Client Partner - Provider Enrollment Job at Access Healthcare LLC (Taguig City)

Client Partner – Credentialing Specialist

Join our team in Manila as a Client Partner - Credentialing Specialist. We are s...

Location

Philippines , Taguig City

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Strong knowledge of Payer Processes and Credentialing
Willingness to work continuously in night shifts
Must be fluent in English language
Willing to work in the night shift at our office in McKinley Hill, Taguig
Must have at least 1 year of experience in Credentialing processes for US healthcare customers

Job Responsibility

Manage the end-to-end provider enrollment process, ensuring healthcare providers are properly credentialed and enrolled with insurance networks
Conduct thorough review of provider documentation, ensuring compliance with credentialing requirements and proactively resolving any discrepancies
Serve as a liaison between healthcare providers and insurance companies, addressing enrollment-related inquiries and facilitating timely resolution
Maintain accurate and up-to-date provider information in databases, and collaborate with internal teams to streamline the enrollment and billing processes

New

Site Care Partner

Location

India , Mumbai

Salary:

Not provided

Parexel

Expiration Date

Until further notice

Requirements

Knowledge of Good Clinical Practice/ICH Guidelines and other applicable regulatory requirements
Must demonstrate good computer skills and be able to embrace new technologies
Good communication, presentation, and interpersonal skills
Ability to manage required travel
Demonstrated networking and relationship building skills
Demonstrated ability to manage cross functional relationships
Ability to communicate effectively and appropriately with internal & external stakeholders
Ability to adapt to changing technologies and processes
Knowledge of country requirements for GCP that may be different to those of client procedures
Effectively overcoming barriers encountered during the implementation of new processes and systems

Job Responsibility

Site start-up and activation: Deploys client site strategies by qualifying and activating assigned sites
Supports processes to optimize country & site selection activities including review and assessment of the draft potential site list and provide site qualification output for site selection
Collaborates with key stakeholders providing country/regional level input to country outreach surveys including protocol feasibility, country Standard of Care (SOC) and medical practices (as applicable) under supervision
Maintains a knowledge of assigned protocols
Conducts study start-up activities at the site level including but not limited to Site Qualification, coordination of site activation checklist items, Informed Consent Form (ICF) finalization, Site Initiation Visit (SIV) as applicable, including management of issues that may compromise time to site activation
Ensures all the site initiation activity including training per site activation checklist, collect and / complete necessary documentation/ systems needed for site activation
Supports country specific ICF review and deployment up to Site Activation
Ensures follow up activities' completion post Site qualification visit and SIV to ensure site readiness for First Subject First Visit (FSFV)
Partners with Clinical Research Associate (CRA) to ensure site monitoring readiness in anticipation of FSFV
Responsible for relationship building and operational quality of the site

What we offer

Flexible work arrangements

Fulltime

New

Account Manager

We are looking for an Account Manager to join our insurance team in Greenville, ...

Location

United States , Greenville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience in account management, client services, or a similar customer-facing business role
Background supporting B2B relationships with a strong focus on responsiveness and service quality
Ability to build credibility with clients and maintain productive client partnerships
Strong organizational skills with experience handling detailed records and multiple account updates accurately
Effective communication skills, with the ability to collaborate across departments and resolve client concerns
Comfort managing inbound requests and prioritizing tasks in a fast-paced environment
Familiarity with inside sales or consultative client support is preferred
Insurance industry experience or the ability to quickly learn industry products and services is highly valued

Job Responsibility

Cultivate and maintain strong relationships with business clients to support retention, satisfaction, and long-term partnership growth
Keep account information current by tracking client activity, including hours reporting, enrollments, onboarding updates, and terminations
Respond to client questions and concerns promptly, ensuring issues are addressed thoroughly and professionally
Partner with customer service and claims teams to coordinate solutions and provide a seamless experience for clients
Develop in-depth knowledge of insurance products and service offerings in order to guide clients with accurate and relevant information
Manage inbound inquiries and follow up consistently to support account needs and identify additional service opportunities
Monitor account trends and client interactions to help improve service delivery and strengthen overall account performance

What we offer

medical, vision, dental, and life and disability insurance
company 401(k) plan

New

Employee Benefits Client Manager

At Alera Group, our Employee Benefits teams help organizations attract, retain, ...

