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The Contractual Eligibility Consultant is responsible to research and validate enrollment information, processing enrollment transactions, make outbound calls to enrollees and members to obtain required enrollment information, handle member inquiries and participate in enrollment projects. The Contractual Eligibility Consultant will support training initiatives and work to resolve member inquiries or concerns
This position will consist of mail handling, shipping/receiving, mail distribution and package distribution. The manager is looking for someone with shipping/mail experience and Office experience will help as well (Microsoft Outlook and Teams specifically). The candidate must be able to lift up to 50 pounds.
Must be comfortable learning to operate a wide range of bindery equipment. We generate multiple outbound shipments daily. No individual box exceeds 50 lbs, though there may be several boxes per shipment. We have equipment operated from a standing position and have outbound packages to lift.
Location - Holland, Michigan. responsible for pulling parts from pick lists and placing incoming stock in the appropriate location. Responsible for packaging and shipping parts and fulfilling warehouse orders, including creating parts for overseas shipment. frequent use of a forklift requires the ability to operate a tape measure accurately and build crates suitable for international shipping
Location : Fairfield, OH The Manufacturing Quality Engineer is responsible for ensuring product and process quality within one or more production sectors. Key duties include implementing process control plans, conducting FMEAs and process audits, leading root cause analysis and containment actions, and driving continuous improvement initiatives. The role also involves maintaining quality documentation, ensuring compliance with standards, and serving as the local quality expert. The engineer works closely with production teams to minimize risk, improve customer satisfaction, and enhance overall manufacturing quality.
Work location – on-site in Plainsboro, NJ Work hours – 8:30am to 5pm (flexible) For the 1 manufacturing engineer replacement position (Manufacturing Engineer III), the top 3 skills are: 1. Ability to prepare and execute complex technical reports, project summaries, and correspondence 2. Experience with change controls, particularly labeling or packaging changes. 3. Excellent Communication with ability to work well in a team environment
Location: Remote in EST Time zone. •Works with internal staff across multiple departments to assist with data sources, processes and activities required to meet regulatory compliance requirements with a key focus on Utilization Review (UR) /Utilization Management (UM) • Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer. •Data gathering requires navigation through multiple system applications. •Prior experience in performing data collection is preferred.
Location: Miami Dade, FL (ZIP CODES: 33010, 33012, 33013). Must be fluent in speaking Spanish, be able to have a full conversation The Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. The Case Management Coordinator will effectively manage a caseload that includes supportive and complex members. Develop a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration. Case Management Coordinators will determine appropriate services and support due to members’ health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and support.
Location: Franklin, TN (Hybrid). Responsibility for taking about 50 to 75 calls a day. Work with a team of specialists dedicated to one of our manufacturers to provide reimbursement support services. Have direct interaction with the manufacturer client to provide case statuses and updates.
Location: Trenton, NJ The care manager is responsible for assessing and evaluating members with potential care management needs through telephonic and face to face assessments in various settings, including the member’s private residence, hospitals, behavioral, and long-term nursing facilities. The care manager establishes a cost effective and member centric care plan in collaboration with the member, authorized care givers, and providers.