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Job Description & Responsibilities: Position Summary Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject matter expert by providing training, coaching, or responding to complex issues. May handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical...

Job Description & Responsibilities: This is a remote work from home role anywhere in the US with virtual training. American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. Key Responsibilities This position consists of...

Job Description & Responsibilities: The Accounting Assistant provides accounting support to the Director of Finance. Duties will include a variety of responsible and accounting, administrative, and clerical duties. Qualifications 2-year college diploma with exposure to accounting and/or payroll or equivalent experience. Understanding of accounting and financial reporting principles and practices. Industry experience (preferred) Proficiency with Microsoft...

Job Description & Responsibilities: As a field Social Worker, you will play a vital role in the member-centered care planning process alongside the other core care team members. Your responsibilities will include: Conducting field visits to the member’s home, community locations, medical facilities, and other locations. Completing care management focused assessments. Setting member-centered goals. Identifying barriers and strategies to address them. Establishing, monitoring, and...

Job Description & Responsibilities: The Operations Supervisor directs, manages, supervises and coordinates event setup activities and operations for the facility and provides responsible staff assistance to the Director of Operations. Qualifications High school diploma or equivalent Two (2) or more years’ experience in an operations position in an arena, convention center, public assembly facility or similar location preferred Knowledge of set up/housekeeping...

Job Description & Responsibilities: Serve as initial client issue/request intake for all aspects of our client’s IT environments, including, but not limited to, hardware, software, networking, printing, Microsoft, and basic server support  Intake client issues/request through email and telephone, triage issues accordingly per company processes  Provide remote support to clients and serve as the first point of contact for issue reporting  Responsible for service ticket...

Job Description & Responsibilities: Design and implement all aspects of IT networks for clients, including corporate and remote levels, whether new or improving the efficiency of existing networks.  Provide architecture and implementation of network/infrastructure topologies  Provide last level of escalation support for all network and server issues including availability, reliability, configuration management, disaster recovery/business continuity, and design  Configure,...

Job Description & Responsibilities: Design and implement all aspects of IT networks for clients, including corporate and remote levels, whether new or improving the efficiency of existing networks.  Provide architecture and implementation of network/infrastructure topologies  Provide last level of escalation support for all network and server issues including availability, reliability, configuration management, disaster recovery/business continuity, and design  Configure,...

Job Description & Responsibilities: Responsible for production processes that transform rolls of raw materials into its final form prior to packaging. Current businesses where converting occurs are: Floss Making (Spinning and Coating), Brush Bristling, Family Care, Feminine Care and Baby Care. Acts as a System Owner or Equipment Owner for the area in which they operate. Operates and maintains the equipment in their area. Are you ready to gain new skills to help run and maintain...

Job Description & Responsibilities: Invision Technologies, LLC is looking for a Customer Service Representative to join our team. The ideal candidate exemplifies exceptional customer service while possessing the skills, knowledge, and aptitude to intake and triage client issues. The Customer Service Representative are the first point of contact for support requests who then properly document, communicate, and schedule a technician to address the request. Qualified candidates must...

Job Description & Responsibilities: Implement preventative maintenance tasks as well as the ability to perform troubleshooting and corrective maintenance activities on equipment as necessary. Ensure the maximum efficiency of the operation while maintaining compliance with e stablished safety, quality, material usage, sanitation, budget, and scheduling guidelines in line with World Class Supply Chain Strategy Possess interpersonal skill to function effectively within the assigned...

Job Description & Responsibilities: Serve as initial point of contact and manager during projects within our client’s IT environments, including, but not limited to, hardware, software, networking, printing, Microsoft, and server deployments  Meet with clients regularly to keep them updated and discuss next steps of projects  Oversee technical staff resources and align their schedules to meet the needs of the project  Responsible for service ticket scheduling,...