... mainframe system experience. Experience in health operations. Experience with internal/external ... Holidays rotation scheduled 3-4 holidays per year and one weekend every 3rd weekend. This is a ...
... mainframe system experience. Experience in health operations. Experience with internal/external ... Holidays rotation scheduled 3-4 holidays per year and one weekend every 3rd weekend. This is a ...
General Operator
El Paso, IL · On-site
$19 - $20.25/hr
Work Week is Monday - Friday with very limited overtime and weekend work once certified. The ... Basic computer proficiency. Basic knowledge of lean manufacturing principles such as 5S, Continuous ...
Quick apply
General Operator
El Paso, IL · On-site
$19 - $20.25/hr
Work Week is Monday - Friday with very limited overtime and weekend work once certified. The ... Basic computer proficiency. Basic knowledge of lean manufacturing principles such as 5S, Continuous ...
Press Break Operator
Waukegan, IL · On-site
$18 - $27/hr
Come join our team and enjoy three-day weekends! Summary Produce formed parts per instruction ... Computer experience Physical Requirements * Ability to lift up to 50 lbs (if applicable)
Press Break Operator
Waukegan, IL · On-site
$18 - $27/hr
Come join our team and enjoy three-day weekends! Summary Produce formed parts per instruction ... Computer experience Physical Requirements * Ability to lift up to 50 lbs (if applicable)
PRODUCTION OPERATOR I
Carpentersville, IL · On-site
$21 - $22.25/hr
Availability to work overtime or weekends on short notice as needed * Must be able to read and ... Basic mathematics and computer skills;SAP experience preferred * Properly follow written and verbal ...
PRODUCTION OPERATOR I
Carpentersville, IL · On-site
$21 - $22.25/hr
Availability to work overtime or weekends on short notice as needed * Must be able to read and ... Basic mathematics and computer skills;SAP experience preferred * Properly follow written and verbal ...
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Inventory Control Clerk
North Chicago, IL · On-site
$20.46/hr
Can work with complex computer applications and resource materials. * * Can use multiple operating environments (Windows, DOS, Mainframe). * * Must have proven skills in the following PC software ...
New
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Be Seen First
Inventory Control Clerk
North Chicago, IL · On-site
$20.46/hr
Can work with complex computer applications and resource materials. * * Can use multiple operating environments (Windows, DOS, Mainframe). * * Must have proven skills in the following PC software ...
New
... operating systems, between networks and applications, and between one-time events and recurrent ... Work after hours and weekends, as needed. Note: Due to the classified nature of the work being ...
... operating systems, between networks and applications, and between one-time events and recurrent ... Work after hours and weekends, as needed. Note: Due to the classified nature of the work being ...
SAS Programmer
Lake Bluff, IL · On-site
Develops procedures and operating instructions, and successfully moves programs into production ... Bachelor's degree in Computer Science or Business Administration or equivalent training or work ...
SAS Programmer
Lake Bluff, IL · On-site
Develops procedures and operating instructions, and successfully moves programs into production ... Bachelor's degree in Computer Science or Business Administration or equivalent training or work ...
SAS Programmer
Waukegan, IL · On-site
Develops procedures and operating instructions, and successfully moves programs into production ... Bachelor's degree in Computer Science or Business Administration or equivalent training or work ...
SAS Programmer
Waukegan, IL · On-site
Develops procedures and operating instructions, and successfully moves programs into production ... Bachelor's degree in Computer Science or Business Administration or equivalent training or work ...
Dragline Operator
Elburn, IL · On-site
Must be willing to work holidays, weekends, various shifts and overtime as directed. * Demonstrated ... Must possess basic computer skills. * Possess communication skills. * Previous welding, cutting ...
Dragline Operator
Elburn, IL · On-site
Must be willing to work holidays, weekends, various shifts and overtime as directed. * Demonstrated ... Must possess basic computer skills. * Possess communication skills. * Previous welding, cutting ...
Monday- Friday 2:30pm - 10:30pm plus overtime and weekends , must be open to train on 1st shift ... Intermediate computer skills * Ability to work overtime as needed; overtime may be required during ...
Quick apply
Monday- Friday 2:30pm - 10:30pm plus overtime and weekends , must be open to train on 1st shift ... Intermediate computer skills * Ability to work overtime as needed; overtime may be required during ...
