Delegation Compliance Auditor – Medical Claims

by Irma Moore | Jul 15, 2024 | Uncategorized

Position Purpose: The Delegation Oversight Compliance Auditor – Medical Claims is responsible for scheduling, coordinating, and conducting delegated entity audits using established audit tools for assigned lines of business. This position is also responsible for ongoing monitoring of assigned delegated entities and collection, as well as data entry for required reporting. This position works independently in the field with extensive provider contact, organizes work and audit schedules, and ensures contract requirements are met and maintained.

• Responsible for managing the audit process from scheduling, conducting the audit, developing corrective action plans, reporting findings as required to internal departments, and communicating recommendations to delegated entity for claims processing, credentialing and/or recredentaling processes.
• Based on CAPs issued, responsible for all follow up audits and educational trainings to ensure delegated entity can achieve compliance.
• Conducts on site visits to assess operational abilities, makes recommendation for improvement and monitors progress with corrective action plan.
• Works in conjunction with management to determine the need and criteria to initiate the annual and focused audit process.
• Ability to work with other internal departments in the development of additional CAPs (e.g. Provider Network Management, Finance).
• Conducts audit using established tools based on contracting and regulatory requirements and consistent with compliance standards.
• Develops and maintains matrices of audit results and scheduled audits.
• Responsible for data entry of all audit related functions.
• Documents findings as required by policy/procedure and consistent with compliance standards.
• Other duties as assigned.

Education/Experience:

• Associate’s degree required; Bachelor’s degree in related field preferred.
• Three years experience working for an HMO, medical group/IPA or hospital claims/credentialing department.
• Previous experience in provider relations and auditing is preferred.
• Previous experience in medical claims processing or auditing is strongly preferred
• Excellent written and verbal communication

License/Certification:

• Valid Driver’s license in the state of residence

Pay Range: $54,000.00 – $97,100.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Accountant 1

by Irma Moore | Jul 15, 2024 | Uncategorized

Why you should join our team
This role is an entry level position responsible for a wide range of financial related tasks with a focus in Accounts Payable.

How you will make an impact
• Receive, review and process vendor invoices for electronic approval with the correct purchase order and project codes, as well as proper application of credits, discounts and sales and use tax.

• Support the reconciliation of vendor accounts to ensure accurate accounts payable.
• Research information to provide accurate and timely solutions to internal clients and vendors using various software applications and accounting systems.
• Maintain a filing system for financial information, records and documents to ensure accurate information is maintained and easily available.
• Monitor account balances, track expenses, prepare analyses of accounts and related financial activity.
• Communicate and collaborate with other departments, auditors, tax authorities and vendors on projects and activities.
• Prepare or update written procedures for accounting processes.
• Participate in training and other learning opportunities to expand knowledge of the company.
• Perform other duties as required to support the Accounting Department.

Who you are
Associates degree in accounting/finance/business or equivalent finance experience at a minimum.
This is an entry level to the professional accounting family of jobs.

The fine print
• Experience with Microsoft Office and various accounting and database applications.
• Organizational, analytical and problem-solving skills.
• Attention to detail.
• A willingness to learn new skills and availability to change.
• Familiarity with the utility industry is a plus.
Other
A strong work ethic and ability to work independently is desired. The talent for teamwork, collaboration and communication are vital. The ability to manage multiple assignments and produce accurate results in a high demand environment is central to the position.

Important considerations
• Must be able to withstand prolonged periods of sitting or standing at a desk while working at a computer.
• Must be able to maintain a fast pace while completing complex work accurately, in potentially stressful situations, with competing priorities, within tight timelines and with frequent interruptions.
• Must be able to work additional hours when necessary.

• Starting pay will be determined at the time of offer based on the experience, education, and training of the successful candidate.

• Eligible applicants must be authorized to work in the United States.

