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Healthcare Configuration and Data Integrity Manager at Provider Network Solutions
Doral, Florida, United States - Full Time
Skills Needed
Claims Processing, Healthcare Data Management, Benefit Configuration, Provider Database Management, Microsoft Excel, Microsoft Access, Medical Terminology, Data Integrity, Unit Testing, Contract Interpretation, Resource Management, Quality Control
Specialization
Requires 3-5 years of claims processing experience and 1-2 years in healthcare data management. Must possess broad knowledge of medical terminology, diagnosis coding, and advanced proficiency in Microsoft Office applications.
Experience Required
Minimum 2 year(s)
Dental Sales Rep für das Vertriebsgebiet Deutschland Mitte / Sachsen at Advanced Medical Solutions
Zwickau, Saxony, Germany - Full Time
Skills Needed
Dental Sales, New Customer Acquisition, Dental Surgery Knowledge, Implantology, Crm Systems, Ms Office, Negotiation, Account Management, Cross Selling, English Proficiency, Analytical Skills, Business Understanding
Specialization
Requires a sales personality with deep knowledge of dental surgery and implantology and a strong track record in customer acquisition. Must possess a Class B driver's license, be willing to travel at least 80% of the time, and ideally reside in the Würzburg, Erfurt, Jena, or Zwickau regions.
Experience Required
Minimum 2 year(s)
Caregiver at Senior Solutions Home Care
Parsons, Tennessee, United States - Full Time
Skills Needed
Personal Care, Companionship, Meal Preparation, Light Housekeeping, Medication Reminders, Mobility Support, Safe Transfers, Patient Observation, Communication Skills, Transportation Assistance
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to lift 30 lbs and pass a background check and drug screening is required.
Caregiver at Senior Solutions Home Care
Elizabethton, Tennessee, United States - Full Time
Skills Needed
Personal Care, Companionship, Meal Preparation, Light Housekeeping, Medication Reminders, Mobility Support, Safe Transfers, Patient Observation, Communication Skills
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to lift up to 30 lbs and pass a background check and drug screening is required.
Caregiver at Senior Solutions Home Care
Franklin, Tennessee, United States - Full Time
Skills Needed
Personal Care, Companionship, Meal Preparation, Light Housekeeping, Medication Reminders, Mobility Support, Safe Transfers, Patient Observation, Communication Skills
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to lift 30 lbs and pass a background check and drug screening is required.
Caregiver at Senior Solutions Home Care
, Tennessee, United States - Full Time
Skills Needed
Personal Care, Companionship, Meal Preparation, Light Housekeeping, Medication Reminders, Mobility Support, Safe Transfers, Patient Observation, Communication Skills, Transportation Assistance
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to lift 30 lbs and pass a background check and drug screening is required.
Caregiver at Senior Solutions Home Care
Kingsport, Tennessee, United States - Full Time
Skills Needed
Personal Care, Companionship, Meal Preparation, Light Housekeeping, Medication Reminders, Mobility Support, Safe Transfers, Patient Observation, Communication Skills, Transportation Assistance
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to pass a background check, drug screening, and lift up to 30 lbs is required.
Audit Manager at Assurity Trusted Solutions
Singapore, , Singapore - Full Time
Skills Needed
