policies & protocols. REQS: Req Bach dgre, or frgn eqiv, in Comp Science, Comp Engnring or rltd fld & 6 yrs of prgressively rspnsble, post-bac exp as Systms Alyst, Sftwre Engnr, Sr Dvlpr, Archtect, or rltd pstn invlvng dsgning & dvlpng sclble sftware apps. 6 yrs of exp must incld: Alyzng techncl reqs & issues to dvlp robust sltions to supprt busnss rquests; Actimize Integrated Fraud Management Analytics Intelligence Server (AIS) & Risk Case Manager (RCM); Oracle SQL/PLSQL; AGILE methodology & agile/scrum prjct mngmnt sftwre incldng JIRA, Confluence & ALM; UNIX/LINUX knowledge for wrking on AIS/RCM server side & scrpting; Java &J2EE for developing & updtng utilities & plug-ins in apps; Spring
Boot & Cloud Computing for integration with digital & front end apps; & Splunk & Appdynamic for monitoring & troubleshooting complex data flows.
Salary range: $148,000 to $156,900/yr; 40 hrs/wk.
Applicants submit resumes at jobs. / or by email to Citigroup Recruiting Dept. at xyz X@. Please reference Job ID #23708912. EO Employer. recblid m64lopsg7otebw4r90owbljq620ycf PDN-9ad1ce6e-6df8-43db-9c83-dfcd483e73b7
in accordance w/ Citi policy. Req'mts: Bach's, or foreign equiv, in CS, Electronic Eng'g, Info Sys's, or rel field, & 6 yrs exp in job offered or rel occupation. 6 yrs exp must incl: Supporting & maintaining ISO Standard Communication formats for Visa & Mastercard (ISO 8583 - 1987); Dvlpg & maintaining AES Encryption Standard Protocol.
40 hrs. /wk. Sal range: $137,700 - $156,900/yr. Apps submit resumes at jobs. / or email Citigroup Recruiting Dept. at xyz X@. Ref Job ID# 23697290. EOE. recblid 4yy5b1htl1idz9daainufawwvxt2ws PDN-9ad1ce8c-abe3-4ff0-b0b0-193b15d29fc6
managed care networks and government payors that the organization is contracted with, or has an agreement with, for the reimbursement of services. This position has continuous contact with internal and external customers, including physicians and other healthcare providers, administrators, support staff and network representatives.
Additionally, this position is responsible for communication provider participation information to stated internal and external customers through established processes to allow for appropriate patient scheduling and reimbursement for services rendered. Schedules/cancels/reschedules and confirms patient appointments with courtesy, providing assistance and information
as needed. Accurately complete the enrollment/ re-enrollment processes as outlined by each network/area for all appropriate healthcare providers. These will be identified through department policies, network reimbursement and delegated contracts to ensure timely and continued provider network participation.
Maintain detailed provider enrollment files in electronic format, including electronically received documents and scanned hardcopy documents, while appropriately following each stage of the enrollment/re-enrollment process thoroughly and respecting Nemours process for PHI. Accurately maintain all internal systems with the appropriate provider and network participation information.
Systems including, but not limited to, ECHO, Excel, PET Tracker, i Guide, Qliksense, the NPL tracker, internet, Outlook and word processing.
Performs follow up with health plans and their representatives in order to expedite participation approval by each health plan. Develop and maintain good working relationships with Nemours providers and support staff to obtain necessary and timely information and to facilitate the provider enrollment/re-enrollment process. Develop and maintain relationships with Network Representatives in order to facilitate the provider enrollment/re-enrollment processes. Responsible for sending enrollment applications to providers, as appropriate, in order to maintain signatures and demographic information.
Work collaboratively with fellow team members to create, evaluate and maintain department workflows, processes, policies and systems. Additionally, eavh team member is expected to cross train on plan requirements to assist one (or more) other team member in completing assigned duties. Will assist with special priority projects and other miscellaneous duties and responsibilities, as assigned my employee's supervisor or department leadership. Job Requirements Associate Degree or equivalent work experience in the field of provider enrollment or similar field required.
Minimum one (1) year of experience required. PDN-9acfc2d0-f-80b900a32a33