• VELCO is an Equal Employment Opportunity & Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Enterprise Account Executive

by Irma Moore | Jul 15, 2024 | Uncategorized

Enterprise Account Executive 

We are looking for an experienced Enterprise Account Executive to join our Enterprise team. The right candidate for this position will have a demonstrated history of success and quota attainment in selling software applications to the enterprise. Ideally, you have sold Business Intelligence, Data Warehousing, or Analytics applications. The ability to work independently in a rapidly growing environment is important. We also value the ability to evangelize an evolving product that provides real value to (both!) technical and non-technical audiences.

What you bring: 

• Demonstrated success as part of an enterprise sales team for a minimum of 5 years 
• Experience working in a consultative, value-driven sales process, working with various personas, from department managers to C-level executives  
• Experience presenting complex topics to non-technical, highly technical audiences, as well as C-level stakeholders
• The ability to work independently in an environment that changes rapidly
• A positive, enthusiastic, entrepreneurial attitude and a desire to build a world-class company
• Willingness to collaborate with cross-functionally with other ThoughtSpot teams 
• Proven ability in managing complex sales cycles from start to finish with a track record of successful revenue attainment
• Maintain accurate and timely customer, pipeline, and forecast data 
• Excellent verbal and written communication skills

#LI-JR1

#LI-REMOTE

What makes ThoughtSpot a great place to work?

ThoughtSpot is the experience layer of the modern data stack, leading the industry with our AI-Powered Analytics and natural language search. We hire people with unique identities, backgrounds, and perspectives—this balance-for-the-better philosophy is key to our success. When paired with our culture of Selfless Excellence and our drive for continuous improvement (2% done), ThoughtSpot cultivates a respectful culture that pushes norms to create world-class products. If you’re excited by the opportunity to work with some of the brightest minds in the business and make your mark on a truly innovative company, we invite you to read more about our mission, and apply to the role that’s right for you.

ThoughtSpot for All

Building a diverse and inclusive team isn’t just the right thing to do for our people, it’s the right thing to do for our business. We know we can’t solve complex data problems with a single perspective. It takes many voices, experiences, and areas of expertise to deliver the innovative solutions our customers need. At ThoughtSpot, we continually celebrate the diverse communities that individuals cultivate to empower every Spotter to bring their whole authentic self to work.

We’re committed to being real and continuously learning when it comes to equality, equity, and creating space for underrepresented groups to thrive. 

Research shows that in order to apply for a job, women feel they need to meet 100% of the criteria while men usually apply after meeting 60%. Regardless of how you identify, if you believe you can do the job and are a good match, we encourage you to apply. 

About ThoughtSpot

The world’s most innovative companies use AI-Powered Analytics from ThoughtSpot to empower every person in their organization, from C-suite executive to frontline employee, with the ability to ask and answer data questions, create and interact with data-driven insights, and use these insights to make informed decisions and take action. ThoughtSpot is simple enough for any business person to use, yet built to handle even the largest, most complex data, wherever it may reside. That’s why customers like T-Mobile, BT, Snowflake, HubSpot, Exxon, Daimler, Medtronic, Hulu, Nasdaq, OpenTable, Huel, and Nationwide Building Society have turned to ThoughtSpot to transform their data driven decision-making cultures.

Please see our Candidate Privacy Notice. By submitting your application to us, you acknowledge and agree that:

• You have read and understood the Candidate Privacy Notice (“Notice”) and acknowledge the collection, processing, use and disclosure of your personal information as set out in the Notice.
• You are not required to provide any requested information to us, but failure to do so may result in not being able to continue your candidacy for a job with us.
• The information you give us is true and correct to the best of your knowledge and belief, and you have not knowingly omitted any related unfavorable information. Providing any inaccurate or misleading information may make you ineligible for employment.

Sr.Front End Javascript Developer

by Irma Moore | Jul 12, 2024 | Uncategorized

We are looking for a JavaScript Developer who is motivated to combine the art of design with programming. Responsibilities will include implementing visual elements and their behaviors with user interactions. You will work with both front-end and back-end web developers to build all client-side logic. You will also be bridging the gap between the visual elements and the server-side infrastructure, taking an active role on both sides and defining how the application looks and functions.

