You will oversee the Quality Assurance, Grievances & Appeals, and Fraud, Waste & Abuse teams at SIHO Insurance Services. This role involves managing operations and ensuring compliance with regulations in a remote setting.
Details
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Columbus, IN, remote work available
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3-5 years experience in a managed care environment
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B.S. degree or equivalent work experience in healthcare operations
The work
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Supervise and manage the Quality Assurance, Grievances & Appeals, and Fraud, Waste & Abuse teams
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Monitor and improve grievances and appeals processes for compliance
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Analyze department data in Excel to identify trends
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Interact with customers and external stakeholders as needed