Utilization Management Representative I

Job Family: MBR > Membership & Enrollment Rep Type: Full time Date Posted: May 13, 2024 Anticipated End Date: Jun 07, 2024 Reference: JR115887 Description **Title: Membership Representative I** The **Membership Representative I **will be responsible for enrollment, billing activities and/or maintaining assigned accounts. Pre-employment test battery...

Title: Membership Representative I Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The Membership Representative I will be responsible for enrollment, billing activities and/or maintaining assigned accounts. Pre-employment test battery may be required. How...

Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Ou Management, Manager, Operations, Healthcare, Transportation

Job DescriptionJob DescriptionThe Account Sales Representative (ASR) is responsible for new business acquisition, account growth and optimization within the mortgage lead generation space. The ASR will proactively work on prospecting, closing and growing Mortgage Lenders, Banks and Brokers for the Lendgo Network.  The ASR will work closely with their...

Job DescriptionJob DescriptionEthereal Consulting delivers the industry's most innovative and unforgettable client experience. We bring together products and solutions to enable businesses to build, operate, and grow their brand. We are eagerly searching for a driven and eager individual to step into our Client Service Representative role to help us...

**Summary**: Provides overall coordination in the delivery of medical services and discharge planning for a specified patient population. Performs concurrent review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies including governmental and non-governmental payers and quality assurance...

Job DescriptionJob DescriptionPosition Summary: The Production Print Representative I is responsible for producing quality output within LMS and Client standards. This employee is expected to perform independently day-to-day, organizing details required to meet LMS policies and procedures at a print production site location.Essential Duties and...

Responds to incoming calls and may initiate outgoing calls, providing customer service to plan members, providers and employer groups by answering benefit questions, resolving issues and educating callers. Verifies enrollment status, makes changes to Membership, Representative, Benefits, Retail, Healthcare, Compensation, Enrollment

Job DescriptionJob DescriptionCocinero I - Resumen del PuestoPrepara y presenta los elementos del menú durante el servicio de la cafetería según los estándares de Quest. Sigue la lista de preparación de los artículos necesarios para la ejecución de los menús y ayuda en las operaciones diarias de la cocina.  Las tareas pueden incluir la preparación...

The **renewable energy** industry is booming and we want you to join our growing team! **Nor-Cal Controls** engineers SCADA and controls solutions for utility-scale renewable energy power plants, battery energy storage systems (BESS), and microgrids, and we are looking for a **Project Manager I** to join our all-star team! As a** Project Manager I,** you...

**Position Title**: Case Manager I **Department**: Community Supports - Housing Transition and Navigation **Reports To**: As assigned by Program Senior Supervisor/Director **Duties include but not limited to outreach and engagement**: housing assessments; Individualized Housing Support Plans; goal setting; addressing barriers; housing and rental...

Job DescriptionJob DescriptionChagrin Answering, LLC is an Ohio-based Medical Contact Center that prioritizes our customers and their needs. At Chagrin Answering, LLC, a customer can be a medical office, a physician, a patient, a hospital, a nursing home, a family member, or anyone else that we serve by answering phone calls. Our goal is to give every caller...

Compliance Management Representative III -- Issue & Change Management Business Analyst. The Compliance Business Analyst is responsible for various duties related to GES's Issue and Change Management Compliance Management System Procedures. Responsib Management, Compliance, Representative, Municipal, Business Analyst

**Summary**: Under the direct supervision of the Leads & RN Clinical Manager for Case Management, the Readmissions Case Manager is responsible for assessing, planning, implementing monitoring and evaluating options and services to develop a patient focused action plan for their identified cohort of patients. They act as patient advocate through the continuum...

Responsibilities Performs technical tax review and approval of all tax returns and governmental tax examinations of any complexity. Serves as a subject matter expert in discipline or industry. Assumes full responsibility for larger tax returns and delegates to the various tax preparers as deemed necessary. Assumes client service responsibility for clients...

Responsibilities Performs technical tax review and approval of all tax returns and governmental tax examinations of any complexity. Serves as a subject matter expert in discipline or industry. Assumes full responsibility for larger tax returns and delegates to the various tax preparers as deemed necessary. Assumes client service responsibility for clients...

Responsibilities Performs technical tax review and approval of all tax returns and governmental tax examinations of any complexity. Serves as a subject matter expert in discipline or industry. Assumes full responsibility for larger tax returns and delegates to the various tax preparers as deemed necessary. Assumes client service responsibility for clients...

SummaryThe Program Manager I is responsible for leadership of the organization in regards to all technical, profitability and schedule performance of the assigned program(s). They obtain and direct all the activities of the program team members to meet program scope, budget and schedule. They are responsible to plan, execute, monitor/control and close...

SummaryThe Program Manager I is responsible for leadership of the organization in regards to all technical, profitability and schedule performance of the assigned program(s). They obtain and direct all the activities of the program team members to meet program scope, budget and schedule. They are responsible to plan, execute, monitor/control and close...

The Nothing Bundt Cakes (NbC) Guest Service Representative creates a warm, welcoming environment for our guests, offers creative solutions for unique celebratory occasions and sells our delicious cakes. The Guest Service Representative is the first point of brand contact in our bakery and serves in an essential role to engage and bring joy to our guests,...