17 jobs found in alaska

Gainwell Technologies LLC Summary HMS, a Gainwell Technologies Company   HMS is seeking a Claims Leader to oversee the activities of the Claims Specialists team to help support our Alaska Medicaid client. The Claims Lead works with Claims Supervisor and other leads in Claims Processing area in reporting inventories and strategizing process improvements. They assist in setting goals for the teams and monitor daily productivity. Your role in our mission •    Reviews daily production reports  •    Reports any production issues to Claims Supervisor •    Assigns daily work to Claims Specialists •    Assists employees with claims processing questions and issues •    Creates corporate required reports •    Is a first point of contact for claims processing questions from other departments •    Oversees the training of the new Claims Specialists •    Performs quality analysis of Claims Specialists daily production •    Creates quality analysis reports •    Assist Claims Supervisor in...

Gainwell Technologies LLC Summary HMS, a Gainwell Technologies Company HMS is hiring a Claims Supervisor who oversees the activities of the Claims, Mailroom, Data Entry, and Business Analysis teams to help us serve our Alaska Medicaid client. The Claims Supervisor works directly with account management in reporting inventories and strategizing process improvements. They set goals for the teams and monitor adherence to Service Level Agreements (SLAs). They must stay current with system and federal and state regulatory changes, implement necessary strategies, and process changes as necessary. This person is also responsible for establishing and maintaining a strong relationship with the client for these work areas. Your role in our mission •    Supervises the receipt, processing, calculation, payment, and reporting of monthly claims submitted by providers in compliance with contractual requirements, regulations, and agency policies and procedures. •    Supervises Claims...

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS , a Gainwell Company carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Summary HMS, a Gainwell Company HMS is hiring a leader to manage the daily activities of the Provider Enrollment team. The team consists of Provider Enrollment Analysts supporting the Alaska MMIS FA XIX account. The manager provides guidance to the analyst on enrollment requirements and problem resolution of concerns of...

Gainwell Technologies LLC is the leading provider of technology, services and solutions that are vital to the administration and operations of health and human services programs. Gainwell is a new company with over 50 years of proven experience, a reputation for service excellence and unparalleled industry expertise. We offer clients scalable and flexible solutions for their most complex challenges. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. Summary As a  Test Engineer you will be a part of an innovative healthcare technology company with a mission to serve the healthcare needs of our communities.  You will use your network testing and network management skills to drive the development of healthcare administration products used, and relied upon, by millions of patients.  Most importantly, you’ll have the chance to grow and develop as a professional through our exceptional development...

Gainwell Technologies LLC Summary HMS is hiring Quality Assurance Analysts (QAAs) who will be responsible for verifying that the various Functional Areas have appropriate Standard Operating Procedures (SOPs) and are completing their tasks accurately and within standards. The QAAs document their findings, works with Functional Areas leaders to resolve issues, provide input on process improvements, assists with updating documentation, and generate the Monthly SLA report and other analytical reporting   Job Description Essential Job Functions:  •    Evaluates work products to independently assess quality and reports findings. Assists in implementing recommendations as approved.  •    Plans, tracks, and coordinates audit support tasks, gathering data or other information requested for audits, and obtains all information necessary to present a complete and accurate audit response to clients.  •    Reviews internal department performance as determined by procedures and measured...

HMS a Gainwell Technologies Company is the leading provider of technology services and solutions that are vital to the administration of health and human services programs. We’re a relatively new company, formed in October 2020, but we have been serving state and local clients for decades and have solution offerings in 50 US states and territories. We have been serving one of our state clients for over 40 years and several states for more than 20 years! We connect passion with purpose. The work we do is important because we serve the underserved. For example, if our solutions don’t work, a patient can't get his/her prescription(s) filled, or a person in need does not receive the services that s/he rely on for a living. We take our mission seriously and select the most qualified candidates to join our team. It's a great way to serve the communities in which we live! Summary HMS, a Gainwell Technologies Company HMS is hiring an EDI Representative who will be responsible for...

