CrawlJobs Logo

Pe - follow up specialist

https://www.randstad.com Logo

Randstad

Location Icon

Location:
India , Hyderabad

Category Icon

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided

Job Description:

The primary goal of this position is to manage the complex administrative and compliance-driven processes required for healthcare professionals to practice and for the organization to receive payment. Provider Credentialing (Verification and Compliance) Credentialing is the process of verifying a healthcare provider's qualifications to ensure they meet professional and regulatory standards. It's the quality control step.

Job Responsibility:

  • End-to-End Enrollment Management
  • Compliance & Regulatory Adherence
  • Issue Resolution & Escalations
  • Investigate and resolve complex enrollment issues—rejections, NPI/taxonomy discrepancies, retro-effective enrollment, and portal conflicts
  • Serve as a point of escalation for difficult payer inquiries
  • Coordinate with internal Quality, Credentialing, and Provider Data teams to address blockers
  • Process Improvement
  • Identify inefficiencies in the enrollment workflow and recommend enhancements to reduce turnaround time and improve accuracy
  • Support automation and system-improvement initiatives
  • Contribute to building standardized templates and best practices
  • Mentorship & Team Support
  • Guide and mentor junior Analysts to improve their technical and process knowledge
  • Provide feedback through reviews, quality checks, and coaching discussions
  • Participate in team huddles, calibrations, and performance alignment meetings
  • Documentation & Reporting
  • Maintain accurate records within CRM, internal workflow tools, payer portals, and tracking sheets
  • Generate periodic reports on submissions, status updates, pending items, and escalations
  • Ensure documentation meets audit and compliance expectations

Requirements:

Minimum 2+ years of hands-on experience in Payer Enrollment—Commercial or Medicaid, depending on the requirement

Additional Information:

Job Posted:
March 04, 2026

Expiration:
April 24, 2026

Employment Type:
Fulltime
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Pe - follow up specialist

Senior Fund Accountant

This is fund accounting and administration at its finest. Where we pair end-to-e...
Location
Location
India , Hyderabad
Salary
Salary:
Not provided
alterdomus.com Logo
Alter Domus
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Degree level education in a relevant area such as Finance, Accounting or Economics
  • Minimum of 5+ years of experience in Private Equity
  • 2+ years of experience in reviewing PE Funds, Preparing Financial Statements, worked on Waterfalls, Management Fees, Accrual, NAV Calculations, Cap Calls, Distributions
  • Knowledge of fund industry, valuation, and accounting
  • Basic knowledge in accounting for investment products
  • Understanding of securities commonly encountered in the fund industry, including equities, bonds, contract for difference, options, and futures
  • Team spirit, a capacity to build strong client relationships and take initiative
Job Responsibility
Job Responsibility
  • Taking an active part in the initial setup of any new funds take-on and liaising with independent tax specialists, lawyers, and notaries as part of the set up process
  • Taking care of the day-to-day operations of the funds and following up with third parties, including investors and fund managers
  • Handling the fund accounts and preparation of periodic reports and regulatory reports for the fund entities
  • Preparing the funds’ periodic Net Asset Value calculation and year-end financial statements, management of the audit, and reviewing another fund related reports
  • Reviewing tax returns and tax balances and maintaining relevant contacts with the tax authorities
  • Accurately record all time spent dealing with client matters to ensure the clients are correctly invoiced
  • Pro-actively take on additional responsibilities and administrational tasks as required by your managers or clients
What we offer
What we offer
  • Support for professional accreditations such as ACCA and study leave
  • Flexible arrangements, generous holidays and birthday leave
  • Continuous mentoring along your career progression
  • Detailed career pathway with structured support
  • Exclusive access to online learning
  • Active sports, events and social committees
  • Employee Assistance Program
  • Employee Share Plan
  • Fulltime
Read More
Arrow Right

Senior Fund Accountant

This is fund accounting and administration at its finest. Where we pair end-to-e...
Location
Location
India , Hyderabad
Salary
Salary:
Not provided
alterdomus.com Logo
Alter Domus
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Degree level educated in a relevant area such as Finance, Accounting or Economics
  • Minimum of 5+ years of experience in Private Equity
  • 2+ years of experience in reviewing PE Funds, Preparing Financial Statements, worked on Waterfalls, Management Fees, Accrual, NAV Calculations, Cap Calls, Distributions
  • Knowledge of fund industry, valuation, and accounting
  • Basic knowledge in accounting for investment products
  • Understanding of securities commonly encountered in the fund industry, including equities, bonds, contract for difference, options, and futures
  • Team spirit
  • Capacity to build strong client relationships
  • Take initiative
Job Responsibility
Job Responsibility
  • Taking an active part in the initial setup of any new funds take-on and liaising with independent tax specialists, lawyers, and notaries as part of the set up process
  • Taking care of the day-to-day operations of the funds and following up with third parties, including investors and fund managers
  • Handling the fund accounts and preparation of periodic reports and regulatory reports for the fund entities
  • Preparing the funds’ periodic Net Asset Value calculation and year-end financial statements, management of the audit, and reviewing another fund related reports
  • Reviewing tax returns and tax balances and maintaining relevant contacts with the tax authorities
  • Accurately record all time spent dealing with client matters to ensure the clients are correctly invoiced
  • Pro-actively take on additional responsibilities and administrational tasks as required by your managers or clients
What we offer
What we offer
  • Support for professional accreditations such as ACCA and study leave
  • Flexible arrangements
  • Generous holidays
  • Birthday leave
  • Continuous mentoring along your career progression
  • Detailed career pathway with structured support
  • Exclusive access to online learning (e.g., unlimited access to LinkedIn Learning)
  • Active sports, events and social committees
  • Employee Assistance Program (support with mental, physical, emotional and financial health, 24/7)
  • Employee Share Plan
  • Fulltime
Read More
Arrow Right
New

