- CareFirst (Baltimore, MD)
- …**PURPOSE:** The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider manuals, medical policies, ... and other sources as needed to identify new overpayment concepts, as well as validate all prospective and retrospective overpayment results; communicating findings to the Payment Integrity Workgroup and Management. The incumbent will be responsible for… more
- Cognizant (Sarasota, FL)
- …Over 10 years of overall IT experience with over 6 years of Duck Creek Policy configuration upgrade and support experience Experience in commercial and personal lines ... of templates (ISO and non-ISO) Hands-on experience of implementing inheritance model Manuscript data model product versioning. Experience in on-premises and OnDemand policy implementation Integration solution design experience with Duck Creek through… more
- CareFirst (Baltimore, MD)
- …**PURPOSE:** Responsible for leading the planning, execution, and continuous improvement of quality initiatives within the IT organization, with a primary focus on ... managing the rollout and adoption of a formal quality framework (such as ISO 9001 or CMMI). Serve as the technical and strategic resource for quality management, driving process optimization, stakeholder engagement, and organizational change to achieve high… more
- Grameen America, Inc (New York, NY)
- …efficiently. Additionally, this role will manage the administrative and logistical support systems for quality and functionality. The Deputy Branch Manager will ... oversee that the target is being met for clients who qualify for our services and ensure a culture of service excellence in the branch. The DBM will administer and supervise the branch so that the plans and targets with respect to outreach, loan disbursements… more
- Grameen America, Inc (Memphis, TN)
- …+ The Outreach Coordinator develops an outreach plan for their territory and surrounding communities. + Attends all relevant community activities, to identify new ... About Grameen America, Inc. Grameen America Inc. (GAI) is a nonprofit microfinance organization founded in 2008 by a Nobel Peace Prize recipient, Mohammad Yunus. Mohammad's vision is to help less fortunate women of color become entrepreneurs and financially… more
- Optiv (Overland Park, KS)
- …Resource Managers are consultative and service-oriented while directly supporting the staffing needs for a professional services organization. We maintain Optiv's ... ability to deliver high class security services and solutions while enhancing our people's experiences. Join us! **How you'll make an impact:** + Optiv's Resource Managers are responsible for the planning and allocation of Services professionals including more… more
- Grameen America, Inc (Atlanta, GA)
- …Skills and Qualifications: + Proficiency in English required. Spanish a plus for some locations. + Excellent customer service skills with strong written and ... About Grameen America, Inc. Grameen America Inc. (GAI) is a nonprofit microfinance organization founded in 2008 by a Nobel Peace Prize recipient, Mohammad Yunus. Mohammad's vision is to help less fortunate women of color become entrepreneurs and financially… more
- Optiv (Overland Park, KS)
- …This role is built for a high-performing individual who thrives in complex, fast-moving sales environments. You'll take ownership of price benchmarking, competitive ... positioning, and deal analysis on Optiv's most strategic transactions. You won't find a manual or a set of scripts. This is a role that requires proactive exploration, independent thinking, and relentless curiosity. You'll need the grit to dig through… more
- Grameen America, Inc (Newark, NJ)
- …The first phase of the Director's responsibility will be to manage the pre-launch of the Elevate Black Women Entrepreneurs (EBWE) initiative. Additionally, you will ... be responsible for testing the feasibility of the partner model to inform recruitment, and the benefits of making the program more attractive to meet the needs of this community. + Develop and create key partnerships and opportunities that will make a direct… more
- Molina Healthcare (Buffalo, NY)
- …Provides support for claims adjustment activities including administering claims payments, maintaining claim records, and providing counsel to claimants regarding ... coverage amount and benefit interpretation. Also monitors and controls backlog and workflow of claims, and ensures that claims are settled in a timely fashion and in accordance with cost-control standards. **Essential Job Duties** * Researches claims tracers,… more