Top Tech Jobs & Startup Jobs in Charlotte, NC

The Claims Specialist processes Medicare insurance claims, ensuring compliance and quality, addressing customer inquiries, and collaborating across departments for efficient claims resolution.

The Enrollment Specialist processes Medicare and Medicaid enrollments, ensuring compliance with CMS regulations and maintaining member eligibility. Responsibilities include customer inquiries, eligibility determinations, and adherence to service level agreements.

The Configuration Analyst ensures health plan systems are configured for operational efficiency, regulatory compliance, and service delivery by maintaining software systems, implementing business rules, testing, and supporting stakeholders.

The Utilization Management Auditor will audit UM processes, evaluate cross-departmental workflows, ensure compliance, and provide recommendations for process improvement. The role emphasizes collaboration, reporting, and continuous training in healthcare operations.

The role involves onboarding and supporting healthcare clients in using a SaaS platform, troubleshooting issues, and ensuring successful implementations.