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      • Temple, Texas
      • Temporary
      • $20.00 - $23.00 per hour
      • 8:00 AM - 5:00 PM
      COVID VACCINE REQUIREDDay To Day: Data Clean up ? The CWR will be working through a lot of excel data and cleaning up different BSWH systems. The contractors will coordinate with the network team and update one BSWH system to get it in sync with their other platforms. They will be working on a backlog of tickets for clean up. The contractor will be dealing with provider data experience and data entry of demographics and will need to possess the ability to transfer data to correct systems. They will also be providing health updates to providers. Someone with healthcare experience would be beneficial for terminology.Remote/Onsite: Remote: 1 week onsite training at the beginning of contract and then will go fully remote.Contract Length: 90 days approval with possibility of extension and conversionResponsibilities:JOB DUTIES AND RESPONSIBILITES SUMMARY* The Provider Services Specialist is responsible for the full range of provider relations and service interactions within SWHP, including working on end-to-end provider claim and call quality, ease of use of provider portal and future service enhancements. * This position may be asked to manage all administrative aspects of provider issue resolution. * The Provider Services Specialist responds to physician, hospital and ancillary provider inquiries and requests for services associated with the resolution of provider complaints, claim processing, appeals issues, and various operational concerns. * Interprets SWHP policies and facilitates the research required to resolve provider issues. * The Provider Services Specialist will assist the data analyst in the review of provider directories in order to maintain data integrity. * Also updates provider information in Cactus and assists with reporting as needed. * Receive calls and correspondence from physicians, hospitals and ancillary providers requesting information and services.* Act as primary point of contact with providers by promoting a one-stop customer service.* Indentify appropriate internal resources in order to resolve issues.* Facilitate business activities through triage and coordination of resources according to priority of need.* Monitor status of resolution through maintaining detailed documentation of issue and action to date.* Conduct proactive follow-up activities with provider and/or SWHP staff. * Adhere to departmental and organization standards (service level, issue resolution timeframes)* Assist and support Provider Services Representative on project assignments such as claims and referral issues, welcome letters and in the education of providers on SWHP policy and procedures. * Escalate critical issues and conflicts to Director of Provider Relations or Provider Services Representative. * Participate in departmental and interdepartmental meetings as appropriate and necessary.* Participate in ad hoc projects as necessary.* Maintain professional growth and development through self directed learning activities.* This position reports directly to the Director of Provider Relations.Working hours: 8:00 AM - 5:00 PMSkills:KNOWLEDGE, SKILLS, AND ABILITIES* An Associate Degree preferred or equivalent work experience in healthcare (5+ years). * Minimum of 2 years provider relations experience with a proven track record of establishing, building, and managing relationships preferred. * Must be able to work independently. * Must be highly organized and able to manage multiple providers at once. * Must be able to write and speak clearly and effectively. * Ability to work under pressure. * Knowledge of the managed care/ health care industry preferred. * Demonstrated ability to manage projects from conception through implementation.* Must also have knowledge in working with computer systems, Microsoft Word, Excel and other software applications.* Knowledge of medical terminology* Knowledge of medical care specialties* Skill in eliciting and relating information clearly and concisely* Skill in exercising diplomacy in communicating with clients, patients, and medical professionals.Education:AssociateExperience:1-4 yearsQualifications:Minimum Amount of Exp Required: 1-2+ years of provider services experience (healthcare would be very beneficial)Data entry experienceExcel experience is mandatory. Please apply online at www.spherion.com/apply and when asked, please choose office code: TX 75064 WACOSpherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
      COVID VACCINE REQUIREDDay To Day: Data Clean up ? The CWR will be working through a lot of excel data and cleaning up different BSWH systems. The contractors will coordinate with the network team and update one BSWH system to get it in sync with their other platforms. They will be working on a backlog of tickets for clean up. The contractor will be dealing with provider data experience and data entry of demographics and will need to possess the ability to transfer data to correct systems. They will also be providing health updates to providers. Someone with healthcare experience would be beneficial for terminology.Remote/Onsite: Remote: 1 week onsite training at the beginning of contract and then will go fully remote.Contract Length: 90 days approval with possibility of extension and conversionResponsibilities:JOB DUTIES AND RESPONSIBILITES SUMMARY* The Provider Services Specialist is responsible for the full range of provider relations and service interactions within SWHP, including working on end-to-end provider claim and call quality, ease of use of provider portal and future service enhancements. * This position may be asked to manage all administrative aspects of provider issue resolution. * The Provider Services Specialist responds to physician, hospital and ancillary provider inquiries and requests for services associated with the resolution of provider complaints, claim processing, appeals issues, and various operational concerns. * Interprets SWHP policies and facilitates the research required to resolve provider issues. * The Provider Services Specialist will assist the data analyst in the review of provider directories in order to maintain data integrity. * Also updates provider information in Cactus and assists with reporting as needed. * Receive calls and correspondence from physicians, hospitals and ancillary providers requesting information and services.