It Audit, Risk Assessment, Cyber Security, Cloud Security, Compliance Management, Data Analytics, Ai Fluency, Problem Framing, Systems Thinking, Internal Controls, Governance, Threat Intelligence, Audit Automation, Technical Writing, Stakeholder Management, Regulatory Compliance
Specialization
Requires a degree in an IT-related discipline and professional certifications such as CISA and cloud security. Candidates need at least 4 years of ICT experience, with a minimum of 2 years specifically in ICT audit, assurance, or compliance.
Experience Required
Minimum 2 year(s)
Projektentwickler (m/w/d) at Kyon Energy Solutions GmbH
Munich, Bavaria, Germany - Full Time
Skills Needed
Project Development, Battery Energy Storage Systems, Energy Management, Project Management
Specialization
The candidate should have 2-5 years of professional experience in project development. Expertise in Battery Energy Storage Systems (BESS) is highly desired.
Experience Required
Minimum 2 year(s)
CREDIT OPERATION EXECUTIVE at Digitide Solutions Limited
Meerut, Uttar Pradesh, India - Full Time
Skills Needed
Credit Assessment, Underwriting, Risk Management, Credit Analysis Tools, Communication, Interpersonal Skills, Problem Solving, Regulatory Compliance, Organizational Skills, Analytical Thinking
Specialization
Requires a minimum of 2 years of experience in credit operations, preferably within a BFSI environment. A bachelor's degree in finance, business administration, or a related field is preferred.
Experience Required
Minimum 2 year(s)
Director of Education & Outreach at Reader Precision Solutions
Elkhorn, Wisconsin, United States - Full Time
Skills Needed
Strategic Partnerships, Workforce Development, Curriculum Design, Project Management, Public Speaking, Interpersonal Communication, Technical Training, Iso/As Compliance, Lms Management, Microsoft Office Suite, Video Editing, Talent Pipeline Development
Specialization
Requires a Bachelor's degree in Business, Education, or a related field with at least 5 years of teaching experience. Proven success in building educational partnerships and designing training programs is essential.
Experience Required
Minimum 5 year(s)
In-Home Caregiver at Senior Solutions Home Care
Tullahoma, Tennessee, United States - Full Time
Skills Needed
Companionship, Personal Care, Meal Preparation, Housekeeping, Medication Reminders, Mobility Assistance, Transportation, Communication Skills, Patient Care
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to lift up to 30 lbs and pass a background check and drug screening is required.
Hydraulic Repair Territory Sales Representative – Oil & Gas Equipment at Evolution Motion Solutions
Midland, Texas, United States - Full Time
Skills Needed
Hydraulic Component Repair, Fluid Power, Technical Sales, Troubleshooting, Failure Analysis, Hydraulic Schematics, Account Management, Customer Relationship Management, Mechanical Aptitude, Field Support, Proposal Development, Cost Control
Specialization
Requires 5+ years of experience in hydraulics or fluid power with a strong understanding of high-pressure systems and component repair. Must have experience in a customer-facing role and the ability to independently manage a technical sales territory.
Experience Required
Minimum 5 year(s)
.NET Developer at Digacon Software Solutions
City of Zagreb, , Croatia - Full Time
Skills Needed
.Net, C#, Git, Rest Apis, Openapi, Swagger, Html, Razor Pages, Javascript, Jquery, Css, Sass, Bootstrap, Ms Sql, Entity Framework, Nhibernate
Specialization
Candidates should have a degree in Computer Science and several years of experience in .NET/C# development. Proficiency in REST APIs, web technologies (HTML/CSS/JS), and database modeling with MS SQL is required.
Experience Required
Minimum 2 year(s)
In-Home Caregiver at Senior Solutions Home Care
