of Position We are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal grievances, complaints, appeals, and disputes submitted by members and providers in accordance with NCQA, CMS, State, and other regulations. They will process appeals and grievances to facilitate the accurate administration of benefits and clinical

of Position We are seeking a dynamic Grievance and Appeals Dispute Specialist who will be responsible for processing disputes submitted by contracted and non contracted providers. The types of correspondence handled by the individual will include, but is not limited to; correspondence, HQSI/ESMSEF appeals and Cotiviti disputes. This individual will provide technical and ad

General Be bold. Strive for better. Do the right thing. At Beazley , we live our values in our day to day. We nurture curious people, value constructive challenge, and take a collaborate approach to problem solving. We celebrate progressive mindsets. If you are passionate about developing your career, come join the Beazley team! We are actively seeking a HR Operations Man

Build effective working relationships with Operations Management and client Subject Matter Experts (SME) to efficiently gather content information and feedback Perform Curriculum Analysis for assigned department to obtain an overarching view of needs and align topical areas (Curriculum Assessment) For each assigned project, initiate and conduct Curriculum Development Proc

Strategic Analyst Job Locations US CT Norwalk Requisition ID 2024 48167 Category Corporate Position Type Regular Full Time FLSA Status Exempt Location Name HEI Hotels and Resorts Min USD $60,492.00/Yr. Max USD $80,655.00/Yr. About Us HEI manages an unparalleled portfolio of leading full service branded hotels and luxury and lifestyle independent hotels across the U.S. We

In this capacity, the On boarding Specialist will remain on stand by and on call status. Get paid $200 a month to remain on call, and an hourly pay of $25.00 for any hours worked when called to perform duties listed below Perform a variety of administrative functions including preparing and maintaining on boarding documents, spreadsheets, and files Oversees the new hire e

Senior Premium Auditor Job Locations US United States Requisition ID 2024 16842 Category Operations Premium Audit Position Type Regular Full Time Overview The Senior Premium Auditor performs physical and virtual audits of the highest complexity ensuring the accuracy of earned premium risk calculations. Responsible for handling of audits within AmTrust's Major Accounts Pro

1. Provide strategic and tactical input on development of educational objectives, outcome measurement utilizing the Kirkpatrick Model, and instructional design of highly sophisticated educational courses utilizing available technologies. 2. Support the Director, eLearning Education for ongoing development and deployment of the educational technology strategy. 3. With dire

Senior Corporate Human Resources Manager Job Locations US CT Norwalk Requisition ID 2024 48240 Category Human Resources Position Type Regular Full Time FLSA Status Exempt Location Name HEI Hotels and Resorts Min USD $85,000.00/Yr. Max USD $110,000.00/Yr. About Us HEI manages an unparalleled portfolio of leading full service branded hotels and luxury and lifestyle independ

System Matter Expert focused on PeopleSoft HCM 9.2 Benefits Administration. Experience implementing Qualified Savings Plans and supporting processes. Experience converting general payroll deductions to a benefits administration plan types. Experience with third party integrations and interface processes. Ability to work directly with PeopleSoft developers to achieve funct

Job Summary Our company is seeking a highly organized and detail oriented Manager of Administration to oversee the daily operations of our office. The ideal candidate will have strong communication and leadership skills, be able to manage multiple tasks and priorities, and maintain a positive and professional work environment. Key Responsibilities Manage and oversee the d

Instruct/Train technicians in all aspects of generator repair and installation Develop and present technical training curriculum Write and review technical documentation such as owner, installation, diagnostic and flat rate manuals and service and training bulletins Establish warranty flat rates for new product prototypes Work with internal departments to fabricate traini

Counsel facility managers on employee relation issues through the consistent and equitable application of company policies and procedures; assist in the resolution of employee complaints, grievances, etc.; conduct investigations. Manage recruitment efforts within the assigned facilities; partner with facility managers to assess workforce planning needs. Determine recruitm

Facilitate consistent backend support to recruiters, business unit manager, and marketing lead. Utilize recruiting tools such as social media; job boards (CareerBuilder, ClearanceJob, Monster, etc.); company website; company database and other sources to find top talent. Post,and maintain, job postings on the various recruiting tools. Use "outside the box" sourcing techni

Company Description We help job seekers and career changers prepare for and advance in careers with a focus on sustainable, high growth, high demand industries. Our committed and well trained workforce professionals deliver comprehensive workforce solutions at integrated career centers, sector focused centers and community, and partner sites. Job Description Working with s