Client Advisor, Business Insurance Make a Career. Make a Difference. At Marsh & McLennan Agency (MMA), we approach insurance in a different way…and that means a more interesting, exciting, relevant career for you. When you work with MMA, you’ll find real opportunities to make people and businesses safer, more secure, and more successful. That’s why working with MMA is a career that matters. General Summary Contributes to revenue growth by developing a deep understanding of clients’ business, strategic priorities, risk strategies and risk management needs and assisting in the implementation of various solutions that meet those needs.   Areas of Responsibilities include but are not limited to: Exposure Analysis, coordination of coverage, program design and evaluation Servicing, renewing, and marketing new and renewal business insurance accounts Review policies for correct coverage, limits and premiums quoted Prepare exposure comparisons, premium...

Gainwell Technologies LLC Summary HMS is hiring Quality Assurance Analysts (QAAs) who will be responsible for verifying that the various Functional Areas have appropriate Standard Operating Procedures (SOPs) and are completing their tasks accurately and within standards. The QAAs document their findings, works with Functional Areas leaders to resolve issues, provide input on process improvements, assists with updating documentation, and generate the Monthly SLA report and other analytical reporting   Job Description Essential Job Functions:  •    Evaluates work products to independently assess quality and reports findings. Assists in implementing recommendations as approved.  •    Plans, tracks, and coordinates audit support tasks, gathering data or other information requested for audits, and obtains all information necessary to present a complete and accurate audit response to clients.  •    Reviews internal department performance as determined by procedures and measured...

Client Advisor, Business Insurance Make a Career. Make a Difference. At Marsh & McLennan Agency (MMA), we approach insurance in a different way…and that means a more interesting, exciting, relevant career for you. When you work with MMA, you’ll find real opportunities to make people and businesses safer, more secure, and more successful. That’s why working with MMA is a career that matters. General Summary Contributes to revenue growth by developing a deep understanding of clients’ business, strategic priorities, risk strategies and risk management needs and assisting in the implementation of various solutions that meet those needs.   Areas of Responsibilities include but are not limited to: Exposure Analysis, coordination of coverage, program design and evaluation Servicing, renewing, and marketing new and renewal business insurance accounts Review policies for correct coverage, limits and premiums quoted Prepare exposure comparisons, premium...

HMS a Gainwell Technologies LLC Company Gainwell Technologies is the leading provider of technology services and solutions that are vital to the administration of health and human services programs. We’re a relatively new company, formed in October 2020, but we have been serving state and local clients for decades and have solution offerings in 50 US states and territories. We have been serving one of our state clients for over 40 years and several states for more than 20 years! At Gainwell, we connect passion with purpose. The work we do is important because we serve the underserved. For example, if our solutions don’t work, a patient can't get his/her prescription(s) filled, or a person in need does not receive the services that s/he rely on for a living. We take our mission seriously and select the most qualified candidates to join our team. It's a great way to serve the communities in which we live! Summary HMS, a Gainwell Company HMS is hiring a leader to manage the...

Gainwell Technologies LLC Summary HMS is hiring Quality Assurance Analysts (QAAs) who will be responsible for verifying that the various Functional Areas have appropriate Standard Operating Procedures (SOPs) and are completing their tasks accurately and within standards. The QAAs document their findings, works with Functional Areas leaders to resolve issues, provide input on process improvements, assists with updating documentation, and generate the Monthly SLA report and other analytical reporting   Job Description Essential Job Functions:  •    Evaluates work products to independently assess quality and reports findings. Assists in implementing recommendations as approved.  •    Plans, tracks, and coordinates audit support tasks, gathering data or other information requested for audits, and obtains all information necessary to present a complete and accurate audit response to clients.  •    Reviews internal department performance as determined by procedures and measured...

HMS a Gainwell Technologies LLC Company Gainwell Technologies is the leading provider of technology services and solutions that are vital to the administration of health and human services programs. We’re a relatively new company, formed in October 2020, but we have been serving state and local clients for decades and have solution offerings in 50 US states and territories. We have been serving one of our state clients for over 40 years and several states for more than 20 years! At Gainwell, we connect passion with purpose. The work we do is important because we serve the underserved. For example, if our solutions don’t work, a patient can't get his/her prescription(s) filled, or a person in need does not receive the services that s/he rely on for a living. We take our mission seriously and select the most qualified candidates to join our team. It's a great way to serve the communities in which we live! Summary HMS, a Gainwell Company HMS is hiring a Quality Assurance...