Murfreesboro, Tennessee, United States - Full Time
Skills Needed
Companionship, Personal Care, Meal Preparation, Light Housekeeping, Medication Reminders, Mobility Assistance, Transportation, Communication Skills, Patient Care
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to pass a background check, drug screening, and lift up to 30 lbs is required.
Machine Operators at Advanced Medical Solutions
Stafford, England, United Kingdom - Full Time
Skills Needed
Machine Operation, Quality Control, Continuous Improvement, Cleanroom Operations, Microsoft Excel, Ppt Lift Truck Operation, Overhead Crane Operation, Production Monitoring, 5s Standards, Risk Assessment, Traceability Recording, Communication Skills
Specialization
Requires a minimum of 2 years of manufacturing experience and education to GCSE level or equivalent. Must be computer literate and possess licenses for PPT lift trucks and overhead cranes, with experience in cleanroom operations.
Experience Required
Minimum 2 year(s)
[2026-2027] Licensed School-Based Mental Health Clinician (Lead) at Effective School Solutions
Lakeland, Florida, United States - Full Time
Skills Needed
Group Therapy, Individual Counseling, Family Counseling, Trauma Attuned Modalities, Clinical Documentation, Case Management, Coaching, Training, Problem Solving, Communication, Microsoft Office, Interdisciplinary Collaboration
Specialization
Must hold a full clinical license (LMHC, LCSW, or LMFT) and have at least 3 years of experience treating children or adolescents with behavioral challenges. Requires proficiency in trauma-attuned modalities and experience coaching educational professionals.
Experience Required
Minimum 2 year(s)
Seeking LBS1 Instructor – MLA Position! at Clarifi Staffing Solutions
Elmhurst, Illinois, United States - Full Time
Skills Needed
Special Education, Iep Implementation, Data Collection, Classroom Management, Individualized Instruction, Collaboration, Behavioral Support, Autism Spectrum Disorder Support
Specialization
Candidates must hold a bachelor's degree and a valid Illinois Professional Educator License (PEL) with an LBS1 endorsement. Experience in special education, particularly in a school-based environment, is required.
Experience Required
Minimum 2 year(s)
Sports Medicine Orthopedic Surgeon- Gilbert, AZ at Health Operation Solutions
Gilbert, Arizona, United States - Full Time
Skills Needed
Shoulder Arthroplasty, Rotator Cuff Repair, Arthroscopy, Ultrasound Guided Injections, Patient Care, Surgical Coordination, Electronic Health Records, Sports Medicine, Orthopedic Surgery, Clinical Workflow Management
Specialization
Requires an MD or DO with fellowship training in Sports Medicine and Board Certification or Eligibility in Orthopedic Surgery. Must be eligible for Arizona medical licensure and possess strong expertise in shoulder pathology.
Experience Required
Minimum 5 year(s)
Maintenance Technician at Humic Growth Solutions LLC
Jacksonville, Florida, United States - Full Time
Skills Needed
Mechanical Troubleshooting, Electrical Troubleshooting, Production Leadership, Preventive Maintenance, Root Cause Analysis, Welding, Fabrication, Blueprint Reading, Osha Compliance, Pneumatic Systems, Hydraulic Systems, Plumbing Systems, Motor Controls, Equipment Commissioning, Team Coaching, Inventory Management
Specialization
Candidates should have a high school diploma and preferably 5+ years of industrial maintenance or production leadership experience. Strong skills in 220V/480V electrical systems, welding, and the ability to lift 50+ pounds are required.
Experience Required
Minimum 5 year(s)
Healthcare Configuration and Data Integrity Manager at Provider Network Solutions
Doral, Florida, United States -
Full Time


