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Assurance Manager Salary in Trenton, NJ

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Beacon Hill Staffing Group, LLC, Trenton
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symplr, Trenton
Overview The symplr Quality Assurance Specialist performs a critical role in auditing all phases of provider enrollment on behalf of medical providers with commercial and/or government payers. Duties & Responsibilities Audit data entry, CAQH, follow up logs/calls, enrollment applications, link letters and spreadsheets for accuracy and completeness based on internally documented standards and payer standards. Provide feedback to our enrollment team managers in a courteous and confidential manner. Maintain necessary logs, lists, records, and current documentation required for internal audits. Provide routine follow up and status confirmation of audits pending corrections. During auditing, identify and record trends to contribute to process improvement efforts in both quality and efficiency. Maintain relationships with payer representatives and clients as required. Respond to all external/internal inquiries in a timely manner. Participate in team meetings and process improvement initiatives to continuously improve work product quality and efficiency. Performs other duties as assigned. Skills Required Highly self-motivated, preferably with some expertise with payer enrollment process for all levels of licensure including but not limited to MD/DO, NP, PhD, PT, OT, LCSW, OD, DDS, DPM, etc. across all specialties including medical, dental, vision, behavioral health, and physical health. Success-driven and results-oriented, with the ability to implement and manage cross-functional projects Proficiency with credentialing systems and learns new systems/processes quickly Familiarity using payer websites including but not limited to CAQH, Pecos, NPI/NPPES, Availity, Navinet, CMS I&A Ability to interact effectively with a variety of people (such as physicians, medical staff offices and Health plans) Provides highest level of customer service for both internal and external customers Strong written and verbal communication skills, along with strong presentation and client interaction skills Ability to prioritize tasks and projects. Accurate discernment on when to act independently and when to ask for guidance and/or assistance Consistently demonstrates flexibility, a customer-focus, terrific organizational skills and a passion for details Qualifications Required: Every organization has a culture, whether they mean to or not, so why not be intentional about it?Together, if we shape our intentions, actions, and interactions around a common, purposeful culture, we are able to quickly achieve more, attract others who help realize our goals, and thrive in our professional relationships. Associate degree or an equivalent combination of education and/or experience in healthcare 3+ years of Payor Enrollment Experience. Preferred experience in managed care, provider credentialing, patient financial services or provider relations Prior data management/data integrity experience preferred MinUSD $22.00/Hr. MaxUSD $25.00/Hr.
REMOTE Data Security/DLP Business Analyst
Beacon Hill Staffing Group, LLC, Trenton
BA for Data Security / Data Loss preventioProjects: Data sensitivity labeling within Office365 , the labeling is optional right now and will at some point be mandatory to used the labels. Also a replacement for a tool that captures all the data loss information due to it being insufficient. Another project to look at additional capabilities in Service Now.Experience in data loss as a BA, some cyber security knowledge, some Power BI background would be useful. Any Service Now platforms would be great and gathering requirements for Service Now. Jira is heavily used by this team and moving to SAFe agile from a project methodology standpoint.3 month minimum contract2hire conversionThis role will be working with the program manager on the data security and data loss prevention work stream within Global Cyber Security in which people, processes, and technologies are significantly impacted. We require a strong BA that has demonstrated success. This is a great opportunity to work within a fast-paced environment, within a global team.Support the Global Cyber Security Program by:* Gathering requirements, providing expertise and guidance, and executing plans to enhance business capability, achieve results and support the global cyber security organization.* Understanding and clearly documenting complex process flows.* Identifying and implementing business processes as well as continuous improvement initiatives by assessing alignment of current process, programs, and systems to business requirements and recognize opportunities for standardization, increased efficiency, cost reduction, increased quality, and improved user experience to enhance performance of the program.* Providing recommendations for improvement and implementing procedural changes to ensure technical solutions align with organizational objectives, regulatory standards, and business needs.* Identifying and eliminating risks to complex change implementation by planning user acceptance testing, clarifying, and ensuring developers understand requirements, coordinating users, executing tests, monitoring test completion, escalating defects/issues, and soliciting feedback to support accurate testing and alignment with desired outcomes.