance while supporting the development of actuarial models.
The Quality Assurance Analyst performs audits and monitoring of departmental operations to ensure quality standards. Responsibilities include identifying problems, analyzing causes, generating reports, coaching new hires, and recommending improvements. The role focuses on claims, customer service, and operational efficiency.
Supervise and manage SOX/MAR compliance activities across BCBSSC companies. Responsibilities include developing policies for compliance, conducting risk assessments, documenting key controls, and ensuring the effectiveness of the compliance program while providing leadership and guidance to staff.
The Mainframe Identity & Access Management Analyst will monitor and administer IT security policies, manage system access rules, provide technical support for customer access issues, conduct compliance audits, and enhance security features across systems. They will also analyze security reports and collaborate with project teams on data access issues.
The Senior Quality Assurance Analyst conducts quality control audits on departmental operations, identifies process weaknesses, and recommends improvements. Responsibilities include documenting findings, compiling data, training new employees, and proposing new systems to enhance operational efficiency.
As a Senior Provider Education Consultant, you will educate medical providers on Medicare coverage and related issues, conduct workshops, analyze reports, and assist in training the medical review associates. You will also target providers abusing the Medicare program and improve the accuracy of provider billing practices.
As a Provider Enrollment Analyst, you will review and process provider enrollment applications, ensuring data integrity and compliance with standards. You will also verify provider data, assist with special projects, and provide customer service related to the enrollment process.
As a Provider Enrollment Analyst, you will be responsible for reviewing, analyzing, and processing provider enrollment applications, ensuring compliance and integrity of provider files, and providing customer service throughout the enrollment process.
Responsible for establishing and maintaining healthcare provider files, verifying information, assigning providers to appropriate networks, and contributing to departmental projects. Requires High School Diploma, 1 year of administrative/clerical support or customer service experience, proficiency in Microsoft Office, and ability to learn DB2 and SQL.
The System Support Manager oversees the testing and implementation of system changes, investigates system problems, develops business requirements for corrections, and ensures compliance with regulations. They coordinate efforts with various stakeholders, prepare technical responses, manage staff, and provide training and documentation related to system enhancements.
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