Schedules are up to 8 or 12-hour shifts on alternate days with rotating weekends off. However ... Mechanical/technical aptitude * Entry Level Computer skills Assistant Machine Operator Education ...
Schedules are up to 8 or 12-hour shifts on alternate days with rotating weekends off. However ... Mechanical/technical aptitude * Entry Level Computer skills Assistant Machine Operator Education ...
Open Food Machine Operator - Weekend Shift
Alsip, IL · On-site
$24.50/hr
About The Opportunity This position is responsible for maintaining, controlling, and operating ... Ability to perform all computer functions as they pertain to the job * Excellent organizational ...
Open Food Machine Operator - Weekend Shift
Alsip, IL · On-site
$24.50/hr
About The Opportunity This position is responsible for maintaining, controlling, and operating ... Ability to perform all computer functions as they pertain to the job * Excellent organizational ...
Dwight: Scale Operator
Dwight, IL · On-site
$19/hr
Basic computer and data entry skills * Strong attention to detail and accuracy * Excellent ... Benefits: * Any additional details specific to this job (weekends off, lots of OT, direct hire ...
New
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Dwight: Scale Operator
Dwight, IL · On-site
$19/hr
Basic computer and data entry skills * Strong attention to detail and accuracy * Excellent ... Benefits: * Any additional details specific to this job (weekends off, lots of OT, direct hire ...
New
Inventory Control Clerk - A
North Chicago, IL · On-site
$15 - $20/hr
Ability to work with complex computer applications and resource materials. * Ability to use multiple operating environments (Windows, DOS, Mainframe). Qualification And Education: * High school ...
Quick apply
Inventory Control Clerk - A
North Chicago, IL · On-site
$15 - $20/hr
Ability to work with complex computer applications and resource materials. * Ability to use multiple operating environments (Windows, DOS, Mainframe). Qualification And Education: * High school ...
Open Food Machine Operator - Weekend Shift
Alsip, IL · On-site
$17.25 - $20.75/hr
About The Opportunity This position is responsible for maintaining, controlling, and operating ... Ability to perform all computer functions as they pertain to the job * Excellent organizational ...
Open Food Machine Operator - Weekend Shift
Alsip, IL · On-site
$17.25 - $20.75/hr
About The Opportunity This position is responsible for maintaining, controlling, and operating ... Ability to perform all computer functions as they pertain to the job * Excellent organizational ...
Folder Machine Operator
Elwood, IL · On-site
$17.50 - $21/hr
Must possess basic computer skills. * Must demonstrate the ability to promote a safe working ... Must be able to work on a 12-hour rotating shift schedule, Including days, nights, weekends ...
Folder Machine Operator
Elwood, IL · On-site
$17.50 - $21/hr
Must possess basic computer skills. * Must demonstrate the ability to promote a safe working ... Must be able to work on a 12-hour rotating shift schedule, Including days, nights, weekends ...
Operator I
Taylorville, IL · On-site
$20.41/hr
Must be able to work flexible hours to include overtime and weekends on short notice * Possess the ... Basic computer skills to include MS Excel, Word and SAP Travel Requirements N/A Typical Physical ...
Operator I
Taylorville, IL · On-site
$20.41/hr
Must be able to work flexible hours to include overtime and weekends on short notice * Possess the ... Basic computer skills to include MS Excel, Word and SAP Travel Requirements N/A Typical Physical ...
Basic computer and data entry skills * Strong attention to detail and accuracy * Excellent ... Benefits: * Any additional details specific to this job (weekends off, lots of OT, direct hire ...
New
Quick apply
Basic computer and data entry skills * Strong attention to detail and accuracy * Excellent ... Benefits: * Any additional details specific to this job (weekends off, lots of OT, direct hire ...
New
Operator I
Taylorville, IL · On-site
$20.41/hr
Must be able to work flexible hours to include overtime and weekends on short notice * Possess the ... Basic computer skills to include MS Excel, Word and SAP Travel Requirements N/A Typical Physical ...
Operator I
Taylorville, IL · On-site
$20.41/hr
Must be able to work flexible hours to include overtime and weekends on short notice * Possess the ... Basic computer skills to include MS Excel, Word and SAP Travel Requirements N/A Typical Physical ...
Heavy Equipment Operator
Elburn, IL · On-site
Must possess basic computer skills. * Travel through a Aggregate plant, i.e. walk over obstacles ... Willing to work overtime and weekends as needed * Local 150 preferred * Successful candidates must ...