Location

United States , Scottsdale

Salary:

Not provided

Alera Group

Expiration Date

Until further notice

Requirements

Two plus years of experience in employee benefits account management client service or consulting environment
Strong client service skills with experience managing multiple client accounts or programs
Knowledge of benefits programs including medical dental vision and ancillary offerings
Understanding of compliance requirements and industry best practices including ACA COBRA and HIPAA
Excellent communication collaboration and organizational skills
Ability to manage multiple priorities and maintain a high level of accuracy and responsiveness

Job Responsibility

Deliver employee benefits programs that align with organizational goals and workforce needs
Serve as the primary relationship manager for assigned clients building strong relationships with HR leadership and executive stakeholders
Provide proactive guidance on plan design compliance requirements and vendor management strategies
Facilitate client meetings including mid year reviews renewal discussions and wellness strategy sessions
Respond to employee and client inquiries with clear accurate and timely information across all aspects of benefits programs
Administer benefits programs including renewals enrollments plan changes and client lifecycle activities
Independently manage and coordinate the annual renewal process ensuring all deliverables and timelines are met
Maintain accurate documentation and client records across systems including benefit plan details correspondence and reporting
Ensure compliance with regulatory requirements including ACA COBRA HIPAA and other applicable laws
Collaborate with carriers internal teams and third party administrators to support program accuracy and efficient implementation

What we offer

medical, dental, vision, life and disability coverage, 401(k), generous PTO

Fulltime

New

AI Solutions Architect for Healthcare Payer and Life Science

Location

United States , Plano

Salary:

119578.00 - 221625.00 USD / Year

NTT DATA

Expiration Date

Until further notice

Requirements

Bachelor's degree in computer science, information systems, engineering, data science, healthcare informatics, or a related field
8+ years of experience in technology architecture, data architecture, analytics, AI/ML, or enterprise solution delivery
4+ years of experience supporting health plans, payers, managed care organizations, or healthcare administrative platforms
Hands-on experience designing AI, machine learning, generative AI, analytics, or automation solutions in production environments
Strong understanding of health plan business processes, including claims, membership, provider, utilization management, care management, quality, risk adjustment, and customer service
Experience with healthcare data standards and regulations, such as HIPAA, FHIR, HL7, X12 EDI, CMS interoperability requirements, and payer data exchange
Experience with major cloud platforms such as AWS, Azure, or Google Cloud, including data, AI, security, and integration services
Familiarity with modern AI patterns such as RAG, vector databases, prompt engineering, model evaluation, MLOps, LLMOps, and AI governance
Ability to communicate complex technical concepts to executive, clinical, operational, and technical audiences
Strong consulting, facilitation, problem-solving, and stakeholder management skills

Job Responsibility

Design end-to-end AI and generative AI solutions for health plan use cases, including architecture, data flows, integration patterns, model selection, governance, security, and deployment approach
Partner with health plan stakeholders to identify high-value AI opportunities, define business outcomes, assess feasibility, and shape implementation roadmaps
Lead solutioning for payer-specific domains such as claims, enrollment, benefits, prior authorization, medical management, provider data, quality measures, risk adjustment, member services, and regulatory reporting
Develop reference architectures using cloud platforms, data lakes, warehouses, MLOps pipelines, APIs, workflow tools, and enterprise integration patterns
Guide teams on applying large language models, retrieval-augmented generation, predictive analytics, natural language processing, intelligent automation, and decision support in healthcare settings
Collaborate with data scientists, engineers, clinicians, compliance teams, security architects, and delivery leaders to move concepts from prototype to production
Define responsible AI controls, including model monitoring, explainability, human-in-the-loop review, bias assessment, auditability, privacy, and regulatory compliance
Support pre-sales and client advisory activities, including solution presentations, proposals, estimates, demos, workshops, and executive briefings
Evaluate vendor platforms and AI tools across cloud, payer technology, data management, workflow automation, and clinical operations ecosystems
Create reusable assets, including solution blueprints, architecture patterns, implementation playbooks, data requirements, and governance frameworks

What we offer

Medical, dental, and vision insurance
Flexible spending or health savings account
Life and AD&D insurance
Short and long term disability coverage
Paid time off
Employee assistance
Participation in a 401k program with company match
Additional voluntary or legally-required benefits

Fulltime

Sales Administrative Assistant

We are looking for a proactive Sales Administrative Assistant to support members...

