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Telesales Executive

Researches and calls target companies on a high volume basis focusing on speaking to director level or higher. Uncovers and secures new lead sales opportunities by outbound calling potential new clients. Sources and closes new corporate deals.: Develops and manages a contact database, manages campaigns, analyzes industry sectors, and researches targets. Builds relationships with clients and sells and up sells products and/or services depending upon their business needs. Works closely with staff to achieve closure on new and existing accounts. Provides motivational sessions and training for staff to achieve daily call targets and improve productivity. Provides and maintains a record of activities, figures, forecasting, and any other records which may be required in order to keep up-to-date records of sales and performance. Provides a high level of internal and external customer care. May generate appointments for internal sales team, calling leads generated from registrations and marketing activities.

Associate Medical Director

Supports the direction and coordination of medical affairs to include quality management, utilization management, case management, and preventive health services. Provides direct assistance to the Medical Director. Requires a medical degree from an accredited medical school and a license to practice. Experience in a managed health plan is typically desired.: Reviews and makes determinations on all questionable physician review decisions. Assists in the development of clinical practice guidelines or case management guidelines. Participates in the review and approval of inter-rater reliability monitoring. Provides medical input into the development of preventive health, quality improvement, and utilization management activities. Assists with the analysis of provider profiles to identify areas for improvement. Serves as an interface in professional or institutional matters between the plan and its providers. May conduct provider profile consultation visits.

Pharmacy Associate

Assists Pharmacists in filling orders, checking prices, and stocking shelves in a retail pharmacy establishment. Serves customers at a pharmacy counter and processes purchases. Typically requires on-the-job training.: Takes customer orders, delivers customer orders, computes charges, handles payment, and enters data in computer. Cleans equipment and sterilizes glassware according to prescribed methods. Types and files reports and completes forms as directed. Assists in receiving and storing supplies, stocking shelves, checking prices, and maintaining inventory.

Credentialing Associate

Provides technical and clerical assistance to facilitate effective and efficient operation of the provider credentialing function.: Coordinates and performs enrollment of assigned providers and physicians in appropriate health plans to ensure satisfaction of the health plan requirement for acceptance. Reviews and processes provider applications and determines eligibility by applying NCQA, JCAHO and URAC standards as related to the network. Performs primary source verification for initial and re-credentialing of assigned providers utilizing NCQA and other federal and state regulatory requirements. Analyzes and resolves basic provider issues relative to credentialing, enrollment, billing and payers. Communicates with providers regarding credentialing status and information. Creates and maintains participating provider or practitioner credentialing files. Reviews and analyzes provider file changes. Creates practitioner profiles for re-credentialed practitioners. Prepares and sends application packets to participating providers and facility applicants, requesting the return of basic credentialing information. Reviews applications for completeness and assists the applicant in completing the application. Prepares routine credentialing reports. This position typically requires a experience sufficient to provide a working knowledge of NCQA and JCAHO.

Actuary (Associate)

Engages in actuarial sciences, statistics, principles of finance, and business to problems in life, health, social, and casualty insurance, annuities, and pensions. The Associate level performs more complex actuarial studies and has demonstrated greater professional competence by completion of additional examinations. The Associate level generally requires five to seven years of previous experience at the Enrolled actuary level and completion of a series of examinations required for the professional designation of an Associate.: Determines mortality, accident, sickness, disability, and retirement rates; constructs probability tables regarding fire, natural disasters, and unemployment, based on analysis of statistical data and other pertinent information. Designs or reviews insurance and pension plans and calculates premiums. Ascertains premium rates required and cash reserves and liabilities necessary to ensure payment of future benefits. Determines equitable basis for distributing surplus earnings under participating insurance and annuity contracts in mutual companies. Forecasts financial outcomes using pricing, analysis, and risk assessment.

Associate General Counsel

Provides general legal support and advice for a corporation, as directed by the General Counsel, through timely responses to inquiries and requests. Negotiates agreements with key strategic partners. Serves as a subject matter expert to the Law Department, Compliance, Government Relations, and other business units.: Negotiates contracts and performs legal analysis and drafting. Advises and counsels senior business clients in connection with sales practice issues and other issues. Reviews applicable statutes and regulations. Assists with the preparation of responses to various regulatory inquiries. Supervises and manages regulatory examinations conducted by external agencies. Prepares and reviews registration statements of business development companies. May manage and obtain licenses in various states. May collaborate with business partners on healthcare insurance issues and healthcare regulatory issues. May prepare and report corporate information to the SEC. May collaborate with a team of legal professionals.

Health Data Analyst Associate

Develops and maintains clinical software applications. Designs, produces, and analyzes health data reports. This position is an entry-level analyst position but typically requires a college degree and familiarity with computer information systems.: Analyzes, develops, and maintains computer applications, procedures, and other systems that satisfy the needs of the clinical user departments. Assists in developing design work, including testing and documentation. Designs, produces, and analyzes specific health care reports. Reviews, evaluates, and implements requests from clinical user departments. Assists in monitoring computer applications to ensure proper use and security. Analyzes problems, determines causes, and initiates corrective action. Assists in the development of clear and concise documentation and instruction manuals. Coordinates and installs new software applications with user departments. Maintains a high level of interaction with all clinical areas to continually enhance and improve patient care.

Account Installation Specialist Associate

Administers the installation of assigned accounts under general direction including, but not limited to, structure and billing setup, eligibility collection, database loading, and preparation of plan materials, such as administrative documents and customer education materials.: Provides support to assigned accounts by responding to inquiries and resolving issues of concern. May provide guidance or expertise to less experienced representatives.

Cashier Associate

Receives cash, personal check, or charge or debit card for payment of food, rent, property, deposits, fees, accounts receivable, or other goods and services. Operates cash register, scanners, and computers to itemize and total customer's purchases.: Records prices, subtotals taxable items, and totals purchases on cash register. Collects cash, check, or charge payment from customer and makes change for cash transactions. Checks identification when required by transaction. Checks and verifies to note price changes. Counts money in cash drawer at beginning and end of work shift. Ensures accuracy of collection and disbursement of funds. May open and close cashier window. May record daily transaction amounts from cash register to balance cash drawer. May cash checks. May use electronic scanner to record price. May collect and issue refunds.

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