Start Date

Immediate

Expiry Date

30 Aug, 26

Salary

70000.0

Posted On

02 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Claims Processing, Healthcare Data Management, Benefit Configuration, Provider Database Management, Microsoft Excel, Microsoft Access, Medical Terminology, Data Integrity, Unit Testing, Contract Interpretation, Resource Management, Quality Control

Industry

Hospitals and Health Care

Description
Description Position Summary The Configuration and Data Integrity Manager is responsible for implementing and interpreting the organization's overall claims, provider configuration, eligibility and provider database management, security, and operations. The Configuration Manager will work with internal departments and external organizations to assure secure data exchanges, integrity, reliability, and availability; plans, organizes and coordinates activities related to the analysis and implementation of network database systems; provides technical guidance and database compliance audits; and consults with business users regarding the use and management of data. Duties and Responsibilities • Responsible for benefit configuration covered services, copay, deductibles, coinsurance and max out of pocket in TPA system. Ensure mapping and testing behind the scenes and maintain Matrix of Benefit Packages Responsible for provider records configuration and contract rate load create vendors, practice locations, medical group, networks, reimbursement rate. Collaborate with Provider Relations Department and Credentialing to ensure Responsible for work distribution and resource management of configuration specialist and data integrity specialist. • Configuration support to provider contracts-question if specific agreement received can be entered as noted. • Conduct unit testing to ensure design meets specifications as it relates to product upgrades or new releases. • Responsible for accurately interpreting specific contracts as well as additional business requirements and converting these terms to configuration parameters. • Quality control of all information uploaded in TPA system, i.e., Provider data, fee schedules, network assignment, team member’s responsibilities. • Collaborate with provider call center, clinical and claims department when asked to verify specific provider configuration or benefit configuration information. • Provide system configuration support to organization based on changing business needs. • Review and recommend changes to existing configuration processes. • Analyze and resolve Claims Workflow regarding Benefit & Contract configuration issues in a in with 3 business days. • Provide technical guidance to Data Integrity Specialist in their assigned job duties. • Oversee Configure Medicare/Medicaid/Commercial interest rates in TPA system. • Resolve Eligibility Issues with Health Plans. • Validate reports ran by Data Integrity Specialist on a weekly, monthly, and quarterly basis. • Load and Maintain Fee Schedule in TPA System • Act as liaison between Corporate and the health plan regarding programming development needs related to reporting. Requirements Knowledge • 3-5 years of Claims Processing experience required. • 1-2 years’ experience in healthcare data management. • Broad knowledge of medical terminology, customer service, claims processing and/or customary and reasonable cost containment, and coordination of benefits and diagnosis coding. Skills • Advanced knowledge of Microsoft applications: Outlook, access database, excel, word and basic computer navigation.
Responsibilities
Oversees the implementation and integrity of claims, provider configuration, and eligibility data within the TPA system. Manages a team of specialists to ensure accurate contract loading, benefit mapping, and resolution of claims workflow issues.
Healthcare Configuration and Data Integrity Manager at Provider Network Solutions
Doral, Florida, United States - Full Time
Skills Needed
Claims Processing, Healthcare Data Management, Benefit Configuration, Provider Database Management, Microsoft Excel, Microsoft Access, Medical Terminology, Data Integrity, Unit Testing, Contract Interpretation, Resource Management, Quality Control
Specialization
Requires 3-5 years of claims processing experience and 1-2 years in healthcare data management. Must possess broad knowledge of medical terminology, diagnosis coding, and advanced proficiency in Microsoft Office applications.
Experience Required
Minimum 2 year(s)
Dental Sales Rep für das Vertriebsgebiet Deutschland Mitte / Sachsen at Advanced Medical Solutions
Zwickau, Saxony, Germany - Full Time
Skills Needed
Dental Sales, New Customer Acquisition, Dental Surgery Knowledge, Implantology, Crm Systems, Ms Office, Negotiation, Account Management, Cross Selling, English Proficiency, Analytical Skills, Business Understanding
Specialization
