- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Compliance Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... and internal audits. Regulatory compliance : Works closely with Customer Solution Center Management to determine and handle effectiveness/accuracy of… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Quality...Compiles quality data on a daily/monthly basis to measure compliance with internal policies and procedures as well as ... net required to achieve that purpose. Job Summary The Customer Solution Center Quality Auditor...as deemed necessary. Frequently compiles quality data to measure compliance as well as regulatory requirements. Review quality reports,… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Service Representative I Job Category: Customer Service Department: Customer Solution Call Center Location: Los ... net required to achieve that purpose. Job Summary The Customer Solution Center Service Representative...via the member data base system, QMEIS. Ensures department compliance with Health Insurance Portability and Accountability Act (HIPAA)… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Customer Solution Call Center Job Category: Customer Service Department: Customer Solution Call Center Location: Los Angeles, CA, ... achieve that purpose. Job Summary The Supervisor of the Customer Solution Call Center is...and QMEIS systems are functioning properly for the Call Center . Ensure department compliance with regards to… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Member...process may include referrals to plan partners to ensure compliance with regulatory and L. A. Care guidelines. Ensure ... and to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Member Navigator II is responsible for resolving… more
- LA Care Health Plan (Los Angeles, CA)
- Lead Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... to achieve that purpose. Job Summary The Lead of Customer Solution Center Appeals and...solutions to handle irate members, and provide optimal customer service for internal and external customers. Must be… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Even MORE Service Liaison I Job Category: Customer Service Department: Even MORE Outreach & Service Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center Even MORE...focusing on opportunities for service/process improvement. This is in compliance with regulatory requirements for auditing purposes. (10%) Liaison… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and...judgment. This position will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services (CMS),… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist LVN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and...eg fraud and abuse cases shall be forwarded to Compliance Department. Duties Continued Outreach to providers, vendors, hospitals,… more
- Wabtec Corporation (Omaha, NE)
- … participation in Wabtec led initiatives + Logistics support for 3rd party routing center applications + Customer Portal compliance and upkeep + Report ... is a leading global provider of equipment, systems, digital solutions , and value-added services for freight and transit rail...point of contact for non-technical support needs of major customer (s). **How will you make a difference?** To achieve… more
- Support Services Group (Waco, TX)
- …Group is a leading US-based global provider of high-touch, omnichannel outsourced contact center solutions . With a commitment to exceptional service, we help ... growth are at the heart of everything we do. Customer Solution Specialist We're looking for a...ensuring timely and professional communication. + Understand and address customer needs with effective solutions to create… more
- Innovapptive (Houston, TX)
- …and retain the best talent with it's platform's end to end digital solutions to improve operational efficiencies, safety, compliance , asset uptime, and ... including sales, product development, and product management, to ensure on-time and high-quality solution delivery to the customer . + Pre-Sales and Customer … more
- CACI International (Norfolk, VA)
- …Evaluate and recommend appropriate technologies, frameworks, and tools for NMMES solutions + Develop and maintain solution architecture documentation, including ... Solution Architect Job Category: Information Technology Time Type:...Play a crucial role in designing and implementing innovative solutions for naval ship and submarine maintenance operations +… more
- Verint Systems, Inc. (Columbus, OH)
- … Delivery Architect (SDA) is responsible for providing technical leadership, validating solution design, ensuring customer and Verint team readiness, driving ... role requires a wide range of technical knowledge and the ability to interpret Customer requirements aligned with the purchased solution and translate these into… more
- Molnlycke Health Care (Gothenburg, NE)
- …Authorizations, all aligned with our strategic business needs. As part of our Center of Excellence, you'll oversee solution governance, streamline workflows, and ... of our global IT strategy, including digital innovation and transformation initiatives. Compliance and Governance : Ensure all solutions adhere to regulatory,… more
- KPMG (New York, NY)
- …product alliances, and develop business case inputs to drive revenue and customer satisfaction. + Oversee the solution management process, ensuring adherence ... **Business Title:** Lead Specialist - Solution Management **Requisition Number:** 119099 - 68 **Function:**...Process Consulting, Data Analytics, Digital Design, and Shared Services Center Design. + Ability to travel as necessary. +… more
- Mount Sinai Health System (New York, NY)
- …complex customer requirements and translate them into clear technical solutions especially with Stratajazz + Ability to articulate and explain complex issues ... **Job Description** The Solutions Architect of Information Technologies is responsible for...solution design, Platform blueprints and roadmaps, and in compliance with the platform standards. + Provides overall technical… more
- Proofpoint (Phoenix, AZ)
- …half of the Fortune 1000, rely on Proofpoint for people-centric security and compliance solutions mitigating their most critical risks across email, the cloud, ... BELIEVE in what they're doing! _We're committed to bringing passion and customer focus to the business._ Corporate Overview Proofpoint is a leading cybersecurity… more
- Wells Fargo (New York, NY)
- …team, aligned within the CIB Chief Operating Office, is seeking an experienced AI Solution Delivery & Process Engineering Lead to join its leadership team. This role ... testing, solutioning and implementation of strategic AI initiatives + Lead AI center of excellence with partners including Microsoft, Google + Develop and manage… more
- Zufall Health Center (Dover, NJ)
- …to gain a better understanding of their needs and offer information and possible solutions . The Call Center Representative will handle a high volume of inbound ... adheres to all departmental policies and procedures and maintains compliance with all rules and regulations as required by...insurance preferred. + Have minimum of 1-year experience in customer service or in a call center .… more