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The Junior Developer at CGS Administrators, LLC is responsible for developing and supporting application programs using mainframe technologies such as COBOL, JCL, and VSAM. This entry-level position involves working on simple to moderately complex projects and following the System Development Lifecycle (SDLC). The company offers a comprehensive benefits package and opportunities for career development and advancement.
Defines customer needs in technical and business contexts, ensures proposed solutions meet customer objectives, provides guidance on business support activities, facilitates knowledge transfer, validates business needs for solutions, assists in system changes, and develops training materials.
Responsible for the accurate and timely processing of claims, research and process claims according to business regulations, resolve system edits, coordinate with internal departments, and comply with company policies and regulations.
Supervise provider enrollment and quality assurance staff, manage provider file activities including maintenance and credentialing, oversee credentialing, manage provider databases, reports, and inquiries, participate in system design and contract fulfillment.
Responsible for documenting technical requirements, providing infrastructure design, and enforcing architectural standards within an enterprise environment. Communicates with customers, reviews estimates, and offers technical oversight. Requires advanced knowledge in networking, server systems, and IP communications.
Responsible for establishing and maintaining financial systems for provider networks, negotiating pricing, and resolving contract-related issues. Provides guidance and training to staff and assists in project planning and development of work procedures.
As a Membership Services Supervisor, you will assist in membership/enrollment, billing, collections, and customer service activities. Responsibilities include verifying workflow accuracy, coordinating with departments, ensuring compliance, and participating in new group implementations. Required qualifications include a bachelor's degree or equivalent work experience, 3 years of relevant experience, and key skills in membership or billing systems, communication, customer service, and organization.
As a Business Test Analyst II, you will develop test plans, conduct testing, report test results, and coordinate software implementation. You will analyze system issues, work on resolutions, and communicate with internal/external stakeholders.
Accountant Business Unit Student (Year-Round) internship opportunity at BlueCross BlueShield of South Carolina in Birmingham, AL. Responsibilities include learning entry-level and professional tasks related to area operations under direct supervision. Must be a college student with at least 12 semester hours in Accounting. Strong communication, organizational, and analytical skills required. Proficiency in Microsoft Word and Excel.
Provide system and production support for applications, batch cycles, releases, projects, and installations. Monitor system performance, resolve issues, collaborate with internal and external stakeholders, and participate in testing and documentation tasks.
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