Requires a sales personality with deep knowledge of dental surgery and implantology and a strong track record in customer acquisition. Must possess a Class B driver's license, be willing to travel at least 80% of the time, and ideally reside in the Würzburg, Erfurt, Jena, or Zwickau regions.
Experience Required
Minimum 2 year(s)
Caregiver at Senior Solutions Home Care
Parsons, Tennessee, United States - Full Time
Skills Needed
Personal Care, Companionship, Meal Preparation, Light Housekeeping, Medication Reminders, Mobility Support, Safe Transfers, Patient Observation, Communication Skills, Transportation Assistance
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to lift 30 lbs and pass a background check and drug screening is required.
Caregiver at Senior Solutions Home Care
Elizabethton, Tennessee, United States - Full Time
Skills Needed
Personal Care, Companionship, Meal Preparation, Light Housekeeping, Medication Reminders, Mobility Support, Safe Transfers, Patient Observation, Communication Skills
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to lift up to 30 lbs and pass a background check and drug screening is required.
Caregiver at Senior Solutions Home Care
Franklin, Tennessee, United States - Full Time
Skills Needed
Personal Care, Companionship, Meal Preparation, Light Housekeeping, Medication Reminders, Mobility Support, Safe Transfers, Patient Observation, Communication Skills
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to lift 30 lbs and pass a background check and drug screening is required.
Caregiver at Senior Solutions Home Care
, Tennessee, United States - Full Time
Skills Needed
Personal Care, Companionship, Meal Preparation, Light Housekeeping, Medication Reminders, Mobility Support, Safe Transfers, Patient Observation, Communication Skills, Transportation Assistance
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to lift 30 lbs and pass a background check and drug screening is required.
Caregiver at Senior Solutions Home Care
Kingsport, Tennessee, United States - Full Time
Skills Needed
Personal Care, Companionship, Meal Preparation, Light Housekeeping, Medication Reminders, Mobility Support, Safe Transfers, Patient Observation, Communication Skills, Transportation Assistance
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to pass a background check, drug screening, and lift up to 30 lbs is required.
Audit Manager at Assurity Trusted Solutions
Singapore, , Singapore - Full Time
Skills Needed
It Audit, Risk Assessment, Cyber Security, Cloud Security, Compliance Management, Data Analytics, Ai Fluency, Problem Framing, Systems Thinking, Internal Controls, Governance, Threat Intelligence, Audit Automation, Technical Writing, Stakeholder Management, Regulatory Compliance
Specialization
Requires a degree in an IT-related discipline and professional certifications such as CISA and cloud security. Candidates need at least 4 years of ICT experience, with a minimum of 2 years specifically in ICT audit, assurance, or compliance.
Experience Required
Minimum 2 year(s)
Projektentwickler (m/w/d) at Kyon Energy Solutions GmbH
Munich, Bavaria, Germany - Full Time
Skills Needed
Project Development, Battery Energy Storage Systems, Energy Management, Project Management
Specialization
The candidate should have 2-5 years of professional experience in project development. Expertise in Battery Energy Storage Systems (BESS) is highly desired.
Experience Required
Minimum 2 year(s)
CREDIT OPERATION EXECUTIVE at Digitide Solutions Limited
Meerut, Uttar Pradesh, India - Full Time
Skills Needed
Credit Assessment, Underwriting, Risk Management, Credit Analysis Tools, Communication, Interpersonal Skills, Problem Solving, Regulatory Compliance, Organizational Skills, Analytical Thinking
Specialization
Requires a minimum of 2 years of experience in credit operations, preferably within a BFSI environment. A bachelor's degree in finance, business administration, or a related field is preferred.
Experience Required
Minimum 2 year(s)
Director of Education & Outreach at Reader Precision Solutions
Elkhorn, Wisconsin, United States - Full Time
Skills Needed
Strategic Partnerships, Workforce Development, Curriculum Design, Project Management, Public Speaking, Interpersonal Communication, Technical Training, Iso/As Compliance, Lms Management, Microsoft Office Suite, Video Editing, Talent Pipeline Development
Specialization
Requires a Bachelor's degree in Business, Education, or a related field with at least 5 years of teaching experience. Proven success in building educational partnerships and designing training programs is essential.
Experience Required
Minimum 5 year(s)
In-Home Caregiver at Senior Solutions Home Care
Tullahoma, Tennessee, United States - Full Time
Skills Needed
Companionship, Personal Care, Meal Preparation, Housekeeping, Medication Reminders, Mobility Assistance, Transportation, Communication Skills, Patient Care
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to lift up to 30 lbs and pass a background check and drug screening is required.
