HealthEdge
1001 - 5000 employees
Founded 2005
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
Manager, Quality Audit
🕒 July 14
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HealthEdge
1001 - 5000 employees
Founded 2005
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
📋 Description
• Manage all operations for processes/clients and meet SLAs • Focus on quality, turnaround time, and overall process efficiency • Liaise with clients and stakeholders to ensure compliance and address issues • Train and mentor junior associates • Identify process gaps and formulate solutions
🎯 Requirements
• 10 to 12 years of experience in operations management • Proficient in Windows Operating Systems and MS Office • Excellent English comprehension – reading, writing and speaking • Familiarity with quality control processes including pare to analysis and root cause analysis • Ability to mentor and coach team members
🏖️ Benefits
• Health insurance • 401(k) matching • Flexible working hours • Paid time off • Remote work options
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