Location

United States , Irvine

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in sales support, account coordination, administrative support, or a related customer-facing role
Strong ability to build strong relationships and communicate effectively with clients, brokers, and internal stakeholders
Comfort preparing presentations, proposals, reports, and other business documents with a high level of accuracy
Organized approach to managing multiple priorities, tracking follow-ups, and maintaining detailed records
Familiarity with consultative selling principles or experience supporting benefits, insurance, or service-based solutions is preferred
Ability to work collaboratively across departments while maintaining a high level of discretion
Proficiency with standard office software and digital tools used for scheduling, reporting, and sales activity tracking

Job Responsibility

Generate and follow up on prospective business opportunities across agricultural employers, brokers, associations, and related industry contacts
Support outreach efforts by coordinating calls, meetings, referrals, networking activities, and event participation to expand market presence
Prepare clear proposals, presentation materials, and supporting documents that help communicate benefit program options to prospective groups
Maintain accurate records of account activity, pipeline progress, and sales milestones to keep opportunities moving forward
Cultivate ongoing relationships with clients and partners by providing timely updates, consistent communication, and responsive service
Explain benefit offerings, enrollment steps, and participation guidelines in a clear manner to prospective and existing members
Work closely with internal teams such as underwriting, client support, and compliance to assist with onboarding, renewals, and service follow-through
Help organize enrollment sessions, educational meetings, and other member-facing events as business needs require
Monitor market developments, competitor activity, and workforce trends within the agricultural sector to support informed sales planning

What we offer

Medical
Vision
Dental
Life and disability insurance
401(k) plan

Fulltime

Workplace Health Coach

Workplace health coaching creates real behavior change when it's personal, acces...

Location

United States , Omaha

Salary:

25.00 - 35.00 USD / Hour

Personify Health

Expiration Date

Until further notice

Requirements

Bachelor's degree in health-related field
Master's degree preferred
NBHWC or ICF certification preferred (required within 2 years of hire)
3-5 years experience in health coaching or related fields (behavioral health, general wellbeing, exercise training, nutrition coaching, nursing)
2-4 years experience with individual behavior change management, motivational interviewing, and health coaching preferred
Experience conducting individual and group coaching sessions in confidential environments preferred
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, Teams)
Proficiency with electronic documentation and ability to learn new technology/systems quickly
Demonstrated expertise in event coordination from strategic planning through execution
Ability to deliver presentations to diverse audiences at all organizational levels via multiple modalities (virtual and in-person)

Job Responsibility

Deliver individual and group coaching: Conduct coaching sessions across multiple modalities (in-person and virtual) focused on health improvement and wellbeing using evidence-based strategies
Apply coaching methodologies: Utilize motivational interviewing, appreciative inquiry, and participant-led focus to support employees with a wide variety of health concerns and drive meaningful behavior change
Design health programming: Create and facilitate onsite and virtual health education programs including workshops, group coaching, webinars, and other events that engage diverse employee populations
Lead Wellness Committee: Provide leadership to site's Wellness Committee, inspiring members and assisting in planning activities including blood drives, cooking demos, and other health initiatives
Guide to appropriate resources: Direct employees to appropriate external resources for health concerns outside scope of work while maintaining coaching relationships
Drive platform adoption: Serve as Personify Health platform expert, supporting enrollment and ongoing engagement with associated solutions, resources, and partners
Use data to improve outcomes: Leverage metrics to assist in driving individual participant improvement and continuously refine participant experience while streamlining processes and procedures
Interface with client leadership: Coordinate with client's Corporate Benefits team, who provides oversight to Workplace Health Coaches, to align programming with organizational priorities

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions (yes, we use what we build)
Paid Time Off—rest and recharge time is non-negotiable
Mental health support
Retirement planning
Financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Parttime

Eligibility Consultant

We’re building a world of health around every individual — shaping a more connec...

Location

United States , East Lansing

Salary:

17.00 - 31.30 USD / Hour

CVS Health

Expiration Date

Until further notice

Requirements

1+ years of excellent customer service skills with the ability to communicate effectively with both internal and external customers
1+ years of Data entry experience
Must be able to type at least 35WPM
Excellent verbal and written communication skills including articulation, spelling, grammar, proofreading, and telephone skills
Experience with Word and proficient in Excel
High School diploma or G.E.D.

Job Responsibility

Verifies enrollment status, makes changes to member/client records, and addresses a variety of enrollment questions or concerns
Maintains enrollment databases and coordinates electronic transfer of eligibility data
Responds, researches, and resolves eligibility and other enrollment related issues involving member specific information
works directly with clients, field marketing offices and/or local claim operations to achieve positive service outcomes
Applies all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters
Develops tools, and provides coding supplements, tape specifications and error listing to clients/vendors
Acts as the liaison between clients, vendors, and the IT department with defining business requirements associated with non-standard reporting
identifies potential solutions and approves programming specifications required for testing any non-standard arrangements
Ensures all transactions interface accordingly with downstream systems
tests and validates data files for new or existing clients using system tools and tracks results to avoid potential problems and better address on-going service issues

What we offer

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs

Fulltime

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Client Partner - Provider Enrollment

Job Description

Job Responsibility

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