About the role: The Utilization Management (UM) PHRN is responsible for the review, processing, and resolution of UM cases. The role ensures timely and clinically sound UM review, upholding member rights and health plan obligations under commercial and
Purpose of the Role The Finance Business Partner acts as a trusted strategic and financial advisor to the heads of Support and SG&A departments. This role is responsible for driving financial discipline, delivering sharp variance analysis,
Job Title:Supervisor, IT Operations (TCF) Job DescriptionWere Concentrix. The intelligent transformation partner. Solution-focused. Tech-powered. Intelligence-fueled. The global technology and services leader that powers the world’s best brands, today and into the future. We’re solution-focused, tech-powered, intelligence-fueled.
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member
Property-specific optimization support. Deliver dedicated workforce analytics and optimization support for SEC in line with priorities, methods and reporting standards set by the Senior Manager, Workforce Optimization. Maintain a current understanding of the propertys operating model,
Senior Manager, Systems Software Engineering Your potential has a place here with TTEC’s award-winning employment experience. Senior Manager, Systems Engineering working remotely in Metro Manila, Philippines, you’ll be a part of bringing humanity to business. #experienceTTEC
About TaskUs: TaskUs is a provider of outsourced digital services and next-generation customer experience to fast-growing technology companies, helping its clients represent, protect and grow their brands. Leveraging a cloud-based infrastructure, TaskUs serves clients in the
We are seeking a detail-oriented and proactive HR Admin to support the smooth operation of administrative, facilities, billing, and purchasing functions. This role ensures efficient office management, accurate financial processing, and effective coordination of resources to support
The Training Director is responsible for leading the strategy, execution, and continuous improvement of learning, training, coaching, and frontline development programs that enable operational excellence and business performance. This role provides leadership for Training Managers, Supervisors,
At Globe, our goal is to create a wonderful world for our people, business, and nation. By uniting people of passion who believe they can make a difference, we are confident that we can achieve this
Data and Integration Engineer (AI and Automation) Job Overview Our client is a UK-based managed service provider delivering technology and operational services to customers in the Accountancy, Financial Services, and Asset Management sectors. They are looking for
Job Title:SaaS Functional Consultant Job DescriptionJob Description Functional Consultant – Support / Managed Services Job Title Functional Consultant Reports To Support Team Lead Position Summary The Functional Consultant is responsible for providing functional application support, configuration,
Performs training and provides subject matter expertise on clinical reviews needed to resolve and process appeals to team members. • Reviews medical records and clinical data to determine medical necessity for services in accordance with policies,
The Talent Acquisition Director will lead and oversee full-cycle recruitment delivery across multiple functions in a high-volume BPO environment. This role is accountable for building scalable hiring strategies, driving recruitment performance, and ensuring timely fulfillment of
Some careers shine brighter than others. If you’re looking for a career that will help you stand out, join HSBC and fulfil your potential. Whether you want a career that could take you to the top,
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member
Were Concentrix. The intelligent transformation partner. Solution-focused. Tech-powered. Intelligence-fueled. The global technology and services leader that powers the world’s best brands, today and into the future. We’re solution-focused, tech-powered, intelligence-fueled. With unique data and insights, deep
Join us and enjoy benefits designed to help you thrive: Flexible hybrid work setup. IT Equipment provided. HMO Coverage starting from Day 1 for you and FOUR Free dependents. Attractive retirement package with company matching. Life
The Service Delivery Operations Head is responsible for leading and managing end-to-end service delivery operations across Service Desk, Field Support Services (FSS), and Account Service Management (ASM) teams. This role ensures operational excellence, SLA/KPI compliance, client satisfaction,
We are seeking a Quality Design Specialist to join our Global Quality Transformation team. This practitioner-level role operates at the intersection of AI-powered quality automation and operational excellence. You will serve as the connective tissue between