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Responsible for assisting management with organizational projects. Focus on meeting project commitments, including communication with stakeholders and senior leadership. Support management in the administration of projects that involve business development, branding, strategic planning, performance monitoring, corporate planning and employee recognition. Identify issues a
Posted 2 days ago
Position Purpose As a member of the Palmetto GBA Auditing team, you assist in the execution of financial, compliance, and operational audits, including the evaluation of internal controls. You will also audit various activities associated with plans and policies. You will recommend corrective action plans when appropriate and prepare/submit audit findings. You could be th
Posted 4 days ago
Prepares and revises automated cost report data files to incorporate audit adjustments and to ensure that cost reports meet all requirements for acceptance. Processes original filing and settlement cost reports. Description Logistics This role is located on site 3021 Montvale Drive, Suite D Springfield, IL 62704 . This position is full time (40 hours/week) Monday Friday.
Posted 4 days ago
Provides financial reconciliations and reports/analysis of Medicare Trust Fund activities to support government requirements. Prepares/documents complex financial analysis projects following standard practices and procedures. Extracts financial data from various accounting and information systems. Performs financial analysis of data. Description Logistics This role is loc
Posted 4 days ago
Functions as the team lead and subject matter expert for a claims area. Responsible for creating reports, distributing workload and training new employees. Description CGS is now hiring full time work Lead Claims Processor with a competitive starting salary in the government healthcare industry. CGS Administrators, LLC "We IMPACT Lives." Is our mission which ties directly
Posted 4 days ago
Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. Description In this position you will Responsible in the provider enrollment process to review, research, analyze, and process provider enr
Posted 6 days ago
CGS Administrators LLC
- Nashville, TN / Columbia, SC
Responsible for the accurate and timely processing of claims. Description Job Description CGS is now hiring full time work Claims Processor I with a competitive starting salary in the government healthcare industry. CGS Administrators, LLC "We IMPACT Lives." Is our mission which ties directly into our company's vision. "To IMPACT the future of our communities and nation b
Posted 6 days ago
Are you looking to be a part of a great professional team working in a fast paced environment where you will be valued and can make a difference? Do you enjoy working on system access control? How about vulnerability management? Risk determination? Security architecture? Or Maybe you like finding a solution to a problem while being innovative? How about all of these and m
Posted 9 days ago
Are you looking to be a part of a great professional team working in a fast paced environment where you will be valued and can make a difference? Do you enjoy working on system access control? How about vulnerability management? Risk determination? Security architecture? Or Maybe you like finding a solution to a problem while being innovative? How about all of these and m
Posted 9 days ago
We are hiring a Provider File Specialist II! In this role you will be responsible for the maintenance of all provider files through assignment and enrollment on specified provider systems/databases. In addition, you will be responsible for running various queries for reporting on corporate, division, and department levels Description Logistics This position is full time (
Posted 9 days ago
Performs non medical reviews and processes redetermination letters. Description CGS Administrators provides a variety of services, under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, health care providers, and medical equipment suppliers in 33 states, supporting the needs of more than 20 million Medicare beneficiaries nationwide. W
Posted 10 days ago
Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources. Flexible in office/remote work schedule. Description What You'll Do Conducts internal and external timely operational, compliance, and financial audits of divisions, d
Posted 13 days ago
Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists with sophisticated data interpretation, compilation, and verification to guide departmental efforts. Description What You'll Do Designs, codes, maintain and executes simple to complex database p
Posted 13 days ago
Leads staff responsible for the design, coding, maintenance and execution of database programs for the extraction, analysis, and presentation of data for standard and ad hoc reporting. Initiates, designs, codes and executes complex statistical analysis programming and sophisticated statistical interpretation, compilation and verifications to guide departmental efforts. Id
Posted 13 days ago
Utilize innovative and effective data mining techniques to search and analyze data for useful patterns and/or relationships used to identify aberrant supplier billing behavior. Provide guidance in designing new metrics for reporting. Standardize and implement process improvements for reporting across lines of business (LOBs). Contribute to reduction of necessary risk mana
Posted 13 days ago
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