48 member service consultant jobs found

Job Description: NOTE: Based on the scope and responsibilities associated with this role, this position has been approved for permanent out of state work in the following states: Arizona, Florida, Kentucky, Louisiana, Massachusetts, Missouri, New York, North Carolina, Illinois, Ohio, Pennsylvania, South Carolina, Tennessee, Texas & Virginia Summary: The Strategic Out of Area Sales Consultant is responsible for prospecting, developing, and winning new business outside of the 31 counties Lifetime Healthcare Companies (LTHC) serves. This role will have responsibility for the MSO product portfolio, growth for LBS Ancillary, Pharmacy, and Operations as a Service, and satisfaction of accounts/partnerships. Essential Accountabilities: • Sales prospecting, relationship development, and maintenance of an Out of Area pipeline (market expansion) which includes Brokers, Distribution Channels, Carriers and TPA(s). Utilizes various lead generation methods, including cold calling,...

Job Description: NOTE: Based on the scope and responsibilities associated with this role, this position has been approved for permanent out of state work in the following states: Arizona, Florida, Kentucky, Louisiana, Massachusetts, Missouri, New York, North Carolina, Illinois, Ohio, Pennsylvania, South Carolina, Tennessee, Texas & Virginia Summary: The Strategic Out of Area Sales Consultant is responsible for prospecting, developing, and winning new business outside of the 31 counties Lifetime Healthcare Companies (LTHC) serves. This role will have responsibility for the MSO product portfolio, growth for LBS Ancillary, Pharmacy, and Operations as a Service, and satisfaction of accounts/partnerships. Essential Accountabilities: • Sales prospecting, relationship development, and maintenance of an Out of Area pipeline (market expansion) which includes Brokers, Distribution Channels, Carriers and TPA(s). Utilizes various lead generation methods, including cold calling,...

Hajoca Corporation is one of the country's largest privately-held wholesale distributors of plumbing, heating & cooling, and industrial supplies. Founded in 1858, Hajoca is a company based on the principles of "Service, Integrity, Reliability," and on relationships of trust and support with teammates, customers, and suppliers. Throughout its history, Hajoca has played an active role in shaping advances in plumbing. However, we attribute our success to two simple truths; a unique business philosophy and talented people. Hajoca is all about the people, who give us our advantage, and who will guide us successfully into the future. Although Hajoca is a large company, we work in a decentralized environment where each of our locations, called Profit Centers (PCs), is run by the Profit Center Manager as if it were their own small business. A typical Profit Center is the heart of our business and consists of a warehouse, counter, sales office, and (sometimes) a showroom. Our PCs...

Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: Level I • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently....

Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: Level I • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently....

Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: Level I • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently....

Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: Level I • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently....

Job Title: Member Consultant I, Pool Reports To: Manager Retail Branch Direct Subordinates: None Basic Functions: Having completed teller training, operates a full-service teller window and processes all bank transactions negotiated at the teller window. Cross-sells the Bank’s products and services.  Maintains a customer service attitude and assists fellow employees as needed. Member Consultant I's are hired into our Consultant Pool. In the Pool we are looking for candidates that are willing to float to different branch locations. The schedule may vary due to branch needs. The position covers branch staffing needs in Region Three: Auburn, Edgerton, Grabill and Hicksville . Duties and Responsibilities:                          1.   Is accountable for representing the Bank to the customer in a courteous, professional manner and providing prompt, efficient and accurate service in processing transactions....

Associate, Technology, Media & Telecommunications (TMT) Practice (Telecommunications & Digital Infrastructure) Spencer Stuart is seeking to recruit an Associate for the Telecommunications & Digital Infrastructure team within the broader TMT Practice. This position offers the opportunity to work directly with the global practice leader and other core Consultants on Chief Executive Officer and additional C-level executive searches. With exposure to a broad set of clients and leadership challenges, this Associate will help to identify and develop diverse candidate slates as an essential member of the search team. The Associate role combines research, assessment, and relationship-building skills to deliver extraordinary service and value to Spencer Stuart clients. Successful candidates for the Associate position will be driven, resilient, and proactive, with strong project management ability, writing skills, results orientation, rigorous attention to details,...

