Job Description

Description:

The main function of a business operations specialist is to maintain vendor relationships, acting as a business analyst for non-IT projects or filling organizational roles above an administrative level, but below a management level. Other responsibilities may include maintaining all project management processes, including project goals, deadlines, metrics, and budget. The business operations specialist usually reports to a project manager or director.

• Review large volume of more escalated claims to determine if they were processed appropriately. If processed incorrectly, will need to identify root cause. Propose resolution and monitor till updated. Once updated, will be required to price out the claims and send for reprocessing.

• Review Trended issues to determine root cause and identify system inefficiencies for processing claims.

• Review Account Receivables received from providers, document root cause and provide feedback based on state guidelines and provider contract.

• More communication with providers to resolve issues

• Needs to be ready to hit ground running

About Aston Carter:

Please Note: Scammers are posing as Aston Carter. We\'ll never contact you via Gmail, Telegram, or WhatsApp and we\'ll never solicit money from you.

At Aston Carter, we\'re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients\' capabilities by seeking solvers and delivering solutions to address today\'s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit . Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call or email for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Aston Carter