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Healthtech
Identify, negotiate, and manage provider and vendor partnerships while leading and tracking financial and operational success. Analyze agreements and develop corrective action plans as necessary.
Top Skills:
Contract Management SoftwareFinancial Analysis ToolsMS Office
Healthtech
Oversees program managers in the Digital Experience and Engagement domain. Manages all phases of project life cycles, resource planning, program performance, and risk assessment. Leads hiring, training, and coaching of staff, while developing strategies and objectives to guide the team to achieve results.
Healthtech
Oversee provider contracting and network development to ensure compliance and efficiency. Manage staff, implement strategies, and perform financial analyses while supporting new business launches.
Top Skills:
Business AdministrationHealth Care AdministrationMedicaidMedicare
Healthtech
The Business Systems Analyst identifies business needs, communicates specifications, tests systems, manages projects, and provides user support for improving technology's impact on health outcomes.
Top Skills:
AutomationBusiness SystemsData AnalysisFunctional SoftwareProject ManagementUser Documentation
Healthtech
Responsible for implementing business strategies that support provider networks and product development, while facilitating process improvement across departments.
Healthtech
The Recovery Analyst researches claims overpayments, validates compliance with contracts, interacts with providers, and prepares reports on overpayments.
Top Skills:
Claims Processing
Healthtech
The Director of Finance oversees financial operations, supports planning and forecasting, and provides insights for key management decisions at Trillium Community Health Plan.
Top Skills:
ExcelOnestreamPowerPoint
Healthtech
As an Authorization Specialist II, you'll support prior authorization requests, document medical info, verify coverage and maintain authorization tracking within healthcare guidelines.
Top Skills:
Utilization Management System
Healthtech
Coordinate and resolve healthcare grievances and appeals, handling documentation, member communication, and supporting pay-for-performance programs.
Top Skills:
Claims ResearchData EntryHedis Functions
Healthtech
Analyze and resolve claims and authorization appeals, maintain grievance files, prepare response letters, and support various operational tasks including data entry.
Top Skills:
HedisMS Office
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