ERM is hiring a Construction Safety Site Supervisor in Rome, NY to provide on-site support for our key manufacturing client. In this critical role, you will be responsible for leading a safety team for construction activities, engaging with project and construction leaders, and ensuring health and safety compliance with applicable regulations and existing company standards. You will be present during all site activities and responsible for all health and safety activities, and the delegation of duties to other project team members. This is full-time (40 hours per week), limited-term role with a duration of 1 year, extendable.  Responsibilities: The Construction Safety Site Supervisor will be responsible for overseeing all safety aspects of the construction site during the installation of heavy equipment and machinery. Core Duties and Responsibilities: Develop and Enforce Safety Plans: Create, implement, and enforce site-specific safety plans, programs, and...

EXPAND YOUR IR EXPERIENCE  IN A HIGH-ENERGY, HANDS-ON ENVIRONMENT   About Us: Ellipsis is a boutique investor relations and capital markets advisory firm headquartered in New York City. We are a tight-knit team helping the companies that are driving tomorrow’s global economy to achieve their capital markets objectives through compelling narrative, strategic stakeholder engagement, and effective financial communication in key moments.   We are looking for a smart, creative, and detail-oriented individual who wants to take the next step in their career as an investor relations professional. As Senior Associate, you will work closely with the firm’s decision makers and learn first-hand how to interact with and serve our clients.    Our team members have a unique opportunity to accelerate early-career growth and gain exposure that takes several years in a larger agency/consulting environment. As a result, the successful candidate must be a confident,...

Systems Engineer for Large Public Venues (East Coast) This role has been designated as 'Remote/Teleworker', which means you will primarily work from home. Who We Are: Hewlett Packard Enterprise is the global edge-to-cloud company advancing the way people live and work. We help companies connect, protect, analyze, and act on their data and applications wherever they live, from edge to cloud, so they can turn insights into outcomes at the speed required to thrive in today's complex world. Our culture thrives on finding new and better ways to accelerate what's next. We know varied backgrounds are valued and succeed here. We have the flexibility to manage our work and personal needs. We make bold moves, together, and are a force for good. If you are looking to stretch and grow your career our culture will embrace you. Open up opportunities with HPE. Job Description: The Systems Engineer for Large Public Venues on the East Coast will be mainly responsible for providing technical...

Company Description At KPFF Consulting Engineers , we are more than just an engineering design firm . For 65 years , we have dedicated ourselves to innovative, sustainable engineering that shapes the built environment and tackles complex infrastructure challenges . Our team culture emphasizes balance, growth, and well-being , supporting each member's professional journey with flexibility, generous benefits, and a collaborative approach to work-life integration. With over 1,500 professionals across 36 offices nationwide , KPFF's decentralized structure allows each office the flexibility to pursue projects aligned with their regional strengths . Learn more at www.kpff.com . Our New York City office reflects this approach in a fast-paced, high-volume environment with a strong and consistent project pipeline. The team works across a diverse mix of projects, including commercial developments, tenant improvements, adaptive reuse and renovation work , as well as...

Make a Difference in Healthcare Are you detail-oriented, organized, and passionate about helping people navigate healthcare? Do you enjoy working with healthcare providers, solving problems, and making sure patients receive timely access to services? Comagine Health is looking for a Health Services Specialist to join our team! Work Location Remote – Washington State This position is designated as remote within Washington State. Candidates must reside in Washington. In this role, you'll support healthcare providers, clinical teams, and members by coordinating service requests, managing healthcare documentation, and helping ensure medical management processes run smoothly. If you have experience in a medical office, healthcare customer service, patient coordination, medical assisting, or healthcare administration, we encourage you to apply! About Comagine Health Comagine Health is a national nonprofit healthcare consulting organization dedicated to improving healthcare...

