• Construir estratégias e planejar ações de marketing digital para clientes • Realizar pesquisas de mercado e de mídias digitais relacionados aos clientes • Mensurar resultados dos projetos • Participar e conduzir reuniões com clientes • Alinhar com outras áreas para construir estratégias em conjunto

• Recrutamento e Seleção de posições de Volume call center| Foco em todos os pilares de diversidade; • Condução de dinâmicas em Grupo; • Triagem de curriculos; • Hunting de Profissionais nas diversas plataformas; • Vivência com vagas de volume e condução de dinâmicas em grupo; • Experiencia com pacote office, principalmente excel.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We are seeking a detail-oriented and experienced Medical Reimbursement Analyst with expertise in power mobility, CRT, specifically power operated scooters and power wheelchairs of all levels and types to join our team. Reporting to the Manager of Healthcare AI Solutions, you will play a crucial role in maintaining the accuracy of our proprietary payor criteria rule system by creating and updating payor rules for DME and HME products. Job Duties - Rules Development - Identify and review government and payor coverage criteria policy associated with clients’ needs and requests. - Analyze payor policy guidelines and break them down into comprehensive rule sets, capturing dependencies and nuances. - Interpret and document coverage criteria policy guidelines by HCPC, ICD10, and other written requirements. - Apply customer specific exceptions and interpretations to the rule sets. - Cross Functional Collaboration - Collaborate with customers to understand their specific requirements, exceptions and interpretations to apply to the policy. - Collaborate with a team of software coders to convert the documented rules into code-based rules. - Act as a liaison between the coder team, customers, and other stakeholders to clarify requirements and ensure accurate rule implementation. - Testing - Perform extensive testing of the implemented rules to ensure adherence to payor policies and accurate medical necessity determination. - Prepare test files including redacting, merging and splitting PDFs, TIFs, and CSV files as needed. - Create testing plans per product category to ensure comprehensive testing and rule set accuracy. - Perform ongoing quality assurance audits of rule sets that have been deployed. - Monitoring - Stay up-to-date with healthcare policies, compliance, industry trends, and best practices related to DME and HME products. - Monitor system output and coverage criteria policy rule changes that may impact results. Qualifications - At least 3 to 5 years of medical necessity experience in obtaining prior authorizations and claims billing to Medicare for all levels of power mobility, including power operated vehicles and power wheelchairs. - Deep familiarity with Medicare coverage criteria for all wheelchair levels and options. - Strong written and verbal communication skills. - Demonstrated ability to work cross-functionally. - Outstanding analytical skills with the ability to interpret complex policy guidelines and break them down into actionable data. - Strong knowledge of HIPAA and PHI compliance. - Proficient in Microsoft Office and Google Suite. - Ability to thrive in a fast paced environment. - High School degree or equivalent. - Must live in the U.S. or U.S. Territories. - Must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time. Preferred Qualifications - Experience in claims billing and denial resolution and medical necessity knowledge for Medicare manual and power mobility devices. - Experience working with software development teams. - Bachelor’s degree. - Experience redacting, merging and splitting documents. Salary The salary range for this position is $70,000 - $110,000 per year. Benefits - 10 company holidays per year - 4 weeks of vacation per year - 8 sick days per year - Health/dental/vision insurance - 401K with company match - Paid parental leave Work from Home Requirements - Reliable Internet: Minimum download speed of 50 mbps and upload speed of 10 mbps. - Smartphone: Must have a smartphone, as we use multi-factor authentication for logging in to our system. - Equipment: Company laptop and optional external monitor will be provided. - Privacy: Must have a private place to work in order to protect the confidentiality of the patient data we access.

Role Description Keine Lust mehr auf starre Bauprozesse, endlose Meetings und fehlendes Vertrauen? Wie wäre es stattdessen mit flachen Hierarchien, echter Wertschätzung und einem flexiblen Arbeitsumfeld, das Raum für Home-Office und moderne Kommunikation bietet? Dann freuen wir uns auf Deine Bewerbung als Kalkulator(m/w/d): - Erstellung von Leistungsverzeichnissen & Mengenermittlung – Massenermittlung, Aufmaß-Vorbereitung und Strukturierung der LV-Positionen. - Kostenkalkulation & Angebotserstellung – Einheitspreise, Material-/Lohnkosten, Zuschlagskalkulation und Finalangebot. - Nachkalkulation & Nachtragsmanagement – Soll/Ist-Vergleiche, Forderungsprüfung und Durchsetzung bzw. Verhandlung von Nachträgen. - Schnittstellen-Management & Risikoanalyse – Abstimmung mit Bauleitung, Einkauf, Subunternehmern; Prüfung von Ausschreibungsunterlagen und Bewertung wirtschaftlicher Risiken. Benefits - Überdurchschnittliches Gehalt 70k-90k mit Erfolgsprämien für abgeschlossene Projekte - Betriebliche Altersvorsorge oder vermögenswirksame Leistungen - Firmenwagen zur privaten Nutzung oder Mobilitätsbudget - Regelmäßige Schulungen und Weiterbildungen - Klare Karrierepfade mit Aufstiegsmöglichkeiten in Führungspositionen - Übernahme von Verantwortung in strategischen Projekten - Flexible Arbeitszeiten oder Homeoffice-Möglichkeiten für administrative Tätigkeiten - 30 Urlaubstage und zusätzliche Freistellungsmöglichkeiten bei besonderen Anlässen - Unterstützung bei der Vereinbarkeit von Beruf und Familie, z. B. durch Kita-Zuschüsse Contact Information Interesse geweckt? Dann freuen wir uns riesig, Dich nach Deiner Bewerbung kennenlernen zu dürfen! Email: career@4chainconsulting.de Telefon: 0151 401 06 252