8am - 5pm Monday - Fri with alternative weekends JOB DESCRIPTION Job SummaryProvides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS).

Job DescriptionJob Summary Focuses on process improvement, organizational change management, project management and operational cadence management and execution enablement relative to the business.

JOB DESCRIPTION Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA).