to assist in the enhancement and management of cost-effective managed health care with the objective of
operating in the medical insurance space is seeking a Medical / Managed Care Claims Case Manager to join their to assist in the enhancement and management of cost-effective managed health care with the objective of highly advantageous. Experience in a managed care / case management environment would be an advantage. queries and ensure they are resolved timeously. Manage queries until resolution and update the incident hospital visits where needed to build stakeholder relationships, proactively resolve queries and increase visibility
LOC/ LOS / item or drug approval queries to case managers for resolution.
Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join LOC/ LOS / item or drug approval queries to case managers for resolution. Act as clinical support to non-clinical equipment/materials, application of billing rules and high-cost medication appropriateness. CUSTOMER SERVICE Investigate accurately and timeously. Build and maintain relationships with internal and external stakeholders. Reduce for unnecessary costs. PEOPLE Build strong relationships through expressing positive expectations. Continuously
Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join LOC/ LOS / item or drug approval queries to case managers for resolution. Act as clinical support to non-clinical equipment/materials, application of billing rules and high-cost medication appropriateness. CUSTOMER SERVICE Investigate accurately and timeously. Build and maintain relationships with internal and external stakeholders. Reduce for unnecessary costs. PEOPLE Build strong relationships through expressing positive expectations. Continuously
Project Planning and Management:
An ERP (Enterprise Resource Planning) Project Manager plays a crucial role in overseeing the successful organization. They collaborate with stakeholders, manage resources, and ensure the project meets its objectives Key Responsibilities: 1. Project Planning and Management: ○ Create and maintain a comprehensive project to keep the project on track. 2. Stakeholder Management: ○ Work closely with stakeholders, including including the executive team, department managers, IT personnel, and end-users. ○ Ensure the ERP system aligns
operating in the medical insurance space is seeking a Medical / Managed Care Claims Case Manager to join their to assist in the enhancement and management of cost-effective managed health care with the objective of highly advantageous. Experience in a managed care / case management environment would be an advantage. queries and ensure they are resolved timeously. Manage queries until resolution and update the incident hospital visits where needed to build stakeholder relationships, proactively resolve queries and increase visibility
Are you a seasoned project manager with a passion for delivering transformative ERP solutions? We are from inception to completion. As an ERP Project Manager, you will be responsible for overseeing the planning client expectations. 1. Project Planning and Management: Create and maintain a comprehensive project Stakeholder Management: Work closely with stakeholders, including the executive team, department managers, IT objectives. Maintain relationships with stakeholders, communicate project updates, and manage expectations.
Roles and Responsibilities: Project Planning and Management: Create and maintain a comprehensive project Stakeholder Management: Work closely with stakeholders, including the executive team, department managers, IT objectives. Maintain relationships with stakeholders, communicate project updates, and manage expectations. Budget Management: Establish a project budget, track costs, and report on budget variances. Collaborate and develop effective contingency plans. Risk Management: Identify project risks and develop contingency