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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
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
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
Identify, qualify, and open files for the Workers Comp and Subrogation departments by, researching correspondence with insufficient information using multiple systems and making outbound calls as necessary to get the correct information. Review insurance claim data from client systems and validate the accuracy of the liens we are building. ESSENTIAL DUTIES & RESPONSIBILITIES Access client sy
Posted 6 days ago
Coordinates new employee orientation and electronic processing of paperwork. Responsible for assuring new hire on boarding is complete. Checks I 9 for accuracy and signatures, process paperwork for temporary employees, interns and new hires. Schedules pre screens and interviews with selected applicants. Enters disposition codes into ATS. Sends appropriate recruiting emails throughout the process.
Posted 7 days ago
All duties and responsibilities are to be performed in accordance with The Rawlings Company's policies, procedures, guidelines and contractual commitments and within governmental regulations. Perform analysis and verification of file openings from various sources and appropriate TRC systems' actions as necessary. Perform quality control analysis and take appropriate actions regarding data
Posted 7 days ago
The Overpayment Tracking Coordinator is responsible for the successful submission of overpaid claims that Rawlings is pursuing through monitoring of file submissions and response files to and from our clients, and resolving all issues from the submission process. ESSENTIAL DUTIES & RESPONSIBILITIES Internal & Client correspondence dealing with the correction/update of overpaid claims Mon
Posted 8 days ago
The Pharmacy Support Specialist is responsible for performing various client on line look ups and validation procedures which support the production and distribution of client audits in the Pharmacy Division. The role involves organizing, storing and processing both digital and paper information. The person selected must be comfortable using digital hardware and software, so they can total figures
Posted 15 days ago
The Rawlings group, founded in 1977, is the premier leader in payment integrity services to the health insurance industry. Located in La Grange, KY, The Rawlings Group employs over 1,400 people and is growing. If you are looking for a great opportunity to make positive impact on the future of healthcare, The Rawlings Group needs to be your career choice. The Pharmacy High Cost Drug Analyst, or Cli
Posted 19 days ago
If you're looking for a career and not just a job.....
Posted 21 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 22 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 22 days ago
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