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Communicates with Recovery Manager or assistant team manager regarding any training or job knowledge issues or any other concerns that may arise on the job Seeks to identify process improvements to increase the value of service provided to the client Performs other duties as assigned SKILLS & ABILITIES Strong analytical skills, possesses excellent skills in verbal and written communication Dem
Posted 1 day ago
The Auditor is responsible for closing the required number of audits per day based upon the audit type with a 100% quality score. The Auditor investigates claims data to identify overpaid/incorrectly paid claims and initiates the recovery of that money for our clients. The position requires extensive online research in clients’ claims systems, internal research materials, internet resources
Posted 1 day ago
Excellent communication skills. Strong working knowledge of Microsoft Office. Must be detail oriented with the ability to multitask in a fast paced office environment. Strong data entry skills and ability to work independently. Ability to maintain professionalism and discretion when dealing with confidential information. Desired Skills and Experience 1 + years of administrative experience or equiv
Posted 1 day ago
Assist in the development of the process/procedures for recovery of over payment of high cost/specialty drugs claims. Assist in the research and testing of queries to refine the auditing process. Identify potential recoverable claims and perform investigations to determine if claims are billable. Assemble complete and accurate claims consistent with policies and procedures for submittal to medical
Posted 2 days ago
This individual will be responsible for their client groups’ recruiting and day to day employee relations. Must be professional and able to interact with upper level management. Candidate has the responsibility of maintaining compliance, policies and procedures. Must be articulate both verbally and with written skills. ESSENTIAL DUTIES & RESPONSIBILITIES Division partner responsible f
Posted 3 days ago
The Legal Operations Manager (LOM) is charged with optimizing and maintaining Rawlings & Associates internal processes, systems and tools.The LOM ensures that the Legal Department is well set up to operate at scale and maximum effeciency . You are entrepreneurial, proactive and highly organized. You act as an internal consultant, working with clients to design and execute projects and lead a t
Posted 4 days ago
Want to control your own destiny with no limit to your monetary goal? The Rawlings Group is looking for candidates like you!!! ADDING 100 NEW POSITIONS IN 2019 The Rawlings Group is the national leader in data mining and recovery services for health insurance plans across the country and the industry leader with 1,500 employees. ON SITE CAREER FAIR Saturday, November 10 th 10am &nda
Posted 4 days ago
JOB SUMMARY (All candidates must be available for onsite interview) Under the direction of the Manager of the Data Integrity Group, the ETL (Extract, Transform & Load) Developer will design, develop, test, and implement ETL and reporting programs for the Data Integrity Group to provide business solutions for The Rawlings Group. ESSENTIAL DUTIES & RESPONSIBILITIES Work with customers, manag
Posted 4 days ago
Under the direction of DMG Management and/or the AVP of Data Mining, this person will be part of a cross functional team building and delivering innovative products. This position will allow the team member to identify complex problems, review related information, research alternatives and develop solutions to unique problems. The ideal candidate is someone that is not afraid to ask questions and
Posted 8 days ago
Contact employer groups on behalf of Auditors to obtain employment verification and group size information. Enters updated data regarding group restrictions and blocks in the Group Restriction database. Completes special projects. The ability to work at our Facility and maintain our regular work schedule of Monday through Friday, 8 00 – 5 00. OTHER DUTIES & RESPONSIBILITIES Performs ot
Posted 10 days ago
Work with customers, manager and other Software Developers to understand requirements for simple to complex business systems required by group. Work with other IT staff to develop technical specifications based upon functions specs as created. Develop or participate in development of systems using .Net architecture with Visual Studio 2010/2012 in C#. Follow typical systems development life cycle p
Posted 11 days ago
If you're looking for a career and not just a job....................
Posted 14 days ago
Under the direction of the Manager of Technical Services, the Database Administrator operates in an environment that is Microsoft Windows 2000/2003/2008 servers running Microsoft SQL 2008/2014/2017 . ESSENTIAL DUTIES & RESPONSIBILITIES Analyze and sustain capacity and performance requirements Monitor systems and platforms for availability and performance Analyze, consolidate and tune databa
Posted 14 days ago
Support business units by performing all quality control testing to ensure no adverse impact on customers, financials, operations or systems. This position may include quality assurance testing for business application and support for other Business Units as required. Candidate must have experience with Agile Development Method, TFS, MS Visual Studio and automated testing abilities. Writing a SQL
Posted 21 days ago
If you're looking for a career and not just a job................
Posted 22 days ago
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