Hydraulic Repair Territory Sales Representative – Oil & Gas Equipment at Evolution Motion Solutions
Midland, Texas, United States - Full Time
Skills Needed
Hydraulic Component Repair, Fluid Power, Technical Sales, Troubleshooting, Failure Analysis, Hydraulic Schematics, Account Management, Customer Relationship Management, Mechanical Aptitude, Field Support, Proposal Development, Cost Control
Specialization
Requires 5+ years of experience in hydraulics or fluid power with a strong understanding of high-pressure systems and component repair. Must have experience in a customer-facing role and the ability to independently manage a technical sales territory.
Experience Required
Minimum 5 year(s)
.NET Developer at Digacon Software Solutions
City of Zagreb, , Croatia - Full Time
Skills Needed
.Net, C#, Git, Rest Apis, Openapi, Swagger, Html, Razor Pages, Javascript, Jquery, Css, Sass, Bootstrap, Ms Sql, Entity Framework, Nhibernate
Specialization
Candidates should have a degree in Computer Science and several years of experience in .NET/C# development. Proficiency in REST APIs, web technologies (HTML/CSS/JS), and database modeling with MS SQL is required.
Experience Required
Minimum 2 year(s)
In-Home Caregiver at Senior Solutions Home Care
Murfreesboro, Tennessee, United States - Full Time
Skills Needed
Companionship, Personal Care, Meal Preparation, Light Housekeeping, Medication Reminders, Mobility Assistance, Transportation, Communication Skills, Patient Care
Specialization
Candidates must have a valid driver's license, reliable transportation, and a smartphone for scheduling. Ability to pass a background check, drug screening, and lift up to 30 lbs is required.
Machine Operators at Advanced Medical Solutions
Stafford, England, United Kingdom - Full Time
Skills Needed
Machine Operation, Quality Control, Continuous Improvement, Cleanroom Operations, Microsoft Excel, Ppt Lift Truck Operation, Overhead Crane Operation, Production Monitoring, 5s Standards, Risk Assessment, Traceability Recording, Communication Skills
Specialization
Requires a minimum of 2 years of manufacturing experience and education to GCSE level or equivalent. Must be computer literate and possess licenses for PPT lift trucks and overhead cranes, with experience in cleanroom operations.
Experience Required
Minimum 2 year(s)
[2026-2027] Licensed School-Based Mental Health Clinician (Lead) at Effective School Solutions
Lakeland, Florida, United States - Full Time
Skills Needed
Group Therapy, Individual Counseling, Family Counseling, Trauma Attuned Modalities, Clinical Documentation, Case Management, Coaching, Training, Problem Solving, Communication, Microsoft Office, Interdisciplinary Collaboration
Specialization
Must hold a full clinical license (LMHC, LCSW, or LMFT) and have at least 3 years of experience treating children or adolescents with behavioral challenges. Requires proficiency in trauma-attuned modalities and experience coaching educational professionals.
Experience Required
Minimum 2 year(s)
Seeking LBS1 Instructor – MLA Position! at Clarifi Staffing Solutions
Elmhurst, Illinois, United States - Full Time
Skills Needed
Special Education, Iep Implementation, Data Collection, Classroom Management, Individualized Instruction, Collaboration, Behavioral Support, Autism Spectrum Disorder Support
Specialization
Candidates must hold a bachelor's degree and a valid Illinois Professional Educator License (PEL) with an LBS1 endorsement. Experience in special education, particularly in a school-based environment, is required.
Experience Required
Minimum 2 year(s)
Sports Medicine Orthopedic Surgeon- Gilbert, AZ at Health Operation Solutions
Gilbert, Arizona, United States - Full Time
Skills Needed
Shoulder Arthroplasty, Rotator Cuff Repair, Arthroscopy, Ultrasound Guided Injections, Patient Care, Surgical Coordination, Electronic Health Records, Sports Medicine, Orthopedic Surgery, Clinical Workflow Management
Specialization
Requires an MD or DO with fellowship training in Sports Medicine and Board Certification or Eligibility in Orthopedic Surgery. Must be eligible for Arizona medical licensure and possess strong expertise in shoulder pathology.
Experience Required
Minimum 5 year(s)
Maintenance Technician at Humic Growth Solutions LLC
Jacksonville, Florida, United States - Full Time
Skills Needed
Mechanical Troubleshooting, Electrical Troubleshooting, Production Leadership, Preventive Maintenance, Root Cause Analysis, Welding, Fabrication, Blueprint Reading, Osha Compliance, Pneumatic Systems, Hydraulic Systems, Plumbing Systems, Motor Controls, Equipment Commissioning, Team Coaching, Inventory Management
Specialization
Candidates should have a high school diploma and preferably 5+ years of industrial maintenance or production leadership experience. Strong skills in 220V/480V electrical systems, welding, and the ability to lift 50+ pounds are required.
Experience Required
Minimum 5 year(s)
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