Senior Specialist, Finance

This is a critical site-based role in Bangalore responsible for managing end-to-...
Location
Location
India , Bengaluru
Salary
Salary:
Not provided
https://www.baxter.com/ Logo
Baxter
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Qualified Chartered Accountant (CA) with 3+ years of post-qualification experience OR an MBA in Finance with 10+ years of experience
  • Proven track record in preparing full financial statements for companies with a turnover exceeding INR 500 Crores
  • Prior experience working with Big Four accounting firms is highly preferred
  • Extensive knowledge of Indian Direct and Indirect Tax laws
  • Proficiency in JDE (JD Edwards), Coupa, Blackline, and Concur is an advantage
  • Strong analytical skills, attention to detail, and the ability to manage multiple regulatory deadlines
Job Responsibility
Job Responsibility
  • Prepare entity-level financial statements, including Balance Sheets, P&L accounts, Cash Flow statements, and all requisite disclosures
  • Post necessary adjustment entries in accordance with Indian GAAP (IGAAP)
  • Prepare detailed schedules and reconciliations in IGAAP formats
  • Manage auditor queries and provide all necessary documentation
  • Coordinate with external consultants for Transfer Pricing (TP) filings
  • Verify section-wise TDS applicability for domestic and foreign transactions
  • Maintain documentation (TRC, PE, Form 10F)
  • Deposition of challan before due date
  • Maintain Lower deduction in JDE
  • Process 15CA/15CB certifications and upload them to the e-filing portal
What we offer
What we offer
  • Support for Parents
  • Continuing Education/ Professional Development
  • Employee Heath & Well-Being Benefits
  • Paid Time Off
  • 2 Days a Year to Volunteer
  • Fulltime
Read More
Arrow Right
New

Director – Corporate Functions

To lead the development and delivery of the Internal Audit plan for Operations a...
Location
Location
United Kingdom , NORTH YORKSHIRE
Salary
Salary:
97000.00 GBP / Year
brosterbuchanan.com Logo
Broster Buchanan
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Provide audit leadership and subject matter domain expertise in governance, risks and control frameworks in operations and corporate functions
  • Provide leadership to the internal audit team across the delivery of the full audit universe and Internal Audit plan
  • Lead Internal Audit engagement with management teams across Operations and Corporate Functions, acting as the key point of contact and building strong relationships
  • Attend relevant committees and governance forums in areas of risk focus and represent the Managing Director where appropriate
  • Advise on or provide assurance for major projects, programmes, steering groups, and policy initiatives within Operations and Corporate Functions and other key areas
  • Develop and maintain the audit universe for Operations and Corporate Functions and associated risks
  • Lead the development of the risk-based Internal Audit Plan for these areas, while contributing SME knowledge to the broader audit universe and plan
  • Oversee the delivery of audit engagements by both in-house teams and co-sourced external providers
  • Ensure audit engagements are delivered in accordance with the audit manual, Global Internal Audit Standards, and the Internal Audit Code of Practice
  • Ensure overall delivery of the audit plan and contribute to the evidence-based annual opinion to the Audit Committee
Job Responsibility
Job Responsibility
  • To lead the development and delivery of the Internal Audit plan for Operations and Corporate Functions, incorporating Finance, Change, HR, IT, Product Operations, Risk and Legal
  • Fulltime
Read More
Arrow Right
New

Director of Product Management (Strata Cloud Manager - Platform)

As the Director of Product Management for Strata Cloud Manager Platform, you wil...
Location
Location
United States , Santa Clara
Salary
Salary:
Not provided
paloaltonetworks.com Logo
Palo Alto Networks
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • BS/MS in a technical field or equivalent practical or military experience
  • 8+ years of experience in product management, with a proven track record of shipping successful products
  • 3+ years of experience in a lead or management role, guiding and developing product teams
  • Direct product management experience in two or more of the following areas: enterprise networking, cloud platforms, network security, or platform-as-a-service (PaaS)
  • Proven ability to lead and contribute to cross-functional teams in a fast-paced environment
  • Exceptional written and verbal communication skills, with experience presenting to both technical and executive audiences
  • Strong analytical and problem-solving skills with a desire to take ownership of the full product lifecycle
  • Experience working directly with customers, analysts, and partners to gather requirements and articulate a product vision
Job Responsibility
Job Responsibility
  • Lead and mentor the Product Management team for the Strata Cloud Manager Platform, fostering a culture of innovation and execution
  • Develop and articulate a clear product vision, strategy, and roadmap in collaboration with Product Management leadership, based on market and customer requirements
  • Collaborate cross-functionally with NGFW, Cloud Delivered Shared Services, and SASE teams to drive the 'platformization' strategy
  • Manage and communicate the product roadmap effectively to customers, prospects, and all key internal stakeholders
  • Partner closely with engineering teams to solve complex problems and ensure the delivery of high-quality, impactful products
  • Engage with product marketing to create compelling messaging, sales tools, and marketing content that supports field and sales teams
  • Coordinate with NPI, certification, professional services, and support teams to ensure comprehensive product readiness and coverage
  • Drive strategic decisions on product pricing, packaging, and go-to-market strategies to maximize market impact
  • Fulltime
Read More
Arrow Right
New

