American CyberSystems, Inc. Philadelphia, Pennsylvania A client of Innova Solutions is immediately hiring for a Project Manager. Position type: Full time - Contract Duration: 3+ Months Location: Philadelphia, PA As a Project Manager, you will: Planning, managing and coordinating activities of individuals at both the management and staff levels as well as Vendors. Ensure that key goals and objectives are accomplished in keeping with established priorit |
American CyberSystems, Inc. Philadelphia, Pennsylvania A client of Innova Solutions is hiring for a Client Setup Quality Analyst. Position type: Full time - Contract Duration: 3+ Months Location: Philadelphia, PA As a Client Set Up Analyst, you will: Participate in pre and post implementation audits of client benefits and setup. Prepare accurate and complete claims test scenarios. Perform comprehensive group setup audits to validate setup accuracy and |
American CyberSystems, Inc. Philadelphia, Pennsylvania Innova Solutions has a client that is immediately hiring for a Quality Business Analyst Position type: Full Time-Contract Duration: 6 months Location: Philadelphia, PA As a Quality Business Analyst you will: Work in a production environment handling transactions required as well as business support to teams as needed. Handle claims production tasks such as written inquiries and reconsiderations an |
American CyberSystems, Inc. Philadelphia, Pennsylvania Innova Solutions has a client that is immediately hiring for a Relationship Coordinator Position type: Full Time-Contract Duration: 6 months Location: Philadelphia, PA/Salt Lake City, UT/Houston, TX/Columbus, OH As a Relationship Coordinator you will: Provide planning for all lines of business and products such as Preferred Provider Organizations (PPO), Traditional, Medicare Advantage, Health Main |
American CyberSystems, Inc. Philadelphia, Pennsylvania Innova Solutions has a client that is immediately hiring for a HEDIS Correspondence Coordinator Position type: Full Time-Contract Duration: 3 months Location: Philadelphia, PA As a HEDIS Correspondence Coordinator you will: Be contacting/scheduling provider offices up to at least 3 times to request medical records and documenting each outreach in the database to ensure ample provider coverage. Com |
Innova Solutions New York, New York Innova Solutions is immediately hiring for a Medical Director- Utilization Review Position type: Full Time Duration: Full Time Employee Location: Remote As a Medical Director you will: Performs Utilization Management related to inpatient level of care and home care services. Additional UM may cover other areas such as appropriate use of out of network providers. Conducts peer to peer discussions, |
Innova Solutions Hilton, New York A client of Innova Solutions is immediately hiring for a Customer Service Representative. Position type: Full-time Contract Duration: 6 months Location: Rochester, NY As a Customer Service Representative, you will: Responsible for researching and responding to inquiries via telephone, email, walk-in, and mail from internal and external customers in accordance with custom designed benefit plans. Re |
Innova Solutions Lewisville, Texas Immediately hiring for Process Analyst opportunities: Position type: Full-time/Direct Hire Location: Lewisville, TX - 100% onsite Hours: Monday - Friday 8 am to 5 pm Process Analysts will design, develop and analyze processes using Lean Manufacturing and Six Sigma techniques, as well as create process control documents to support all production functions. You must also deploy established documents |
American CyberSystems, Inc. Philadelphia, Pennsylvania A Client Innova Solutions is immediately hiring for Data and Reporting Specialist Position type: Full-time - Contract Duration: 6 months Location: Philadelphia, PA As Data and Reporting Specialist, you will be: Gather, develop, validate, and analyze data across multiple teams. Works with SME's and Management to design, build and implement quality monitoring tools, inventory management tools, dashb |
American CyberSystems, Inc. Philadelphia, Pennsylvania Innova Solutions is immediately hiring for a Client Setup Quality Analyst. Position type: Full time - Contract Duration: 3+ Months Location: Philadelphia, PA As a Client Set Up Analyst, you will: Be auditing Client Benefit Setup and Changes Be performing comprehensive group setup audits to identify processor accuracy and/or compliance issues to ensure quality setup for clients Be responsible for q |
Innova Solutions Bessemer, Alabama Innova Solutions is immediately hiring for Business Process Analyst Position type: Contract to hire Duration: 6 month Location: Birmingham, AL - HYBRID - 3 days per week in the office. BUSINESS PROCESS ANALYST Primary Responsibilities Plans, organizes and coordinates the efforts of delivering continuous improvement services requested by Corporate Management in support of the corporate vision, miss |