* Facilitating meetings supporting all phases of assigned projects, using appropriate tools and technology according to meeting objectives and attendees.Primary Responsibilities* Foster a partnered approach, building and maintaining strong productive working relationships with internal stakeholders aligning service delivery with business needs.* Develop implementation and improvement plans by eliciting business requirements from stakeholders to identify business needs, evaluate requirements and desired outcomes, analyze gaps between current and future state, and recommend solutions.* Understand and clearly document complex process flows.* Develop a list of technical business requirements based on discussions with stakeholders, engineers, and end users and analyze them for accuracy, completeness, redundancy, ambiguity, and testability.* Discuss complex technical details at a high level with leadership/stakeholders and at a low level with engineers and architects.* Assess, document, and communicate impact of change to business and individuals by collaborating with internal and external key stakeholders to analyze information needs and functional requirements, accurately define costs, schedule timeline, and evaluate interdependencies to develop business requirements documentation for key stakeholder engagement.* Support end-users by thoroughly understanding user requirements and user experience.* Assist with the identification of training requirements for assigned projects and business units by providing input to the training plan, supporting the development of training materials and participating in the training for assigned projects as required.* Analyze business requirements for accuracy, completeness, redundancy, ambiguity, and testability.* Identify and eliminate risks to complex change implementation by planning user acceptance testing, clarifying, and ensuring developers understand requirements, coordinating users, executing tests, monitoring test completion, escalating defects/issues, and soliciting feedback to support accurate testing and alignment with desired outcomes.* Design and provision reporting solutions to enable project decision making, tracking and implementation.* Adhere to data policies & standards, while also enforcing correct management of sensitive data in compliance with global business rules, legal and governmental regulations.* Ensure data integrity, accuracy and reconciliation within reports and dashboards by reviewing, identifying, and resolving gaps and inconsistencies.Required Qualifications* Education: Bachelor's degree or equivalent combination of education and work experience.* Experience: 4 years relevant experience.* Ability to work global hours (US, UK, and Australia time zones).* Excellent communication, analytical and interpersonal skills.* Working knowledge of cyber security projects and programs and managing requirements and testing on the projects.* Experience collaborating with technical team members, business analysts, and project/program managers to ensure a quality solution is delivered.* Evidence of successful participation in the delivery of complex programs.* Effective collaboration, communication, and strong stakeholder management skills.* Impact analysis and strong problem-solving skills when gathering and assessing business needs to overcome potential obstacles and challenges.* Facilitate meetings supporting all phases of assigned projects, using appropriate tools and technology according to meeting objectives and attendees.* Self-motivated, assertive, detail oriented, high degree of organization skills and the ability to appropriately prioritize assigned tasks to ensure timely goal achievement.Preferred Qualifications* Experience with software including Jira, Confluence, Microsoft O365.* Experience using Data Security Technology/Solutions such as Data Loss Prevention and Data Classification.* Working knowledge and understanding of SharePoint, SQL, relational databases, and reporting tools such as Power BI, Tableau, MS Reporting Services and Excel.* Working knowledge of terminology, function and fundamental capabilities of common computer, software, information and communication technology devices, components, and concepts.* An understanding of IT networking and infrastructure.* Working knowledge of the ServiceNow platform and modules.Preferred Competencies/Skills* Understand the principles underlying the relationship among facts and apply this understanding when solving problems.* Observe and evaluate the outcome of a business need and interpret the results and their implications.* Foresee potential obstacles and challenges, identifying root cause and recommending plans to address.* Effectively present thoughts to influence and persuade organizational leaders and key stakeholders to adopt innovative recommendations.* Utilize advanced written and oral communication skills to inform key stakeholders.* Navigate organizational structure by networking and building relationships among multiple business units.* Share knowledge and educate others.* Exhibit leadership in everyday interactions.* Successfully engage in multiple initiatives simultaneously.* Work effectively under pressure; develop and adhere to deadlines.* Adapt and be flexible in a complex, changing environment.Beacon Hill is an Equal Opportunity Employer that values the strength diversity brings to the workplace.If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records.Company Profile:Beacon Hill Technologies, a premier National Information Technology Staffing Group, provides world class technology talent across all industries utilizing a complete suite of staffing services. Beacon Hill Technologies' dedicated team of recruiting and staffing experts consistently delivers quality IT professionals to solve our customers' technical and business needs.Beacon Hill Technologies covers a broad spectrum of IT positions, including Project Management and Business Analysis, Programming/Development, Database, Infrastructure, Quality Assurance, Production/Support and ERP roles.Learn more about Beacon Hill Staffing Group and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.beaconhillstaffing.com .We look forward to working with you.Beacon Hill. Employing the Future (TM)
