by Irma Moore | Apr 1, 2024 | Uncategorized
- Meet and exceed Event Management service level agreements
- Accurately input event data into Ticketmaster Host system and identify and resolve event related errors
- Work with clients, promoters, and internal departments such as marketing, accounting, customer service, event operations and support and client support, when creating events and distributing information regarding those events
- Establish and develop relationships with assigned clients
- On-Call schedule rotation amongst the team; after hour, weekend and holiday client support responsibilities
- From time to time, will be responsible for other duties as assigned by, but not limited to, Senior Event Specialist, the EM Manager, or the Regional Director of Event Management
WHAT YOU NEED TO KNOW (or TECHNICAL SKILLS/COMPETENCIES)
- 1-3 years experience with the Ticketmaster System, or related field experience, with some exposure and knowledge of the Ticketmaster system
- Service oriented, with strong organizational and communication skills
- Able to successfully handle multiple priorities
- Certain degree of creativity, latitude, and problem solving is required
- Box Office experience a plus
- Overall awareness of the entertainment business is important
- Knowledge of how TM departments impact on one another, and on outside clients is a plus
- Must have the ability to accommodate a flexible schedule including some Saturdays, evenings, and holidays
- Excellent written and oral communication skills, good organizational skills, and attention to detail
- Must be computer literate with excellent data entry skills
- H. S. diploma or equivalent required. BA/BS degree is preferred
by Irma Moore | Apr 1, 2024 | Uncategorized
- Gather, analyze and report verbal and written member and provider complaints, grievances and appeals
- Prepare response letters for member and provider complaints, grievances and appeals
- Maintain files on individual appeals and grievances
- May coordinate the Grievance and Appeals Committee
- Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information
- Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research.
- Manage large volumes of documents including copying, faxing and scanning incoming mail
Education/Experience: High school diploma or equivalent. Associate’s degree preferred. 2+ years grievance or appeals, claims or related managed care experience. Strong oral, written, and problem solving skills.
by Irma Moore | Apr 1, 2024 | Uncategorized
- Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings and/or meet client/pharmacy contractual obligations using analytic tools and complex financial pricing methodologies
- Support those financial pricing models during internal/external audits
- Implement new programs/reporting requested by other business areas
- Act as a subject matter expert by interpreting data, creating reporting, and presenting information to internal/external stakeholders
- Create, recommend, and implement pharmacy pricing targets
- Other duties as assigned
Minimum Qualifications
- Bachelor’s degree in applied math, statistics, engineering, accounting, finance, economics, business, computer sciences or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
- 5 years of work experience in pricing or financial analysis using large data sets and complex SQL queries, including 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field
- Must be eligible to work in the United States without the need for work visa or residency sponsorship
by Irma Moore | Mar 29, 2024 | Uncategorized
Duties:
– pulling credit balances from the portal and reports
– reviewing Medicare claims and disputing them as needed
– collections and payor communication
– Software used Excel (pivot tables and VLOOKUP’s) and Carelogic
Candidate must be able to pass a drug screen and background check
Requirements
Medical Billing, Microsoft Excel, Medical Claims, Credit Balance, Medical Collections, Resolve Disputes, Behavioral Health
by Irma Moore | Mar 29, 2024 | Uncategorized
he Contract Compliance Analyst will be responsible for the review of all contracts, addendums, notices and agreements created as a result of our representation of the company’s clients and customers. The Contract Compliance Analyst will utilize Skyslope’s system or any other future system designed for this task.
● Performs initial contract review to ensure that all documentation for the “deal” has been turned in and is ready for review by the Broker and Transaction Specialists.
● Effectively and promptly communicates with agents regarding deficiencies in documents and providing explanation and assistance.
● Audit files and work with agents to ensure missing contract documents are received in a timely manner
● Works hand-in-hand with the Managing Brokers by supporting efforts to ensure compliance.
● Manage the Transactions Brokerage email inbox
● Other Duties As Assigned
Education & Experience:
● High school diploma required or equivalent years of applicable experience
● Bachelor’s degree preferred
● 1+ years of experience in contract review
● 1+ years of real estate industry experience
● Active real estate license (preferably a Broker’s license) with continuing education credits in real estate, management and legal compliance is strongly preferred
● A keen interest in, and experience in real estate compliance activities to include a thorough knowledge and understanding of legal obligations of real estate professionals under the provincial and federal laws and in accordance with local MLS/Board Rules and Regulations
● Excellent communication skills – written, verbal and interpersonal communication skills across all levels of the organization
● Highly collaborative and capable of working with internal partners to facilitate successful results
● Ability to make quick decisions and solve problems using good judgment
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