Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Third Party Healthcare Liability Manager

Expired Job

Conduent Cheyenne , WY 82003

Posted 6 months ago

Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve.

We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world.

Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning - Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at www.conduent.com.

Purpose:

  • Responsible for providing professional and analytical support to medical services programs, including implementation, operation and contract compliance (e.g., Medicare); Utilization Review; Condition Management; Health Care Coordination; Case Management; Insurance Claim Administration; Pharmacy Services; Medical Services; Collection Services; Negotiates liability settlement of medical claims with third parties or healthcare providers; seeks reimbursement from healthcare providers and/or ensures payment of claims by appropriate insurance carrier.

Scope:

General:

  • Adapts departmental plans and priorities to address resource and operational challenges

  • Requires in-depth knowledge and experience

  • Decisions are guided by policies, procedures and business plan; receives guidance from manager

  • Generally domestic accountability

Candidates with Benefits, Claims, Healthcare, and Insurance Management experience STRONGLY encouraged to apply.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form.

'1814848


upload resume icon
See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Assistant Manager

Craftworks

Posted 1 week ago

VIEW JOBS 1/7/2019 12:00:00 AM 2019-04-07T00:00 Job Description Exempt Position Position Title: Assistant Manager Reports to: General Manager Summary: Provide exceptional Guest experiences every visit through direction and leadership of the Front of the House. Partner with management team to ensure high standards of Guest service and profitability while strictly adhering to the policies and procedures of Craftworks Restaurants & Breweries Group, Inc. Essential Duties and Responsibilities: * Execution of daily restaurant operations including supervision of the hourly Team Members. * Assist General Manager with execution of marketing initiatives. * Support all FOH operations including systems adherence, health inspections, order guides, sales services, quality control of beer, and food order safety and sanitation. * Oversee presentation of food to ensure food is prepared and presented to CraftWorks specifications. * Monitor compliance with health and safety regulations regarding food preparation and serving. * Properly maintain building, equipment and supply levels through contacting the correct companies/contractors for any daily restaurant repair or maintenance issues, and utilizing basic maintenance skills. * Promptly and professionally handle Guest complaints/comments to ensure timely Guest recovery. * Ensure a safe working and Guest environment to reduce the risk of injury and accidents; completes accident reports follows procedure promptly in the event that a Guest or Team Member is injured. * Communicate all team member issues/complaints to management team in a professional manner through manager meetings and/or proper utilization of the digital manager log. * Sign off FOH Team Members at the end of their shifts. * Follow and understand company procedures at all times including crisis situations (e.g., Workers' Compensation and General Liability Claims). * Ongoing completion of Manager in Training projects as assigned. * Assisting the General Manager in ensuring the success of all programs and systems such as the MIT program, hourly training, certified trainer, RISE. * Assist Management Team in writing hourly Team Member schedules based on the budget. * Support General Manager in ensuring that all financial (invoices, reporting), HR, and Payroll administrative duties are completed accurately, on time, and in accordance with company policies and procedures. * Strictly follow company cash handling procedures and ensure the proper security procedures are in place. * Communicate with General Manager to ensure proper monitoring weekly expenditures, invoice entry and coding, determine accurate sales projections, manage food, labor, and supply costs while meeting or exceeding budget. * Other duties as assigned by Regional Manager, General Manager, or Operations Leadership. Knowledge, Skills & Abilities: * Guest Service - knowledge of principles and processes for providing Guest services. This includes active listening, Guest needs assessment, meeting quality standards for services, and evaluation of Guest satisfaction. * Effective communication skills. * Aptitude for driving sales through cultivation of new Guests and retention of current Guests. * Menu, Food and Beverage Preparation Knowledge - in order to properly prepare food and beverages. * Coaching & Performance Management - ability to motivate, develop, direct Team Members as they work. * Ability to analyze information and adhere to a financial budget/P&L through utilizing math skills and reading comprehension. * Ability to make appropriate decisions in a fast paced environment (e.g., assign breaks, cut staff appropriately, side work, etc.). * Memorization - ability to memorize floor plans and pivot points. * Working knowledge of all restaurant equipment, and local and national health codes. * Time Management- ability to manage individual's time and the time of others. * Able to utilize programs such as Ctuit, Aloha POS, Excel, Word, and Outlook. Education & Experience: * Minimum of 1 year working in restaurant environment required. * Restaurant Management experience preferred. * 2 year Hospitality degree preferred. * Must be 21 years of age or older. Performance Standards: * Meets or exceeds budgeted financial performance. * Upbeat and professional image, maintains positive attitude with self, Guests, and Team Members. * Adheres to Policies and Procedure set forth in Handbook including Appearance Standards. * Maintain satisfactory OSAT scores for restaurant. * Maintain acceptable Brand Standard Audit Scores. * Maintain prompt and regular attendance. Working Conditions: * 100% Walk and stand * 90% Communicate with Guests and Team Members * 50% Operate cash register, Point of Sale system, and cash handling * 25% Reach, bend, stoop, wipe and lift up to 50 pounds. * 50+ hours per week, typically 2 days are scheduled off but rarely consecutive. Training Requirements: * Successful completion of alcohol and food certification (ServSafe) and/or other required classes by state within 60 days of employment. * Successful completion of the CraftWorks Manager in Training program often at store or nearby location. Craftworks Cheyenne WY

Third Party Healthcare Liability Manager

Expired Job

Conduent