Senior Provider Information Specialist
23 hours ago
We are seeking a highly skilled and experienced Senior Provider Information Specialist to join our team at Blue Cross and Blue Shield of Louisiana. As a key member of our Network Operations department, you will play a critical role in ensuring the accuracy and completeness of provider data in our systems of record.
Key Responsibilities:- Evaluate new service requests from providers to determine appropriate actions for recording into the systems of record.
- Manage the most complex provider issues and services largest provider networks, including custom and tiered products.
- Compile, analyze, and verify the required information for provider enrollment, contracts, credentialing, and maintenance for completeness and accuracy, and enter it into the systems of record.
- Communicate, orally and in writing, directly with providers to resolve questions and issues regarding updates and changes in the systems of record.
- Review, determine financial impact and trends claims issues related to provider setup and provider eligibility on a daily basis.
- 4 years of related work experience is required and must include 2 years in a Provider Information Specialist role with demonstrated and sustained achievement of quality metrics.
- Strong analytical skills/problem solving skills are required. Must be able to solve complex problems and address complex issues.
- Excellent communication skills, oral and written; ability to effectively communicate with provider community in a professional manner.
- Knowledge of MS Office required.
We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented individual with a passion for healthcare and insurance, we encourage you to apply for this exciting opportunity.
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LPN Medication Care Specialist
5 days ago
Baton Rouge, Louisiana, United States Sunrise Senior Living Full timeJob SummarySunrise Senior Living is seeking a highly skilled LPN Medication Care Specialist to join our team. As a key member of our care team, you will be responsible for providing high-quality care and services to our residents by administering medication and treatments in a safe and organized manner.ResponsibilitiesMedication Administration: Administer...
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Senior OT Solution Specialist
3 days ago
Baton Rouge, Louisiana, United States Champion Technology Services, Inc. Full timeJob Title: Senior OT Solution Specialist Job Summary: At Champion Technology Services, Inc., we are seeking a highly skilled Senior OT Solution Specialist to join our team. As a key member of our Operational Technology (OT) Solutions team, you will be responsible for providing technical leadership and expertise in the design, development, and...
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Senior OT Solution Specialist
4 days ago
Baton Rouge, Louisiana, United States Champion Technology Services, Inc. Full timeJob Title: Senior OT Solution Specialist Job Summary: We are seeking a highly skilled Senior OT Solution Specialist to join our team at Champion Technology Services, Inc. As a key member of our Operational Technology (OT) team, you will be responsible for delivering high-quality industrial technology solutions to our clients. Your expertise in Industrial...
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Senior Reliability Specialist
3 weeks ago
Baton Rouge, Louisiana, United States ONE LEAD CONNECT INTERNATIONAL RECRUITMENT AGENCY INC Full timePosition Overview:We are seeking a dedicated Senior Reliability Specialist with extensive experience in the oil and gas sector. The ideal candidate will possess a strong understanding of blueprint interpretation and maintenance protocols.Key Responsibilities:- Ensure reliability and performance of systems and equipment.- Analyze and interpret technical...
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LPN Medication Care Manager
1 day ago
Baton Rouge, Louisiana, United States Sunrise Senior Living Full timeJob SummaryWe are seeking a highly skilled LPN Medication Care Manager to join our team at Sunrise Senior Living. As a Medication Care Manager, you will play a vital role in ensuring the highest quality of care for our residents. Your primary responsibility will be to administer medications and treatments in a safe and organized manner, while also providing...
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LPN Medication Care Manager
5 days ago
Baton Rouge, Louisiana, United States Sunrise Senior Living Full timeJob SummarySunrise Senior Living is seeking a highly skilled LPN Medication Care Manager to join our team. As a Medication Care Manager, you will play a vital role in ensuring the highest quality of care for our residents. This is a challenging and rewarding position that requires strong clinical skills, excellent communication, and a passion for delivering...
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Senior Process Engineering Specialist
3 weeks ago
Baton Rouge, Louisiana, United States Asterix Communications Full timePosition: Senior Process Engineering Specialist Job OverviewAsterix Communications is seeking a Senior Process Engineering Specialist with expertise in Gas Processing to join our dynamic team. The ideal candidate will be adaptable and open to temporary assignments across various project locations.Qualifications Required:• A Bachelor's Degree in Engineering...
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Senior OT Solution Specialist
1 day ago
Baton Rouge, Louisiana, United States Champion Technology Services Full timeJob Title: Senior OT Solution SpecialistAt Champion Technology Services, we are seeking a highly skilled Senior OT Solution Specialist to join our team. As a key member of our Operational Technology (OT) Solutions team, you will be responsible for delivering high-quality industrial technology solutions to our clients.Key Responsibilities:Provide technical...
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Information Management Specialist
3 weeks ago
Baton Rouge, Louisiana, United States Access Sciences Full timeJob OverviewAccess Sciences is in search of a dedicated Information Management Specialist to enhance our operations. This role is pivotal in ensuring the precision and availability of essential records, thereby supporting our commitment to client satisfaction.As an integral member of our organization, you will engage in the systematic organization,...
