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The Provider File Specialist I is responsible for maintaining healthcare provider files, ensuring accurate provider directories, claims adjudication, and billing processes. This role involves verifying information, preparing and managing provider data in relevant systems, and participating in special projects related to quality improvement and audits.

The Auditor III will conduct various operational, financial, and compliance audits, evaluate internal controls, identify business risks, prepare audit reports, and provide training to other auditors. Additionally, the role involves developing audit programs and maintaining data integrity in financial systems.

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.