LogoFresh Jobs Ahead
Highmark Health
Highmark Health
H1B vizasi homiysiKonsaltingLogistikaSug‘urta
Highmark Health odamlarning tibbiy yordamni qanday qabul qilishi va undan qanday foydalanishini yaxshilashga e’tibor qaratadigan sog‘liqni saqlash tashkilotidir. Uning faoliyati tibbiy xizmatlarni ko‘rsatishni qo‘llab-quvvatlaydigan klinik xizmatlar, texnologiya, moliya, marketing va boshqa funksiyalarni qamrab oladi. Blue Cross Blue Shield Association’ning mustaqil litsenziya egasi sifatida kompaniya sog‘liqni saqlash tizimini rivojlantirishga yordam berish uchun turli sohalardagi keng doiradagi mutaxassislarni birlashtiradi. Highmark Health xilma-xillik, tenglik va inklyuziyaga ham katta ahamiyat beradi hamda nogironligi bo‘lgan shaxslarni qo‘llab-quvvatlash va harbiy xizmatchilar uchun qulay ish beruvchi sifatida e’tirof etilgan.
LinkedIn
Kompaniyadagi ish o‘rinlari

Credential Delegation Analyst - Pennsylvania Remote

Credentialing analyst responsible for Highmark Health’s delegated healthcare credentialing programs, including oversight audits, compliance records, corrective action plans, and regulatory reporting.

USAmerika Qo‘shma ShtatlariPAPensilvaniya
23 $ – 35 $ / soat
MasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaTahlilchi

Tavsif

  • Manage the delegated credentialing program in line with GHP, NCQA, and regulatory agency requirements
  • Maintain delegation policies, procedures, and compliance records
  • Coordinate and assess pre-delegation reviews and annual oversight audits
  • Track recommendations and associated work plans
  • Maintain delegation agreements
  • Implement GHP programs
  • Support resolution of credentialing-related issues
  • Provide daily oversight of credentialing delegates
  • Create monitoring processes to measure performance against contractual standards and expectations
  • Identify process improvements and obstacles
  • Create and track delegate corrective action plans
  • Produce reports on delegate performance, issues, deficiencies, and recommendations
  • Establish communication procedures with other GHP departments
  • Confirm required data is collected and submitted
  • Review reports for timeliness
  • Create reports in response to special requests
  • Participate in delegation, GHP Committee, and relevant external meetings
  • Complete additional assigned duties

Talablar

  • High school diploma or GED
  • At least three years of healthcare or managed care experience
  • At least three years of practitioner or provider credentialing and re-credentialing experience
  • At least three years of experience applying NCQA and other regulatory standards
  • Ability to travel
  • Bachelor’s degree preferred
  • Certified Provider Credentialing Specialist (CPCS) certification preferred

O‘xshash ish o‘rinlari

Sikla GmbH

Customer and Sales Support Specialist

Sikla GmbH
501 – 1 000 Xodimlar
Ishlab chiqarishKonsaltingLogistika
GBBuyuk BritaniyaOfisdaTo‘liq stavkaJuniorO‘rta darajaDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaMijozlarni qo‘llab-quvvatlash
ERP

Support Sikla UK’s technical modular support systems business in Milton Keynes, handling customer and sales enquiries from quotation through delivery. Coordinate orders, documentation, logistics, and ERP administration with customers and internal teams.

Ochish
Newstel Worldwide

Part-Time Danish-Speaking Customer Service Agent (Portugal, Remote)

Newstel Worldwide
201 – 500 Xodimlar
KonsaltingLogistikaMarketing
PTPortugaliya
11 € – 14 € / soat
MasofaviyYarim stavkaJuniorO‘rta darajaDiplom talab qilinmaydiTalab Qilinadigan Til: danTalab Qilinadigan Til: inglizchaMijozlarni qo‘llab-quvvatlash

Provide remote customer support in Danish for Newstel’s multilingual BPO customers while meeting service and quality targets. This part-time role covers email, chat and phone enquiries from Portugal.

Ochish