Talentboost Point32health Jobs in East Providence, RI
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TalentBoost (Point32Health)
Urgently Hiring
Responsible for leading category / vendor management processes and optimization initiatives to support enterprise wide Indirect Categories at Point32Health. The ideal candidate will possess: 5-7 years of experience leading strategic sourcing and vendor management activities in the IT space Knowledge and expertise within IT indirect category Strategic, analytical, and interpersonal skills to act as an effective change agent. A consistent track record of delivering business impact in a complex corporate environment and Strong implementation skills supported by strategic vision to drive...
TalentBoost (Point32Health)
Urgently Hiring
The position will report to the IT Audit Senior Manager and support the efficient and timely execution of multiple IT Audit Plan activities over a complex IT environment. The position will also be responsible to support the IT Audit team with various internal audit department strategic initiatives in an advisory capacity to meet Point32Health’s business objectives. Job Description Perform audit activities under the direction of the Audit Plan Owner and support the Auditor-In-Charge across all phases of the audit (i.e., Planning, Fieldwork, Reporting) Prepare audit workpapers (i.e.,...
TalentBoost (Point32Health)
Urgently Hiring
Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the member’s authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases for presentation, discussion, review and final...
TalentBoost (Point32Health)
Urgently Hiring
The Associate Contract Specialist is responsible for coordinating the contractual and operational implementation and ongoing maintenance of Allied Health provider or vendor contracts for applicable Commercial and Medicare products. This individual monitors compliance with contractual agreements, assists with communication of THP policies, procedures, and new initiatives to network providers, and spearheads efforts to resolve operational issues. Key Responsibilities/Duties – what you will be doing Support contract development efforts for both new and existing providers. Assist with the...
TalentBoost (Point32Health)
Urgently Hiring
Responsible for leading category / vendor management processes and optimization initiatives to support enterprise wide Indirect Categories at Point32Health. The ideal candidate will possess: 5-7 years of experience leading strategic sourcing and vendor management activities in the IT space Knowledge and expertise within IT indirect category Strategic, analytical, and interpersonal skills to act as an effective change agent. A consistent track record of delivering business impact in a complex corporate environment and Strong implementation skills supported by strategic vision to drive...
TalentBoost (Point32Health)
Urgently Hiring
Responsible for leading category / vendor management processes and optimization initiatives to support enterprise wide Indirect Categories at Point32Health. The ideal candidate will possess: 5-7 years of experience leading strategic sourcing and vendor management activities in the IT space Knowledge and expertise within IT indirect category Strategic, analytical, and interpersonal skills to act as an effective change agent. A consistent track record of delivering business impact in a complex corporate environment and Strong implementation skills supported by strategic vision to drive...
TalentBoost (Point32Health)
Urgently Hiring
The position will report to the IT Audit Senior Manager and support the efficient and timely execution of multiple IT Audit Plan activities over a complex IT environment. The position will also be responsible to support the IT Audit team with various internal audit department strategic initiatives in an advisory capacity to meet Point32Health’s business objectives. Job Description Perform audit activities under the direction of the Audit Plan Owner and support the Auditor-In-Charge across all phases of the audit (i.e., Planning, Fieldwork, Reporting) Prepare audit workpapers (i.e.,...
TalentBoost (Point32Health)
Urgently Hiring
Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the member’s authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases for presentation, discussion, review and final...
TalentBoost (Point32Health)
The position will report to the IT Audit Senior Manager and support the efficient and timely execution of multiple IT Audit Plan activities over a complex IT environment. The position will also be responsible to support the IT Audit team with various internal audit department strategic initiatives in an advisory capacity to meet Point32Health’s business objectives. Job Description Perform audit activities under the direction of the Audit Plan Owner and support the Auditor-In-Charge across all phases of the audit (i.e., Planning, Fieldwork, Reporting) Prepare audit workpapers (i.e.,...
TalentBoost (Point32Health)
Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the member’s authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases for presentation, discussion, review and final...
TalentBoost (Point32Health)
The Associate Contract Specialist, under the direction of the Manager, Provider Network Management , is responsible for coordinating the contractual and operational implementation and ongoing maintenance of network provider contracts in conjunction with internal departments, for a designated assignment of hospitals, physician organizations, and medical groups. Assist in efforts to resolve operational issues. Coordinate maintenance of provider information changes (add, terms, changes). The position requires a minimum of 2 –3 years in a managed health care environment with knowledge of the...
TalentBoost (Point32Health)
Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the member’s authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases for presentation, discussion, review and final...
TalentBoost (Point32Health)
The Associate Contract Specialist, under the direction of the Manager, Provider Network Management , is responsible for coordinating the contractual and operational implementation and ongoing maintenance of network provider contracts in conjunction with internal departments, for a designated assignment of hospitals, physician organizations, and medical groups. Assist in efforts to resolve operational issues. Coordinate maintenance of provider information changes (add, terms, changes). The position requires a minimum of 2 –3 years in a managed health care environment with knowledge of the...
