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Responsible for the sales, service, and administrative activities and relationship management to prospective and existing accounts. Customarily and regularly engaged in outside sales. Description 50% Responsible for renewal and management of existing accounts. Maintains strong service relationships with clients and agents. Researches/compiles presentations and sales materials as needed. Coordina
Posted 1 day ago
Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description 65% Ensures effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk in inquiries. Accurately documents inquiries. 15% Initiates or processes adjustments or performs other research as needed t
Posted 1 day ago
Manages and coordinates the development of new business as needed to grow revenue for the company within identified markets and solutions. Identifies, pursues, and wins new business. Develops and recommends account plan and marketing approaches, and related changes as needed to reach sales goals and objectives. Prospects and develops leads leading to requests for proposals (RFP's) and sole source
Posted 1 day ago
Integral member of cross functional proposal teams responsible for all customer Requests for Proposals (RFPs)/Requests for Information (RFIs) supporting CGS Administrators Medicare growth initiatives. Develops/maintains databases of information and standard off the shelf technical language that clearly communicates the CGS value proposition to existing and potential customers. Conducts market/prod
Posted 1 day ago
Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description 65% Ensures effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk in inquiries. Accurately documents inquiries. 15% Initiates or processes adjustments or performs other research as needed t
Posted 1 day ago
Provides a wide variety of administrative and staff support services. Coordinates more complex and diverse area specific projects. Administers programs, projects and processes requiring area specific knowledge. Operates a desktop computer and is proficient in working with assorted software, tools and systems utilized in the area. Description 50% Provides coordination for a variety of area speci
Posted 1 day ago
Description 50% Provides clinical expertise, research, and judgment to develop Local Coverage Determinations(LCDS) under the direction of medical director. Maintains LCDS once developed. 35% Educates providers and internal customers on LCDS. Communicates with other interdepartmental staff in appropriate coding and reimbursement guidelines to ensure coordination and compliance. 15% Provides clinic
Posted 1 day ago
Provides blended learning solutions and the use of innovative technology and tools to meet business goals. Responsible for training, developing and coaching activities in various areas. This includes the analysis, design, delivery, evaluation and maintenance required to manage the on going execution of training programs and expected outcomes. Description 40% Facilitates varying levels of techni
Posted 1 day ago
Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Description 65% Ensures effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk in inquiries. Accurately documents inquiries. 15% Initiates or processes adjustments or performs other research as needed t
Posted 1 day ago
Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates, implements, and maintains educational tools to help providers reduce the submission of claims for non covered services and reduce the claims payment error rate. The error rate is a factor in awarding and renewing Medicare/other contracts. Description 50% Provides clinical expertise, research, a
Posted 1 day ago
Directs and coordinates all components for the development of new business to include working across various functional areas (underwriting, marketing, claims, information systems, operations, etc.). Evaluates marketing strategies/plans to meet ever changing market and competitive conditions. Develops and recommends sales strategies, marketing plans, and related changes necessary to reach goals an
Posted 1 day ago
Provide molecular diagnostic expertise to suggest improvements on the standardization of processes for provider coverage determinations. Focus is reviewing molecular, genetic, and esoteric tests for unique characteristics. Provide guidance on updates and improvements to identifiers and development of processes. Description Job Duties 75% Reviewing/assigning/maintaining unique identifiers for reg
Posted 1 day ago
Supervises a team of employees responsible for claims, appeals, and/or customer service to ensure contractual and departmental performance guarantees are met. Responsible for recruiting and hiring, coaching and mentoring, monitoring and evaluation, and addressing all disciplinary issues in a timely manner. Description Hours 8 30 to 5 00 pm Monday through Friday Required Responsibilities Leads c
Posted 1 day ago
Provide molecular diagnostic expertise to suggest improvements on the standardization of processes for provider coverage determinations. Focus is reviewing molecular, genetic, and esoteric tests for unique characteristics. Provide guidance on updates and improvements to identifiers and development of processes. Description Job Duties 75% Reviewing/assigning/maintaining unique identifiers for reg
Posted 1 day ago
Systematically gather, review and synthesize data from published clinical trials, information systems, and other databases to aid in development of evidence based guidance for health policies. Apply research findings to implement solutions that resolve complex issues. Present research findings to Medical Directors to facilitate their decision making. Description 40% Conducts health policy devel
Posted 1 day ago
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