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Senior 3D Systems Specialist
3 weeks ago
Baton Rouge, Louisiana, United States Technip Energies Full timeJoin Our Team as a Senior 3D Systems SpecialistWe are on the lookout for a highly skilled 3D Systems Specialist to become a vital part of the Technip Energies family. This role presents an exciting opportunity to contribute to a significant reuse project.About Technip Energies:With a workforce of approximately 15,000, Technip Energies stands as a leader in...
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Human Resources Recruitment Specialist
3 weeks ago
Baton Rouge, Louisiana, United States Home Instead Senior Care Full timeHuman Resources Recruitment SpecialistAre you an adept decision-maker with outstanding presentation skills? Home Instead Senior Care, a premier provider of non-medical in-home assistance, is seeking organized and customer service-oriented Recruitment & Engagement Specialists for a Full-Time role. Key responsibilities encompass sourcing, onboarding, training,...
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Healthcare Provider Enrollment Specialist
4 days ago
Baton Rouge, Louisiana, United States Gainwell Technologies Full timeAbout the RoleWe are seeking a highly skilled Provider Enrollment Specialist to join our team at Gainwell Technologies. As a key member of our operations team, you will play a critical role in ensuring the smooth enrollment and credentialing of healthcare providers.Key ResponsibilitiesRespond to customer inquiries and resolve issues in a timely and...
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Licensed Practical Nurse Medication Manager
5 days ago
Baton Rouge, Louisiana, United States Sunrise Senior Living Full timeJob SummarySunrise Senior Living is seeking a highly skilled LPN Medication Care Specialist to join our team. As a Medication Care Specialist, you will be responsible for providing high-quality care and services to our residents by administering medication and treatments in a safe and organized manner.Key ResponsibilitiesMedication Administration: Administer...
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Provider Data Quality Assurance Specialist
2 weeks ago
Baton Rouge, Louisiana, United States Blue Cross and Blue Shield of Louisiana Full timeJob SummaryWe are seeking a highly skilled Quality Assurance Specialist to join our team at Blue Cross and Blue Shield of Louisiana. As a Quality Assurance Specialist, you will play a critical role in ensuring the accuracy and quality of provider data, while also providing guidance and support to the Provider Data Management team.Key ResponsibilitiesPerform...
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Medication Nurse
7 days ago
Baton Rouge, Louisiana, United States Sunrise Senior Living Full timeJob SummarySunrise Senior Living is seeking a highly skilled and compassionate Medication Nurse to join our team. As a Medication Nurse, you will play a vital role in ensuring the highest quality of care for our residents by administering medications and treatments in a safe and organized manner.Key ResponsibilitiesAdminister medications and treatments to...
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Baton Rouge, Louisiana, United States Pharmiweb Full timeTransforming Patients' Lives through ScienceBristol Myers Squibb is a leading biopharmaceutical company dedicated to discovering, developing, and delivering innovative medicines that improve patients' lives. We are seeking a highly skilled and motivated Senior Therapeutic Area Specialist to join our team in Lafayette, LA.Key ResponsibilitiesPromote approved...
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Medication Nurse Specialist
4 days ago
Baton Rouge, Louisiana, United States Sunrise Senior Living Full timeJob SummaryWe are seeking a highly skilled and compassionate LPN Medication Care Manager to join our team at Sunrise Senior Living. As a Medication Care Manager, you will play a vital role in ensuring the highest quality of care and services for our residents.Key ResponsibilitiesAdminister medications and treatments in a safe and organized manner, adhering...
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Medication Nurse Specialist
4 days ago
Baton Rouge, Louisiana, United States Sunrise Senior Living Full timeJob SummaryWe are seeking a highly skilled and compassionate LPN Medication Care Manager to join our team at Sunrise Senior Living. As a Medication Care Manager, you will play a vital role in ensuring the highest quality of care and services for our residents.Key ResponsibilitiesAdminister medications and treatments in a safe and organized manner, adhering...
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Senior Security Systems Specialist
2 weeks ago
Baton Rouge, Louisiana, United States Johnson Controls International Full timeJob SummaryWe are seeking a highly skilled and experienced Senior Security Systems Specialist to join our team at Johnson Controls International. As a key member of our security services team, you will be responsible for providing expert technical support and maintenance for our clients' security systems.Key ResponsibilitiesProvide technical support and...
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Senior Security Systems Specialist
2 weeks ago
Baton Rouge, Louisiana, United States Johnson Controls International Full timeJob SummaryWe are seeking a highly skilled Senior Security Systems Specialist to join our team at Johnson Controls International. As a key member of our security services team, you will be responsible for providing expert-level technical support and maintenance for our commercial security systems.Key ResponsibilitiesProvide technical support and maintenance...