Job Description: Under the guidance of assigned management, this position manages related complex programs/projects as well as provides higher level operational and technical solutioning that reflects a more holistic or end-to-end approach to quality performance, i.e. accreditation, regulatory (CMS/DOH), member experience and health plan performance. This position is an integral part of the team serving as the primary contact to internal and external stakeholders in all matters related to program. The Program Manager provides leadership and direction to ensure the program submissions are delivered according to specifications and deadlines along with ongoing monitoring of results. Essential Accountabilities: Performs elevated program management duties; specifically, provides focus on measures/outcomes and operational optimization/efficiencies, manages multiple projects, manages change in business strategies and priorities and maintains an organizational / enterprise lens...

Job Description: Under the guidance of assigned management, this position manages related complex programs/projects as well as provides higher level operational and technical solutioning that reflects a more holistic or end-to-end approach to quality performance, i.e. accreditation, regulatory (CMS/DOH), member experience and health plan performance. This position is an integral part of the team serving as the primary contact to internal and external stakeholders in all matters related to program. The Program Manager provides leadership and direction to ensure the program submissions are delivered according to specifications and deadlines along with ongoing monitoring of results. Essential Accountabilities: Performs elevated program management duties; specifically, provides focus on measures/outcomes and operational optimization/efficiencies, manages multiple projects, manages change in business strategies and priorities and maintains an organizational / enterprise lens...

Job Description: Under the guidance of assigned management, this position manages related complex programs/projects as well as provides higher level operational and technical solutioning that reflects a more holistic or end-to-end approach to quality performance, i.e. accreditation, regulatory (CMS/DOH), member experience and health plan performance. This position is an integral part of the team serving as the primary contact to internal and external stakeholders in all matters related to program. The Program Manager provides leadership and direction to ensure the program submissions are delivered according to specifications and deadlines along with ongoing monitoring of results. Essential Accountabilities: Performs elevated program management duties; specifically, provides focus on measures/outcomes and operational optimization/efficiencies, manages multiple projects, manages change in business strategies and priorities and maintains an organizational / enterprise lens...

Overview Navitus Health Solutions is seeking a Sr. Account Executive to join our team!   The Sr. Account Executive (Sr. AE) is a senior level individual contributor responsible for full strategic ownership of complex client accounts within the health plan and employer PBM space. This role leads sophisticated client relationships and books of broker, consultants and/or TPA Agents, serving as the primary strategic partner for Company level clients with high customization, elevated service needs, and complex benefit designs. The Sr. Account Executive independently manages account strategy, resolves complex situations, leads Quarterly Business Reviews (QBRs), and engages executive level client and consultant stakeholders while collaborating closely with internal partners including Sales, Clinical Account Executives, Analytics, Operations, and Product teams.   This position plays a critical role in advancing organizational goals for the organization by strengthening long‑term...

JOB DESCRIPTION Our Chubb Associate Program is a great starting point for individuals seeking an entry-level role in the insurance industry as a Construction Risk Control Consultant. The role of the CRC Construction Consultant is integral in ensuring customer satisfaction and the profitable growth of Chubb Risk Consulting. This role regularly interfaces with all levels of HSE operations, CGRA Sales and Marketing, Chubb Underwriting, broker partners and client personnel. Provides Health, Safety, and Environmental consultative services to assigned clients in a specific territory. Our Chubb Associate roles offer growth opportunities and serve as a foundation for a career in insurance, while being supported by our experienced team members. By joining the Chubb Associate Program, you will be part of a cohort of top early career talent who will participate in a robust, comprehensive technical and experiential learning journey. Our two-year program is designed to accelerate your...

General Purpose The Staff Physical Therapist evaluates and treats patients, communicates with families, physicians and other health team members and maintains documentation of services in the medical records. Conducts in-services and training for facility staff on an ongoing basis. Essential Duties • Evaluate patients within twenty-four (24) hours, or 1 business day of physician referral. If unable to complete evaluation in 24 hours, documentation in medical record clearly defines cause for delay. • Develop effective treatment plan and obtain approval for services from referring physician. • Treat patients per the physician treatment plan. • Assist nursing department with training of Restorative Aides. • Supervise Physical Therapy Assistants in direct patient care and patient related activities, following state practice act. • Communicate with supervisor and other health team members regarding patient progress, problem and plans. • Participate in Patient Care...