Routine treasury and corporate finance support. Supports Sr. Director, Treasury & Tax with all treasury and tax related activities. Manage banking relationships. Determine the daily cash position and manage account transfers, wire transfers and ACH transactions. Prepare quarterly debt compliance package. Prepare short term and long term cash forecasts and analyses. Suppor

Manage the medical necessity review of acupuncture services. Performs medical necessity review of requested services from network and non network Acupuncture practitioners. Conduct timely, accurate, and (inter and intra ) consistent reviews in order to verify and approve medically/clinically necessary and appropriate care and services for our health plan members. Effectiv

Work incoming requests from end users via telephone, e mail and the ticketing system in a courteous manner. Log all Service Desk interactions in our ticketing system. Daily review of open or escalated tickets; review/update/follow up/close open or escalate tickets. Work cooperatively with fellow IT members to create and maintain a knowledge base for systems use and develo

Coordinates intake, navigation services, and administrative support for Virtual Physical Therapy and Fall Prevention program Receives and responds to telephone calls, greeting members with a courteous, welcoming manner and offering an introduction and pertinent information. Utilizes defined criteria to determine member qualification for applicable programs. Gathers detail

Processes claims accurately and efficiently. Reviews all incoming claims to verify necessary information. Determines that correct member and provider records are chosen and utilized to process claims. Enters claims data and information into the computerized Claims Processing System. Maintains all required documentation of claims processed and claims on hand. Adjudicates c

Prepares monthly, quarterly, and annual financial statement reporting packages and presentation materials (including Balance Sheet, Statement of Operations and Comprehensive Income, Statement of Shareholders Equity, and Statement of Cash Flows) for internal and external use. Prepares annual financial statements and footnote disclosures in accordance with U.S. GAAP and/or

Identifies and develops sales leads Develops and implement comprehensive sales and marketing strategies to meet sales objectives in assigned territory and business objectives for retention and growth. Develops, executes, and drives ASH's Clinical Programs sales distribution through health plan and other sales channels. A poised professional who makes a highly positive fir

Interfaces with various practitioner types to promote American Specialty Health and to execute practitioner contracts. Makes outbound telephone calls to prospective practitioner types. Meets the minimum required outbound calls per day and per week, as specified by management. Utilizes contact management database. Adheres to standards and practices as outlined in the Pract

Outreach and educate contracted practitioners to ensure compliance is met. Conduct regular Access to Care Surveys to ensure compliance with regulatory and health plan requirements. Outreach to practitioner network of practitioners who have not validated their demographics in order to meet regulatory requirements. Conduct audit to confirm current directory listing informat

Answer incoming calls in a professional, accurate, timely and courteous manner. Ascertain the nature of the call and record information in the Communication Log. Look up member information using proprietary ASH systems and provide information to the caller. Forward logs requiring further research to the appropriate department. Transfer callers to the appropriate queue if

Leading a portion of a growing DevSecOps engineering team. Develops project plans, specifying goals, strategies, resource allocation, and scheduling. Coordinates activities of DevSecOps engineers to ensure goal achievement within identified timeframes. Researches and evaluates technology and processes; makes recommendations to improve team performance, productivity, and s

Maintains existing and develops new mapping across a variety of file types, manages inbound file/data processing, develops new files/reports. Manages a range of EDI transactions including enrollment, benefits, claims, and financial transactions. Independently develops and reviews mapping and translations between data elements for file feeds. Leads the implementation of ED

Reconciles, resolves, and researches 2 step claims and payments to ASH. Receives and sorts incoming mail including paper EOBs, faxes, Interoffice Mail, and Health Plan letters. Downloads electronic EOBs from Health Plan Portals. Count and scan EOBs and Health plan letters for distribution and track counts into daily inventory. Manually reconciles claims for payment from H

Leads writing staff. Manages team of writers/editors, content managers, and content specialist(s) within marketing Sets goals and objectives for staff that ladder up to company goals. Assists staff in resolving issues. Evaluates staffing needs; responsible for hiring as needed. Coaches, counsels, and trains staff; promotes staff engagement. Works with the Senior Vice Pres