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Responsible for provider enrollment process including reviewing, researching, analyzing, and processing applications. Ensures provider file integrity and compliance with standards. Communicates with internal and external customers, resolves discrepancies, and assists with special projects and process improvements.
The Training and Development Manager is responsible for overseeing training activities, managing curriculum development, and ensuring that organizational training needs are met. This includes coaching staff, evaluating training effectiveness, and promoting a culture of development through comprehensive training plans and programs.
The Developer IV position involves analyzing, designing, programming, and implementing complex applications. Responsibilities include producing project deliverables, testing, debugging software, and providing guidance to junior staff. The role requires close collaboration with stakeholders to ensure IT solutions meet business strategies.
The Computer Operator II operates, monitors, and troubleshoots computing platforms and systems. Responsibilities include managing production schedules, resolving technical issues, and collaborating with I/S groups for optimal service delivery. The role also requires ensuring proper function of peripheral equipment and monitoring job control languages.
The Provider Enrollment Analyst manages the provider enrollment process, including reviewing applications, verifying provider data, and ensuring compliance with standards. Responsibilities involve data entry into enrollment databases, customer communication, handling discrepancies, and contributing to special projects and improvements related to provider files.
As a Provider Enrollment Analyst, you'll handle the enrollment process by reviewing and processing applications, ensuring compliance, maintaining data integrity, and providing quality service to customers. You'll also assist with process improvements and education related to provider enrollment.
Responsible for establishing and maintaining financial systems for provider networks, negotiating pricing, and resolving contract-related issues. Provides guidance and training to staff and assists in project planning and development of work procedures.
The Specialist, Leave of Absence is responsible for the daily administration and customer service related to employee leaves of absence. Responsibilities include preparing reports, maintaining employee records, developing communication tools for leave processes, and assisting with ADA accommodations.
Responsible for interpreting, reviewing, and analyzing benefit plan designs, programming benefits, and developing process solutions. Full-time position in Columbia, SC with remote work option. Requires 2 years of related experience and strong analytical skills.
The Sr. Provider Relations Representative develops and updates provider education materials, facilitates training sessions, and builds relationships with providers and stakeholders. This role also acts as a liaison to meet educational needs and respond to issues that arise, while performing administrative functions related to training programs.
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