Working remotely from the greater Baltimore metropolitan area, the full-time Business Consultant will provide expertise in appeals and grievances for government programs, collaborating with cross-functional teams to enhance operational performance and ensure regulatory compliance. Key responsibilities Act as a liaison for interdepartmental collaboration on appeals and grievances, contributing to strategic initiatives and process improvements Design and manage dashboards for effective communication and track action items related to appeals and grievances audits Develop and update policies and standard operating procedures for Medicaid and Medicare Advantage, ensuring compliance with regulations Required qualifications Bachelor's Degree or 4 additional years of relevant work experience in lieu of a degree 5 years of experience in business development, operational technology support, or consulting Direct experience with appeals and grievances for government programs in a payor organization is preferred Proficiency in MS Office, particularly Excel, PowerPoint, and Word Exceptional project management and organizational skills
...Nectar HR Billing & Accounts Receivable Specialist Nectar HR helps companies build stronger cultures through meaningful employee recognition and rewards. Our platform enables organizations to celebrate great work, reinforce company values, and improve employee engagement...
...Loyola University Chicagos Department of Radiation Oncology is seeking an accomplished and visionary... ...rigorous quality assurance, patient safety, and compliance with all regulatory... ...School of Medicine, and Physician Recruitment Office, ****@*****.***....
...Overview: Are you a compassionate professional dedicated to making a difference in your community? Nurturing Care is seeking experienced Housing Navigators , Day Habilitation Specialists , and Care Managers to join our team. As a patient-centered organization, we...
...Job Description Job Description Looking for electrical help, experience not required but helpful,pay is based on experience vallid drivers license and transportation toand from shop in Hahira a must we do work out of town some,no more than 3 nights at a time...
CAM RESOURCES INC is hiring bilingual cleaner subcontractors in Mission Viejo, California, for long-term cleaning contracts. Responsibilities include cleaning restrooms, fitness rooms, and other common areas, with a focus on detail. The position requires effective communication...