
51 - 200 funcionários
🏥 Saúde
💼 Consultoria
⚖️ Jurídico
Healthcare • Consulting • Legal
A Dane Street é líder nacional em Exames e Revisões Médicas Independentes, fornecendo Exames Médicos Independentes (IMEs), Revisões por Pares e outros laudos médicos de forma objetiva, em conformidade e dentro dos prazos. Com uma ampla rede de mais de 16. 000 médicos, a empresa oferece serviços em 25. 000 localidades e 100 especialidades, incluindo sinistros de compensação trabalhista (Workers’ Compensation), automóvel, responsabilidade civil (Liability) e incapacidade (Disability). A Dane Street atende seguradoras, Third-Party Administrators (TPAs), organizações de Managed Care e órgãos federais/estaduais com análises médicas especializadas, ajudando-os a tomar decisões precisas. A empresa é reconhecida pela qualidade, prazos de entrega ágeis e processos eficientes, tendo conquistado credenciais como a Acreditação da NCQA em Utilization Management e a certificação Great Place to Work.
🕒 Junho 16
🗣️🇺🇸🇬🇧 Inglês obrigatório
Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

51 - 200 funcionários
🏥 Saúde
💼 Consultoria
⚖️ Jurídico
Healthcare • Consulting • Legal
A Dane Street é líder nacional em Exames e Revisões Médicas Independentes, fornecendo Exames Médicos Independentes (IMEs), Revisões por Pares e outros laudos médicos de forma objetiva, em conformidade e dentro dos prazos. Com uma ampla rede de mais de 16. 000 médicos, a empresa oferece serviços em 25. 000 localidades e 100 especialidades, incluindo sinistros de compensação trabalhista (Workers’ Compensation), automóvel, responsabilidade civil (Liability) e incapacidade (Disability). A Dane Street atende seguradoras, Third-Party Administrators (TPAs), organizações de Managed Care e órgãos federais/estaduais com análises médicas especializadas, ajudando-os a tomar decisões precisas. A empresa é reconhecida pela qualidade, prazos de entrega ágeis e processos eficientes, tendo conquistado credenciais como a Acreditação da NCQA em Utilization Management e a certificação Great Place to Work.
• Managing communication for a targeted list of Workers’ Compensation and Health Plan accounts around program and case-related questions, issue detection and resolution, department escalations with a focus on account growth and development • Facilitate implementation meetings, configure client profiles, manage user access permissions, and coordinate go-live requirements. • Serve as the primary point of contact for clients by leading regular performance reviews (JOCs/QBRs), addressing inquiries, and resolving complaints. • Generate, validate, and distribute daily, weekly, and monthly performance metrics while managing ad-hoc data requests to drive strategic initiatives. • Assist with the sales pipeline by participating in scoping meetings, preparing pricing models, supporting RFP/RFI responses, and collaborating on marketing campaigns. • Coordinate contract (SOW/Addendum) renewals with legal teams. • Partner with IT and Product teams on system enhancements and user testing based on operational and client feedback. • Coordinate audits, security assessments, and remediation plans with compliance and regulatory teams. • Align client capacity requirements with recruitment priorities, ensuring network coverage meets regulatory and organizational standards.
• An Associate’s Degree or Bachelor’s Degree is preferred. • Clinical experience preferred (LPB, RN, or CPHT) • Excellent communication skills, both written and verbal, along with a strong sense of urgency to meet our clients’ expectations • Excellent time management and attention to detail • Strong research skills with the ability to analyze and report data • 2-3 years of related experience (Account Management or Account Management support) • Workers’ Comp, Health Plan, PBM Utilization Review, Managed Care, or Claims background preferred • Experience navigating web-based systems efficiently
• medical, dental, and vision coverage for you and your family • voluntary life insurance options for you, your spouse, and your children • other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans • basic life insurance, short-term disability, and long-term disability coverage at no cost • generous paid time off policy ensures you have time to relax and recharge • 401k plan with a company match helps you plan for your future • Apple equipment and a media stipend are provided for remote workspace
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