CX Service Desk Trainer
Liberty Personnel Services, Inc., Trenton
Job Details:CX Service Desk Trainer - Contractor OpportunityDo you have a proven track record of transforming customer service operations? Are you passionate about building consistency and exceeding expectations? If so, we want to hear from you!We're seeking a highly experienced customer service training contractor to join our team and lead a comprehensive overhaul of our customer experience (CX) strategy. Your primary focus will be ensuring our operations consistently meet the high standards set by our Opco (Operating Company).The Ideal Candidate: Years of Experience: You possess a minimum of 5 years of experience in customer service training, ideally with a focus on call centers.Proven Track Record of Success: You have a demonstrable history of helping companies achieve consistent, high-quality customer interactions.Expertise in Key Areas:Building and managing relationships: You excel at fostering strong internal and external relationships that drive positive CX outcomes.Script development: You have a knack for crafting customer-centric scripts that guide staff interactions and ensure customer satisfaction.Quality Assurance: You're a champion of robust quality assurance (QA) practices, ensuring consistent service excellence across all touchpoints.Additional Skills:Training proficiency: You possess exceptional training skills, able to design and deliver engaging, informative programs for call center staff.Adult learning principles: You understand how adults learn best and tailor your training accordingly.Excellent communication and interpersonal skills: You can clearly and effectively communicate your expertise to a variety of stakeholders.The Opportunity:This is a unique opportunity to make a significant impact on our organization. You will have the autonomy and resources to develop a comprehensive CX training program that will elevate our service delivery to new heights.What We Offer:We offer a competitive compensation package for this contract role. If you're a passionate CX expert who thrives on consistency and exceeding expectations, we encourage you to apply!To Apply:Please submit your resume, cover letter, and any relevant portfolio pieces showcasing your past work in customer service training and call center improvements.Please send a current copy of your resume to [email protected] for consideration. All communications are 100% confidential.Please add me on LinkedIn! http://www.linkedin.com/in/boydakellyI look forward to connecting with you!Boyd Kellywww.libertyjobs.com484 567 [email protected]://www.libertyjobs.com/boyd/jobshttp://www.linkedin.com/in/boydakelly#IT#manager#hotjobs07#hybrid
100% Remote - QNXT Benefits Configuration Analyst
Beacon Hill Staffing Group, LLC, Trenton
NOTE: This is a 100% remote position. Candidates will have to work on EST hours.One of our clients in Norfolk, Virginia is looking for a QNXT Benefits Configuration Analyst with the following skills and experience:MUST HAVE : FL Medicaid experience.Required Skills and Experience:QNXT Benefit Configuration background and management exp specific to QNXT Benefit Configuration-(Front End )Experience with QNXT migration or implementationsActual exp designing benefits.May have started as an Analyst and moved into management.Exp with Commercial Benefit ConfigurationExperience managing/leading a team (hiring, turnover, being an escalation point)Exp leading over effort (looking at things high level, attending meetings, making schedules, management reports, etcEnd to End Claims processing Knowledge.Good experience with SQL Queries Management of people and dealing with escalation and turn over.Leads over the efforts; Manager role, would look at things high level and attending meetings, pay attention to schedule.Work with resources is they have questions with stuff.Ensure in testing phase, things going well, putting together management reports. Management, coordination, good working with other people. Ensuring things going in right direct.Interested candidates may submit their resumes online or call at 310-906-4780 for further information regarding the position.Beacon Hill is an Equal Opportunity Employer that values the strength diversity brings to the workplace. Individuals with Disabilities and Protected Veterans are encouraged to apply.If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records.Company Profile:Beacon Hill Technologies, a premier National Information Technology Staffing Group, provides world class technology talent across all industries utilizing a complete suite of staffing services. Beacon Hill Technologies' dedicated team of recruiting and staffing experts consistently delivers quality IT professionals to solve our customers' technical and business needs. Beacon Hill Technologies covers a broad spectrum of IT positions, including Project Management and Business Analysis, Programming/Development, Database, Infrastructure, Quality Assurance, Production/Support and ERP roles.Learn more about Beacon Hill Staffing Group and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.beaconhillstaffing.com . We look forward to working with you.Beacon Hill. Employing the Future™