Facilitate the timely, complete, and accurate execution of concurrent internal and external audit and regulatory engagements by (1) coordinating and tracking requests, (2) gathering relevant evidence from authoritative sources, and (3) reviewing evidence to confirm it meets the request's requirements prior to submission Assist in fact finding, data analysis, and supportin

include, but are not limited to Serves as the first point of contact to direct and/or respond to incoming communications from other departments within the bank as well as internal & external customers. Manage the ticket & email inbox correspondence for BSA & Fraud Manage the Fraud Support Hotline. Monitor newly established customers and accounts to ensure compliance. Perfo

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. The Bank Operations Fraud Specialist II, as a member of the Debit Operations Team that supports the processing for all bank's transaction channels, is responsible for performing a wide variety of bank operational duties in

Apply knowledges / skills to activities that often vary from day to day Demonstrate a moderate level of knowledge and skills in own function Make outbound calls to members who are eligible to participate in one of our Health Management coaching programs Receive inbound calls to enroll members & / or provide customer service Require little assistance with standard and non

Who We Are is a leading not for profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active du

1. Conduct pre closing/pre funding reviews for loan files to assure all documentation has been received, ensure the loans are within policy and procedure guidelines, and are complete and accurate; identify exceptions by entering on tracking system. 2. Work closely with insurance agents and lending staff to resolve any loan file or customer issues. 3. Track flood insurance

Educate providers to ensure they have the tools they need to meet quality, risk adjustment, growth (as appropriate), and total medical cost goals per business development plans Ensure providers have in depth understanding of WellMed Model of Care to include, but not limited to, contractual obligations, program incentives, and patient care best practices Conduct detailed a

At Zelis, we're seeking a Network Account Manager to spearhead the management of key leased network partner relationships within an assigned portfolio. Your primary focus will be on ensuring client retention, pinpointing growth opportunities, and optimizing revenue streams. Collaborating closely with our VP and Director of Network Solutions, as well as the broader Busines

Educate Providers to ensure they have the tools they need to meet Quality, Risk adjustment, growth (as appropriate) and Total Medical Cost goals per business development plans Ensures Providers have in depth understanding of WellMed Model of Care to include, but not limited to, contractual obligations, program incentives and patient care best practices Conduct detailed an

JOB TITLE Insurance Authorization Specialist (must be bilingual English/Spanish!) GENERAL SUMMARY OF DUTIES Responsible for obtaining managed care authorizations and verifying patient insurance benefits. Analyzing utilization data from health plans' claims as required. Maintains optimal patient, referring physician and insurance company satisfaction. SUPERVISION RECEIVED

The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.

The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.

Own the 911 Operating Procedures and associated Compliance Manual Develop, implement, and improve upon processes in the evolving 911 environment Responsible for timely notifications and reporting of 911 events internal and external as required and defined by the FCC and regulatory bodies; including reporting of noncompliance of any portion of FCC mandated orders Handle hi

Manage, evaluate and optimize third party vendor relationships. Direct and support global retirement plans strategy and global financial wellness programs. Coordinate and oversee day to day retirement plan operations. Collaborate with other benefits staff to develop and enhance plan specific communications. Identify/develop best practices ensuring plan compliance and oper

If you have what it takes to become part of the Vistra family and would like to start a promising career with a global leader, take a look at the exciting employment opportunities that are currently available and apply online. Job Summary The Sr. Analyst CIP Compliance position will be responsible for providing leadership, independent compliance oversight, guidance, and d