TalentBoost (Point32Health)
The position will report to the IT Audit Senior Manager and support the efficient and timely execution of multiple IT Audit Plan activities over a complex IT environment. The position will also be responsible to support the IT Audit team with various internal audit department strategic initiatives in an advisory capacity to meet Point32Health’s business objectives. Job Description Perform audit activities under the direction of the Audit Plan Owner and support the Auditor-In-Charge across all phases of the audit (i.e., Planning, Fieldwork, Reporting) Prepare audit workpapers (i.e.,...
TalentBoost (Point32Health)
Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the member’s authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases for presentation, discussion, review and final...
TalentBoost (Point32Health)
Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the member’s authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases for presentation, discussion, review and final...
TalentBoost (Point32Health)
Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the member’s authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases for presentation, discussion, review and final...
TalentBoost (Point32Health)
The Associate Contract Specialist, under the direction of the Manager, Provider Network Management , is responsible for coordinating the contractual and operational implementation and ongoing maintenance of network provider contracts in conjunction with internal departments, for a designated assignment of hospitals, physician organizations, and medical groups. Assist in efforts to resolve operational issues. Coordinate maintenance of provider information changes (add, terms, changes). The position requires a minimum of 2 –3 years in a managed health care environment with knowledge of the...
TalentBoost (Point32Health)
The position will report to the IT Audit Senior Manager and support the efficient and timely execution of multiple IT Audit Plan activities over a complex IT environment. The position will also be responsible to support the IT Audit team with various internal audit department strategic initiatives in an advisory capacity to meet Point32Health’s business objectives. Job Description Perform audit activities under the direction of the Audit Plan Owner and support the Auditor-In-Charge across all phases of the audit (i.e., Planning, Fieldwork, Reporting) Prepare audit workpapers (i.e.,...
TalentBoost (Point32Health)
Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the member’s authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases for presentation, discussion, review and final...
TalentBoost (Point32Health)
Responsible for leading category / vendor management processes and optimization initiatives to support enterprise wide Indirect Categories at Point32Health. The ideal candidate will possess: 5-7 years of experience leading strategic sourcing and vendor management activities in the IT space Knowledge and expertise within IT indirect category Strategic, analytical, and interpersonal skills to act as an effective change agent. A consistent track record of delivering business impact in a complex corporate environment and Strong implementation skills supported by strategic vision to drive...
TalentBoost (Point32Health)
The Associate Contract Specialist is responsible for coordinating the contractual and operational implementation and ongoing maintenance of Allied Health provider or vendor contracts for applicable Commercial and Medicare products. This individual monitors compliance with contractual agreements, assists with communication of THP policies, procedures, and new initiatives to network providers, and spearheads efforts to resolve operational issues. Key Responsibilities/Duties – what you will be doing Support contract development efforts for both new and existing providers. Assist with the...
TalentBoost (Point32Health)
Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the member’s authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases for presentation, discussion, review and final...
TalentBoost (Point32Health)
The Associate Contract Specialist is responsible for coordinating the contractual and operational implementation and ongoing maintenance of Allied Health provider or vendor contracts for applicable Commercial and Medicare products. This individual monitors compliance with contractual agreements, assists with communication of THP policies, procedures, and new initiatives to network providers, and spearheads efforts to resolve operational issues. Key Responsibilities/Duties – what you will be doing Support contract development efforts for both new and existing providers. Assist with the...
TalentBoost (Point32Health)
Under the Supervisor’s direction, the Member Appeals and Grievances Department Coordinator assists with all operational aspects of the Member Appeals and Member Grievances process for Commercial, TMP and Public Plans products. Responsibilities include, but are not limited to: distribution and classification of cases in compliance with applicable timeframes and regulations, gathering information on behalf of the specialists with external vendors , coordinating the request for medical records, tracking effectuations, facilitating delivery of appeals and related information to key...
TalentBoost (Point32Health)
The position will report to the IT Audit Senior Manager and support the efficient and timely execution of multiple IT Audit Plan activities over a complex IT environment. The position will also be responsible to support the IT Audit team with various internal audit department strategic initiatives in an advisory capacity to meet Point32Health’s business objectives. Job Description Perform audit activities under the direction of the Audit Plan Owner and support the Auditor-In-Charge across all phases of the audit (i.e., Planning, Fieldwork, Reporting) Prepare audit workpapers (i.e.,...
TalentBoost (Point32Health)
Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the member’s authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases for presentation, discussion, review and final...
TalentBoost (Point32Health)
Under the Supervisor’s direction, the Member Appeals and Grievances Department Coordinator assists with all operational aspects of the Member Appeals and Member Grievances process for Commercial, TMP and Public Plans products. Responsibilities include, but are not limited to: distribution and classification of cases in compliance with applicable timeframes and regulations, gathering information on behalf of the specialists with external vendors , coordinating the request for medical records, tracking effectuations, facilitating delivery of appeals and related information to key...
TalentBoost (Point32Health)
Responsible for leading category / vendor management processes and optimization initiatives to support enterprise wide Indirect Categories at Point32Health. The ideal candidate will possess: 5-7 years of experience leading strategic sourcing and vendor management activities in the IT space Knowledge and expertise within IT indirect category Strategic, analytical, and interpersonal skills to act as an effective change agent. A consistent track record of delivering business impact in a complex corporate environment and Strong implementation skills supported by strategic vision to drive...
TalentBoost (Point32Health)
Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the member’s authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases for presentation, discussion, review and final...
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