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The Appeals and Grievances Coordinator I processes appeal and grievance requests ensuring compliance with regulatory requirements and internal policies. Responsibilities include evaluating requests for appropriateness, performing outreach to gather necessary information, and providing customer service to members and providers.
The Appeals and Grievances Coordinator II processes and evaluates appeals and grievance requests, ensuring compliance with regulatory requirements. This role involves utilizing business applications for data management, conducting outreach for information retrieval, and assisting in training new employees while maintaining productivity and accuracy in processing requests.
The Director of System Engineering develops and implements the vision and goals for the IT Systems department, manages system support, evaluates internal systems, and recommends technology solutions. This role involves strategic planning, resource management, and collaborative leadership to enhance the company’s technical capabilities.
The Account Executive I-II manages client relationships for Complex Accounts and Strategic Key Accounts, ensuring satisfaction and achieving financial goals. Responsibilities include developing strategic plans for the account, overseeing deliverables, managing renewals, and leading the account team to maximize service and operational efficiency.
The Support Specialist II provides operational support for the Medicare Part D program, working across teams and with clients to ensure accurate claims data and reporting. Duties include analyzing reports, performing root cause analysis to improve processes, and maintaining relationships with clients to ensure timely execution of project activities.
The Account Executive I is responsible for managing client relationships for Complex and Strategic Key Accounts. This role focuses on achieving financial goals through the oversight of client deliverables, ensuring customer satisfaction, and leading the account client team to provide exceptional service and operational efficiency.
The Data Architect at MedImpact Healthcare Systems will define and drive adoption of architecture standards and solutions, manage project scopes, and partner with business leaders to enhance data organization and sharing to meet strategic business outcomes. Responsibilities include designing solutions architecture and ensuring alignment with IT strategies and standards.
The Data and Reporting Analyst analyzes Medicaid performance data and prepares reports for clients. Responsibilities include evaluating Requests for Proposals (RFPs), conducting financial evaluations, and developing models to analyze pharmacy data. The analyst collaborates with a team to create complex analyses, dashboards, and perform impact analyses for healthcare programs.
The Software Engineer V is responsible for complex software programming, production support, and maintenance. This position involves developing software, organizing development processes, collaborating with analysts, facilitating meetings, resolving issues, practicing software engineering techniques, participating in code reviews, and making technology recommendations.
The Appeals and Grievances Coordinator I manages all aspects of Appeals and Grievances processing, including intake, processing, notification, and compliance. This role evaluates requests, ensures adherence to regulatory requirements, documents outreach tasks, and provides exceptional customer service while working under general supervision.
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