1 to 14 of 14
Sort by: Date | Relevance
If you're looking for a career and not just a job.............
Posted 3 days ago
Support business units by interpreting business needs and translating them into application and operational requirements. ESSENTIAL DUTIES & RESPONSIBILITIES Elicit requirements using interviews, document analysis, surveys, job shadowing, business process descriptions, use cases, scenarios, business analysis, task, and workflow analysis. Create, review, validate, and document client data
Posted 5 days ago
The Senior Business Analyst will support the business units by interpreting business needs and translating them into application and operational requirements. ESSENTIAL DUTIES & RESPONSIBILITIES Elicit requirements using interviews, document analysis, surveys, job shadowing, business process descriptions, use cases, scenarios, business analysis, task, and workflow analysis Create, review,
Posted 5 days ago
Under the supervision of the Data Integrity Group, the Reporting Analyst will work with customers to assess, plan, design, and build solutions to provide analytics and reporting to The Rawlings Group business divisions. Additionally, this position will lead and assist on special projects with a focus on continual process and system improvement. The successful candidate should have at least 4 years
Posted 5 days ago
The Rawlings Group is seeking an experience ETL Developer that can lead and mentor a team of individuals. Individual must have great verbal and written communication skills. The abilities to interact with not only colleagues but upper Management as well. If you feel you are this person we would like to speak with you today! The Rawlings Group is the nation’s premier company in sophisticated
Posted 5 days ago
Under the direction of the Director of Infrastructure and Data Security, the Network Systems Administrator applies complex design principles and methodology to ensure cost effective and optimal use of resources and technology without jeopardizing network integrity. ESSENTIAL DUTIES & RESPONSIBILITIES Responsible for architecture monitoring and maintaining network implementations for multi
Posted 5 days ago
The Rawlings group, founded in 1977, and the premiere leader in payment integrity services to the health insurance industry is recruiting senior level data science candidates to build up the Data Mining Group. This is a Division that is growing daily and we need individuals with Python and R in their technical background as well as SQL knowledge. As a Data Scientist at The Rawlings Group, you wil
Posted 5 days ago
Do you have a knack for building applications that directly impact an organization? Are you a wizard with C#, .Net and Angular JS then The Rawlings Group is looking for you!!! All applications are proprietary and are used in house only. Candidates should be uniquely skilled and have the ability to think outside the box. We are looking for Software Developers who are passionate about joining a comp
Posted 5 days ago
Data entry and document editing utilizing InDesign software. Create and revise complex legal documents adhering to firm styles and guidelines. Creates and edits forms. Completes all assigned duties in a timely manner. Other duties and/or projects as assigned. QUALIFICATIONS Proficient in InDesign or similar document management system. Proficient knowledge of various printers, copiers and scanners
Posted 6 days ago
The main purpose of this position is to expedite the recovery from commercial insurance to Medicare Part D when a COB audit has determined that Medicare should not have been the payer. ESSENTIAL DUTIES & RESPONSIBILITIES Meets, or exceeds, recovery goals. Generate invoice in payer to payer recoveries. Create and set up process with other payers. Ability to understand and explain COB rules. Pe
Posted 6 days ago
Audits bulk liens at both the individual lien and claim level Reviews liens based on relatedness of medical claims details Requests and organizes incoming language for No Subro state LRP requests Handles non LRP lists of plaintiffs submitted by administrators/law firms Performs reviews of claims to determine if any claim lines are duplicated Consistently meets or exceeds customer service guideline
Posted 10 days ago
The Auditor is responsible for closing the required number of audits per day based upon the audit type with a 100% quality score. The Auditor investigates claims data to identify overpaid/incorrectly paid claims and initiates the recovery of that money for our clients. The position requires extensive online research in clients’ claims systems, internal research materials, internet resources
Posted 19 days ago
The Auditor is responsible for closing the required number of audits per day based upon the audit type with a 100% quality score. The Auditor investigates claims data to identify overpaid/incorrectly paid claims and initiates the recovery of that money for our clients. The position requires extensive online research in clients’ claims systems, internal research materials, internet resources
Posted 24 days ago
If you're looking for a career and not just a job......
Posted 24 days ago
Email this Job to Yourself or a Friend
Indicates required fields