Jobs in Analyst

Engagement Description – This position requires the ability to multitask within a high-volume concierge contact center setting. Top 3 Required Skills/Experience – • Ability to process Coverage Determination Requests within CMS Timeframes • Ability to communicate all pharmacy benefits both verbally and written • Ability to have strong attention to detail while multitasking within a…

SUMMARY Responsible for coordinating the development and implementation of programs and strategies to improve operational performance. Ensure the achievement of long-term, sustainable performance outcomes within CORE Operations through performance analysis, performance coaching, and continuous performance improvement. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Analyze key performance data and trends to…

Primary responsibility includes working closely with external customers who submit 834 membership files. Knowledge of the 834 HIPAA compliant file layout is highly desirable. Apply, analyze and manage 834 and membership business rules. Manage phone inquiries from external customers related to 834 customer inquiries. Analyze, process and/or expedite operational membership transactions; this may include timely…

SUMMARY Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Assist and support in the planning,…