Heavy Equipment Operator
Elburn, IL · On-site
Must possess basic computer skills. * Travel through a Aggregate plant, i.e. walk over obstacles ... Willing to work overtime and weekends as needed * Local 150 preferred * Successful candidates must ...
Weekend Computer Operator Mainframe information
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Contractor
Posted 16 days ago
Job description
Work closely with Utilization Management (UM), Case Management (CM) and Customer Service (CS) to ensure appeal process meets established guidelines.
Adhere to accreditation and regulatory requirements to improve customer service and achieve organizational goals related to complaint and appeal resolution.
Manage individual inventory through appropriate workflow.
Facilitate final resolution of member and provider appeals.
Participate in department initiatives related to NCQA and URAC audits, DOI audits, revision project, audits, and correspondence revision projects.
Serve on workgroups.
Adhere to compliance with external regulatory and accreditation standards.
Facilitate access to appeal files by members or member designee under federal guidelines.
Provide data for required reporting. 10.Work directly with members and providers to resolve appeals.
Support other team members in appeal resolution and in fulfilling other department responsibilities.
Assist in maintaining working relationships across organizational lines.
Ensure our member/providers requirements are met at all times.
Communicate and interact effectively and professionally with co-workers, management, customers, etc.
Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
Maintain complete confidentiality of company business.
Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.
JOB REQUIREMENTS:
Applicants must hold an active RN or LPN/LVN license in good standing.
Bachelor's Degree OR 4 years in health care experience.
5 years utilization management, appeals, claims and mainframe system experience.
Experience in health operations.
Experience with internal/external customer relations.
Knowledge of managed care processes.
Knowledge and familiarity of national accreditation standards, specifically NCQA and URAC standards.
Knowledge of state and federal health care and health operations regulations.
Organizational skills and ability to meet deadlines and manage multiple priorities.
Verbal and written communication skills to include interfacing with staff across organizational lines plus interfacing with members and providers.
PC proficiency to include Microsoft Word, Access, and Excel.
PREFERRED JOB REQUIREMENTS:
Appeals or Utilization management experience.
Notes:
Fully remote
This is a M-F shift 40 hours per week, with MANDATORY holiday and weekend rotations.
Holidays rotation scheduled 3-4 holidays per year and one weekend every 3rd weekend.
This is a contract role with the possibility of conversion to full-time based on business needs and performance
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Adhere to accreditation and regulatory requirements to improve customer service and achieve organizational goals related to complaint and appeal resolution.
Manage individual inventory through appropriate workflow.
Facilitate final resolution of member and provider appeals.
Participate in department initiatives related to NCQA and URAC audits, DOI audits, revision project, audits, and correspondence revision projects.
Serve on workgroups.
Adhere to compliance with external regulatory and accreditation standards.
Facilitate access to appeal files by members or member designee under federal guidelines.
Provide data for required reporting. 10.Work directly with members and providers to resolve appeals.
Support other team members in appeal resolution and in fulfilling other department responsibilities.
Assist in maintaining working relationships across organizational lines.
Ensure our member/providers requirements are met at all times.
Communicate and interact effectively and professionally with co-workers, management, customers, etc.
Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
Maintain complete confidentiality of company business.
Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.
JOB REQUIREMENTS:
Applicants must hold an active RN or LPN/LVN license in good standing.
Bachelor's Degree OR 4 years in health care experience.
5 years utilization management, appeals, claims and mainframe system experience.
Experience in health operations.
Experience with internal/external customer relations.
Knowledge of managed care processes.
Knowledge and familiarity of national accreditation standards, specifically NCQA and URAC standards.
Knowledge of state and federal health care and health operations regulations.
Organizational skills and ability to meet deadlines and manage multiple priorities.
Verbal and written communication skills to include interfacing with staff across organizational lines plus interfacing with members and providers.
PC proficiency to include Microsoft Word, Access, and Excel.
PREFERRED JOB REQUIREMENTS:
Appeals or Utilization management experience.
Notes:
Fully remote
This is a M-F shift 40 hours per week, with MANDATORY holiday and weekend rotations.
Holidays rotation scheduled 3-4 holidays per year and one weekend every 3rd weekend.
This is a contract role with the possibility of conversion to full-time based on business needs and performance
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
About VIVA USA
Sourced by ZipRecruiter
Industry
It services
Company size
51 - 200 Employees
Headquarters location
Rolling Meadows, IL, US
Year founded
1996