Exp-4-7 yrs

Responsibilities and Duties

• Develop new user-facing features.
• Build reusable code and libraries for future use.
• Ensure the technical feasibility of UI/UX designs.
• Optimize applications for maximum speed and scalability.
• Assure that all user input is validated before submitting to back-end services.
• Collaborate with other team members and stakeholders.

Required Experience, Skills, and Qualifications

• Strong understanding of JavaScript, its quirks, and workarounds.
• Strong understanding of React/Angular.
• Basic understanding of web markup, including HTML5 and CSS3, SASS.
• Depending on the specific case, a developer should know advanced JavaScript libraries and frameworks such as AngularJS, KnockoutJS, BackboneJS, ReactJS, DurandalJS, etc.
• Good understanding of asynchronous request handling, partial page updates, and AJAX.
• Proficient understanding of cross-browser compatibility issues and ways to work around such issues.
• Familiarity with JavaScript module loaders, such as Require.js and AMD.
• Familiarity with front-end build tools, such as Grunt and Gulp.js.
• Proficient understanding of code versioning tools, such as Incorrect Field.
• Good understanding of browser rendering behavior and performance.
• Good Understanding CI/CD, NodeJS, Restful API, Docker
• Proficient understanding of NoSQL DB
• OOPS concept knowledge is required

It would be a big plus:

• Knowledge of Java would be an Advantage.

Why Solvative?

• Top of the line Apple laptops for increased mobility and better productivity.
• Medical insurance for all permanent employees.
• The opportunity of working with an organization that believes in investing in employees’ growth.
• An absolutely informal work environment that enables you to have fun while being productive.
• Lots and lots of fun activities, we take over one of the nearby restaurants every last Friday of the month, tickets to all Marvel movies for the entire team, company picnics, and more!

Solvative offers plenty of perks and benefits to its employees including the option of remote working and flexible work hours. Those opting for remote working must be prepared to visit the office whenever intimated. For this, formal communication shall be provided and we shall also do our best to accommodate any special requests that you may have. Solvative shall also reimburse you for any travel and accommodation expenses incurred.

Bookkeeper – Remote

by Irma Moore | Jul 12, 2024 | Uncategorized

Seattle, Washington

Contract/Temp to Hire

$32.00 – $36.00 per Hour

LHH is partnering with a growing company in the construction industry to search for a temporary to hire Bookkeeper. You will be responsible for supporting the financial operations through accurate and timely accounting processes. Your main tasks include preparing the financial statements, accounts payable, accounts receivable, and monthly reporting. You will partner with the Finance Director but will be the main contributor in the accounting department. It’s preferred that you have at least ten years of accounting experience and have previously worked on QuickBooks Online. This role can be fully remote for the right candidate, but the team would ideally like to have someone who lives close to the Seattle, WA office. Key Responsibilities:

• Prepare and maintain financial records, including general ledger accounts, financial statements, bank reconciliations, and journal entries.
• Assist in month-end and year-end close processes, ensuring deadlines are met with accuracy.
• Analyze financial data and provide variance analysis to identify trends or discrepancies.
• Assist with budgeting and forecasting activities.
• Process accounts payable and accounts receivable transactions.
• Prepare tax returns and assist with audits as necessary.

Qualifications:

• Bachelor’s degree in Accounting or Finance.
• 10+ years of experience in accounting or related field.
• Proficiency in QuickBooks Online and MS Excel.
• Strong understanding of GAAP principles and financial regulations.
• Excellent analytical and problem-solving skills.
• Detail-oriented with strong organizational and time management abilities.
• Ability to work independently and as part of a team in a fast-paced environment.

Employment Details:

• Temporary to hire
• Monday to Friday, 8:00 AM to 5:00 PM
• Remote after training in the Seattle, WA office

Pay Details: $32.00 to $36.00 per hour Search managed by: Brittany Cona

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.