ADVANCEDRPO

Advanced Group provides expertise in talent acquisition and management, outsourcing, and professional services. As an established leader in each industry we serve, we create meaningful value for our clients. Advanced Group consists of: Advanced Clinical - strategic resourcing, staffing services, and CRO Advanced Resources - talent for accounting, HR, healthcare, IT, and office support positions, plus workforce business solutions WunderLand Group - marketing and creative talent Advanced RPO - recruitment process outsourcing

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Popular Jobs at  ADVANCEDRPO

Overview. Assists with marketing and communication projects with responsibilities that include community outreach, event tracking and logistics, sponsorships, advertising and creating internal and external brand awareness.. Responsibilities. Assists with new community outreach opportunities. Coordinates and presents at community events. Assists potential, eligible members to determine what Neighborhood product is best for them. Supports internal communications team to ensure regular, timely and relevant flow of information throughout the organization. Supports Event Specialist with corporate, ... view job details

Overview. This position is responsible for managing vendor relationship to ensure that purchasing specifications and contract requirements are being met as well lead the implementations of new lines of business and/or new benefits. This position will also be responsible for the oversight of the vendor work for new implementations. Responsibilities. Works closely with the director in the day-to-day management and oversight of the plan’s behavioral health vendor, including vendor’s compliance with purchasing specifications and performance standards. Responsible for working with other departments... view job details

Overview. The Chief of Staff to the President and CEO will be a well-organized, high energy individual that will assist the CEO on strategic projects and initiatives.  The Chief of Staff will work closely with the CEO and the broader Executive -Leadership Team (ELT) to help carry out significant leadership responsibilities and corporate goals.  This role is at the center of a dynamic, growing organization and will work on a variety of important and often sensitive projects that require execution by a person with a high level of intelligence, energy to keep up with a fast-paced environment, the... view job details

Overview. The Customer Experience Manager supports the organization in elevating, expanding and enriching a customer-focused environment, helping empower members to become successful health care consumers. He/she will develop, lead, and manage the Member/Customer Experience Program.. He/she manages cross-departmental teams of assessment, reporting and implementation specialists to complete the required work (no direct reports).. Responsibilities. Work with senior leadership to define Neighborhood’s customer experience mission, develop a multi-year Customer Experience strategic plan, and lead i... view job details

Overview. This position provides executive administrative and project support to Chief Operating Officer. He/she will serve as point of contact for internal and external constituencies on matters pertaining to the COO. Must be creative and enjoy working in a fast pace environment within a small, entrepreneurial environment that is mission-driven, results-driven and community oriented.. Responsibilities. Completes a broad variety of administrative tasks for the executive staff: managing active calendars of appointments; completing expense reports; composing and preparing correspondence that is ... view job details

Overview. The Grievance and Appeals Specialist position is responsible for receiving, researching, monitoring, and facilitating resolution of member/provider grievances, appeals and complaints for Neighborhood’s Medicaid-Medicare Plan, Medicaid, and Commercial lines of business. The Specialist interprets and applies appropriate compliance criteria based on Medicaid, Medicare and Commercial regulations and ensures workflow is managed to compliance turnaround times. The Specialist interprets and explains the company’s benefits, policies and procedures to members and providers as they relate to g... view job details

Overview. This position will work closely with the Information Security Officer and the Information Security Manager to provide timely and quality service to ensure compliance with Neighborhood’s information security and risk policies and procedures.  The Information Security Analyst is a member of an oversight function and supports information security, risk, and compliance governance across the enterprise. Specific responsibilities include coordination of issues identified through vulnerability assessments/penetration testing, vendor risk management, and other security activities, as needed.... view job details

Overview. This position oversees operational activities of the Care Management area of the Medical Management department. This includes program development and monitoring, staff development including overseeing frontline supervisors. He/she assists in developing and operationalizing new programs and insures regulatory and contractual requirements are met. Responsibilities. Develops, executes and evaluates work plan for area of responsibility. Ensures ongoing monitoring, evaluation, and outcome measurement for all Case Management (CM) programs. Provides regular reports and presentations on clin... view job details

Overview. The Member Service Representative I should possess a genuine desire and commitment to assist members and support the mission, vision and values of Neighborhood. He/she is the most junior level call center service representative who is responsible for telephonically working with members. Responsibilities. Answers a high volume of calls from members and pharmacies. Use active listening skills, demonstrate patience and empathy, and is able to handle difficult customers courteously and professionally. Research, review and respond to all entry-level inquiries that are received through inc... view job details

Overview. The role of the Provider Claims Services Representative is to provide consistent, single point of contact service to our provider network concerning issues and inquiries related to claims submission and reimbursement. The position is also responsible for triage of issues which require resolution from Neighborhood’s Business Support Unit or other resources.. Responsibilities. Read and interpret submitted requests to determine claim accuracy and/or need for adjustment. Respond to submitter with claim adjustment status. Responsible for the day to day managing of Provider Inquiry issue r... view job details