14 issue resolution specialist jobs found

Are you passionate about tackling complex challenges and making a real impact? Join our dynamic team as an Issue Resolution Specialist, where your critical thinking and problem-solving skills will drive meaningful change for our clients and members. Why This Role Matters: As an Issue Resolution Specialist, you are the linchpin in ensuring our clients and members receive timely, accurate, and thoughtful solutions to their most pressing issues. You’ll be empowered to investigate, analyze, and resolve multifaceted inquiries, collaborating with cross-functional teams and directly shaping the customer experience. Your work will help us deliver on our promise of excellence and innovation in healthcare operations. What You’ll Do: · Lead Complex Investigations: Dive deep into inquiries, identify root causes, and develop holistic solutions that prevent recurrence. Your analytical mindset will be key to untangling challenging scenarios and delivering results that matter. · Drive...

Genex Service LLC Provider Network Contracting Specialist US--Remote Job ID: 26-18778 Type: Regular Full-Time # of Openings: 1 Category: Product & Program Management Mitchell International, Inc. Overview At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.   Be part of a team that makes a real difference. Responsibilities...

Position Title: Operational & Project Procurement Specialist II Location: Wyomissing, PA, US, 15317 Operational & Project Procurement Specialist II Location: Wyomissing, PA, US, 15317 Workplace Environment: Hybrid Company: UGI Energy Services, LLC Requisition Number: 28990 UGI Energy Services LLC markets natural gas, electricity, and liquid fuels to commercial, institutional, and industrial customers at approximately 43,000 locations in eleven eastern states and Washington, D.C. UGI Energy Services owns and operates natural gas midstream assets such as liquefied natural gas storage and vaporization, underground storage fields, gathering, intra and interstate pipeline systems, compressor stations and renewable natural gas digesters. These assets support the retail business as well as our electric generation assets, and peaking plants. To learn more about UGI Energy...

Genex Service LLC Senior Contracting Negotiator (Workers' Compensation & Auto Provider Networks) US--Remote Job ID: 26-18728 Type: Regular Full-Time # of Openings: 1 Category: Corporate Mitchell International, Inc. Overview At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.   Be part of a team that makes a real difference....

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a...

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a...

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a...

Description   The Provider Network Services  Provider Partnership Associate  supports Integrated Delivery Health Systems (IDS) and community providers including but not limited to primary care physicians, specialists, ancillary, behavioral health, and institutional providers in Pennsylvania and Delaware.  Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes.  Proactively educates providers on new initiatives and policy changes that impact their claims payments, including outreach for UM Vendor Management Programs.  Establishes and maintains professional and effective relationships between IBC and network providers to continually improve provider satisfaction.  Ensures the resolution to issues related to complex claims payment, provider data file maintenance, Quality Incentive Payments (QIPS), capitation, and medical policy.  Maintains and updates the appropriate tracking issues...

Spartronics Description: Spartronics is a leading electronics manufacturing services (EMS) provider supporting some of the world’s most innovative companies in the Aerospace & Defense, Medical, Life Sciences, and Industrial markets. We specialize in high-quality, complex manufacturing—including printed circuit board assembly (PCBA), subsystem integration, and full box builds. What sets us apart is our ability to support the full product lifecycle—from early-stage engineering and design for excellence to rigorous testing and sustaining engineering. With over $500 million in annual revenue and more than 1,300 employees worldwide, our manufacturing operations are strategically located across the U.S. and Vietnam. Our Williamsport, Pennsylvania facility is a key part of that global network, known for its strong technical capabilities, dedicated workforce, and commitment to quality. The site plays a critical role in supporting high-reliability manufacturing for...

Network Payor Relationship Specialist - Southwestern Health Resources Southwestern Health Resources is looking for a highly Network Payor Relationship Specialist . Is that you? Work Location: Southwestern Health Resources Headquarters, Hybrid: 1601 Lyndon B. Johnson Freeway, Farmers Branch, TX 75234. Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion) Department Highlights: Hybrid Position Gain a sense of accomplishment by contributing to a teamwork environment. Receive excellent mentorship, comprehensive training, and dedicated leadership resources. Contribute and work on a cross functional team What You Will Do: Manage Payor relationship from Leadership Level to day to day contacts for complex global payor operational issues, including but not limited to revenue integrity, payor policy and guideline changes, and coordination of projects. 10% Develop and maintain effective relationships and...

JOB DESCRIPTION This is a role focused on technical claim handling for Chubb insureds nationwide. In this role, you will manage complex environmental liability claims, including first-party, third-party and litigated pollution claims. This role requires accountability for the handling and disposition of claims, including investigation, coverage, reserves, negotiation, settlement and trial strategies. Some travel will be required, as well as coordination and service of our internal and external business partners. You will represent the company at meetings with management and business partners, as well as at mediations, arbitrations, settlement conferences and trials. Responsibilities Develops and executes claim resolution strategies. Recognizes significant potential exposures on claims and prepares appropriate alerts to senior managers and internal business partners. Provides exceptional service to internal and external business partners. Analyzes and identifies...

The Provider Network Services  Provider Partnership Associate  supports Integrated Delivery Health Systems (IDS) and community providers including but not limited to primary care physicians, specialists, ancillary, behavioral health, and institutional providers in Pennsylvania and Delaware.  Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes.  Proactively educates providers on new initiatives and policy changes that impact their claims payments, including outreach for UM Vendor Management Programs.  Establishes and maintains professional and effective relationships between IBC and network providers to continually improve provider satisfaction.  Ensures the resolution to issues related to complex claims payment, provider data file maintenance, Quality Incentive Payments (QIPS), capitation, and medical policy.  Maintains and updates the appropriate tracking issues database with current statuses...

The Quality Manager is responsible for developing, implementing, and maintaining the Quality Management System (QMS) for Urban Engineers. This role ensures compliance with industry standards, including ISO 9001, and drives continuous improvement across engineering, project delivery, and consulting operations. The Quality Manager will lead internal audits, manage corrective and preventive actions, maintain quality procedures, and support project teams in achieving consistent quality outcomes. Responsibilities: Quality Management System (QMS) Maintain and continuously improve the company's Quality Management System in accordance with ISO 9001 requirements. Develop, implement, and maintain quality processes, procedures, and documentation. Ensure quality policies and procedures are communicated and followed across the firm. Monitor QMS performance and recommend improvements to leadership. Auditing & Compliance Plan, schedule, and conduct...

The Provider Data Quality Specialist is responsible for ensuring the accuracy, integrity, and reliability of provider data across multiple systems and workflows. This role supports operational excellence by reviewing data for quality issues, assisting with complex inquiries, and collaborating closely with internal partners to resolve provider data discrepancies. The specialist works in claims inventory, investigates and completes One Hub tasks, assists with ServiceNow (SNOW) tickets, and supports error resolution within the NextGen provider data platform PIE. This role requires strong communication skills, the ability to work effectively in a collaborative team environment, and confidence navigating multiple systems simultaneously to identify and resolve issues. Key Responsibilities Provider Data Quality & Error Resolution Review and research provider data inconsistencies across multiple platforms, including the NextGen π system, to identify root causes of errors....