Client Advisor, Business Insurance Make a Career. Make a Difference. At Marsh & McLennan Agency (MMA), we approach insurance in a different way…and that means a more interesting, exciting, relevant career for you. When you work with MMA, you’ll find real opportunities to make people and businesses safer, more secure, and more successful. That’s why working with MMA is a career that matters. General Summary Contributes to revenue growth by developing a deep understanding of clients’ business, strategic priorities, risk strategies and risk management needs and assisting in the implementation of various solutions that meet those needs.   Areas of Responsibilities include but are not limited to: Exposure Analysis, coordination of coverage, program design and evaluation Servicing, renewing, and marketing new and renewal business insurance accounts Review policies for correct coverage, limits and premiums quoted Prepare exposure comparisons, premium...

Client Advisor, Business Insurance Make a Career. Make a Difference. At Marsh & McLennan Agency (MMA), we approach insurance in a different way…and that means a more interesting, exciting, relevant career for you. When you work with MMA, you’ll find real opportunities to make people and businesses safer, more secure, and more successful. That’s why working with MMA is a career that matters. General Summary Contributes to revenue growth by developing a deep understanding of clients’ business, strategic priorities, risk strategies and risk management needs and assisting in the implementation of various solutions that meet those needs.   Areas of Responsibilities include but are not limited to: Exposure Analysis, coordination of coverage, program design and evaluation Servicing, renewing, and marketing new and renewal business insurance accounts Review policies for correct coverage, limits and premiums quoted Prepare exposure comparisons, premium...

Client Advisor, Business Insurance Make a Career. Make a Difference. At Marsh & McLennan Agency (MMA), we approach insurance in a different way…and that means a more interesting, exciting, relevant career for you. When you work with MMA, you’ll find real opportunities to make people and businesses safer, more secure, and more successful. That’s why working with MMA is a career that matters. General Summary Contributes to revenue growth by developing a deep understanding of clients’ business, strategic priorities, risk strategies and risk management needs and assisting in the implementation of various solutions that meet those needs.   Areas of Responsibilities include but are not limited to: Exposure Analysis, coordination of coverage, program design and evaluation Servicing, renewing, and marketing new and renewal business insurance accounts Review policies for correct coverage, limits and premiums quoted Prepare exposure comparisons, premium...

Gainwell Technologies LLC Summary HMS, a Gainwell Technologies Company HMS is hiring an EDI Representative who will be responsible for answering calls regarding EDI transaction processing. They must have the ability to review health care data in ANSI X12 and XML formats and assist providers/vendors in a call center setting with Electronic Data Interchange (EDI) resolution. They will also need to responsibly monitor POS/MEVS. Job Description Essential Job Functions •    Coordinates the set up and approval of providers, clearinghouses, and billing agencies for the web portal, including the completion of agreements and transaction forms. •    Validates, researches, and resolves daily EDI data received from providers, clearinghouses, and billing agencies. •    Resolves problems related to specific EDI documents that generate 997, TA1, and 837 errors. Works with vendors/trading partners to identify, define, develop, and implement changes to correct errors. •    Manages EDI...

Gainwell Technologies LLC Summary HMS, a Gainwell Technologies Company HMS is hiring Quality Assurance Analysts (QAAs) who will be responsible for verifying that the various Functional Areas have appropriate Standard Operating Procedures (SOPs) and are completing their tasks accurately and within standards. The QAAs document their findings, works with Functional Areas leaders to resolve issues, provide input on process improvements, assists with updating documentation, and generate the Monthly SLA report and other analytical reporting. Essential Job Functions Evaluates work products to independently assess quality and reports findings. Assists in implementing recommendations as approved. Plans, tracks, and coordinates audit support tasks, gathering data or other information requested for audits, and obtains all information necessary to present a complete and accurate audit response to clients. Reviews internal department performance as determined by procedures and...