Operations Manager

The Operations Manager is a member of the Store Management team, and as such, fu...
Location
Location
United States , Fort Myers Beach
Salary
Salary:
19.00 - 29.00 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
April 23, 2026
Flip Icon
Requirements
Requirements
  • Deductive reasoning ability, advanced analytical skills and computer skills
  • Advanced communication skills, leadership, supervision, and influencing skill
  • Ability to work a full-time flexible schedule, including some early morning, overnight and weekend shifts, to work overtime as needed, and to respond to urgent issues at the store when they arise
Job Responsibility
Job Responsibility
  • Overall store management, supervision, and policy implementation
  • Sales and inventory management
  • Employee staffing, training, and development
  • Financial management
  • Customer service leadership
  • Lead others and work effectively with store crews
  • Supervise, assign and direct activities of the store’s crew
  • Effectively communicate information to store crew and supervisors in an open and timely manner
  • Support Store Manager with actions plans for operational and service improvement
  • Assist customers with their questions, problems and complaints
What we offer
What we offer
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Fulltime
Read More
Arrow Right
New

Online Solutions and Implementation Support Executive

We are currently seeking an Online Solutions and Implementation Support Executiv...
Location
Location
United Kingdom , Hampshire
Salary
Salary:
45000.00 GBP / Year
brosterbuchanan.com Logo
Broster Buchanan
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Experience within travel technology or corporate travel
  • Strong understanding of online booking tools
  • Excellent communication and client service skills
  • Detail-oriented with strong problem-solving abilities
  • Comfortable working both independently and as part of a team
Job Responsibility
Job Responsibility
  • Implement and support corporate online booking tools
  • Manage client onboarding and system configurations
  • Provide ongoing technical and operational support to clients
  • Troubleshoot and resolve system issues efficiently
  • Work closely with internal teams to ensure seamless delivery of online solutions
  • Fulltime
Read More
Arrow Right
New

Data Analyst

We are seeking an experienced Data Analyst to play a critical role in driving sc...
Location
Location
Brazil , Sao Paulo
Salary
Salary:
Not provided
adyen.com Logo
Adyen
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 3–5 years of relevant experience in a data analytics, data science, or similar role, ideally in fintech, payments, or a high-growth tech environment
  • Strong proficiency in Python, SQL, and PySpark, with hands-on experience in large-scale data processing
  • Ability to design and develop efficient and scalable ETL and data pipelines for datasets, including the use of data validations to ensure reliability
  • Familiarity with big data tools (Spark, Airflow) and version control using Git
  • Solid experience with data visualization tools (e.g., Looker, Tableau) and dashboard development
  • Deep understanding of statistics, hypothesis testing, and data mining
  • Strong cross-functional collaboration and stakeholder management skills, with the ability to influence product and business outcomes
  • Proactive, self-directed, and able to manage multiple priorities in a dynamic, global environment
  • Excellent communication and storytelling skills, translating data insights into business value
  • You speak fluently Portuguese and English
Job Responsibility
Job Responsibility
  • Data-Driven Optimization: Analyze large-scale payment datasets to identify performance trends, uncover optimization opportunities, and deliver high-impact recommendations to our biggest customers, while identifying and driving scalable opportunities that benefit the broader merchant base
  • Scalable Tooling & Automation: Design and build scalable analytics solutions, automation pipelines, and self-service tools that empower internal teams and stakeholders
  • Cross-Functional Collaboration: Partner with Product, Data, and Commercial teams to translate business challenges into analytical solutions, driving continuous platform improvements
  • Advanced Problem-Solving & Experimentation: Lead complex A/B testing and data investigations, shaping data-driven strategies and validating hypotheses with analytical rigor
  • Strategic Data Storytelling: Drive strategic discussions by synthesizing complex data into compelling narratives, tailoring insights for technical and non-technical audiences, and positioning the Performance Optimization team as a key business enabler
  • Mentorship & Best Practices: Support knowledge-sharing within the Performance Optimization team, contributing to the elevation of analytical standards and technical excellence
What we offer
What we offer
  • We offer relocation package to successful candidates with legal right to work in Brazil internationally and locally to Sao Paolo
  • Fulltime
Read More
Arrow Right