* Act as primary point of contact with providers by promoting a one-stop customer service.* Indentify appropriate internal resources in order to resolve issues.* Facilitate business activities through triage and coordination of resources according to priority of need.* Monitor status of resolution through maintaining detailed documentation of issue and action to date.* Conduct proactive follow-up activities with provider and/or SWHP staff. * Adhere to departmental and organization standards (service level, issue resolution timeframes)* Assist and support Provider Services Representative on project assignments such as claims and referral issues, welcome letters and in the education of providers on SWHP policy and procedures. * Escalate critical issues and conflicts to Director of Provider Relations or Provider Services Representative. * Participate in departmental and interdepartmental meetings as appropriate and necessary.* Participate in ad hoc projects as necessary.* Maintain professional growth and development through self directed learning activities.* This position reports directly to the Director of Provider Relations.Working hours: 8:00 AM - 5:00 PMSkills:KNOWLEDGE, SKILLS, AND ABILITIES* An Associate Degree preferred or equivalent work experience in healthcare (5+ years). * Minimum of 2 years provider relations experience with a proven track record of establishing, building, and managing relationships preferred. * Must be able to work independently. * Must be highly organized and able to manage multiple providers at once. * Must be able to write and speak clearly and effectively. * Ability to work under pressure. * Knowledge of the managed care/ health care industry preferred. * Demonstrated ability to manage projects from conception through implementation.* Must also have knowledge in working with computer systems, Microsoft Word, Excel and other software applications.* Knowledge of medical terminology* Knowledge of medical care specialties* Skill in eliciting and relating information clearly and concisely* Skill in exercising diplomacy in communicating with clients, patients, and medical professionals.Education:AssociateExperience:1-4 yearsQualifications:Minimum Amount of Exp Required: 1-2+ years of provider services experience (healthcare would be very beneficial)Data entry experienceExcel experience is mandatory. Please apply online at www.spherion.com/apply and when asked, please choose office code: TX 75064 WACOSpherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
      • Plano, Texas
      • Permanent
      job summary:Job Title Database Developer FLSA Status Full-Time/ExemptReports To Manager of Development Worksite On-site Plano, TX; remote employmentpermitted. Also accepting applicantsresiding in FL, KS, MI, NJ, OH, TN, TX, andUTSchedule M-F, with occasionalweekend/afterhours support rotationEEO Category ProfessionalsCompany Description:VPay® (www.vpayusa.com), a part of Optum Financial, is modernizing the insurance industry by digitizing complex claims paymentprocesses, allowing people to access their funds faster than ever before. Here, we will leverage your talents along with ourtechnology and financial expertise to streamline claims processes across health and dental plans, auto and property insurance,worker's compensation claims, and third-party administrators. Our great products need great people like you. We invite you to takeyour career to the next level with our teams that work every day to improve the lives of others.We offer a competitive compensation based on experience, an excellent benefits package, and a fantastic work environment that ishigh energy, dynamic and progressive. Because our business is rapidly growing and changing, you will need to be receptive to aconstant state of change. VPay was also recently named to Dallas Morning News' "Top 100 Places to Work 2019 & 2020", an annualranking of the best work environments in the Dallas-Fort Worth metropolitan area.Our office is located in Plano, Texas near the intersection of Coit Road and Plano Parkway.Position Description:As part of our development team, in this role as a Database Developer, you will play a significant part in developing databases,deploying migrations and database design by analyzing requirements within a complex data environment. There will be a strongemphasis on strong SQL skills and stored procedures. You will interact with other teams such as DBA, development, architects andother areas of the business.Essential Functions:Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.- Manage SQL Server databases, SSRS/SSIS instances through multiple product lifecycle environments, from proof of concept todevelopment to staging to mission-critical production systems.- Configure and maintain database servers and processes, including monitoring of system health, performance, and security toensure high levels of performance and availability.- Apply data modeling techniques to ensure development and implementation support efforts meet integration and performanceexpectations.- Independently analyze the database to optimize and tune as well as automation, providing problem resolution end-to-end.- Work with the DBA team to define architectural standards- Refine and automate regular processes, track issues, and document changes.- Assist application developers with complex query tuning and schema refinement.- Provide support for critical production systems- Perform scheduled maintenance and support release deployment activities after hours.- Share domain and technical expertise, providing technical mentorship and cross-training to other peers and team members.Location: Plano, Texasjob type: Direct Hirework hours: 9 to 5education: BA,BFAexperience: 0 responsibilities:Assist application developers with complex query tuning and schema refinement. • Provide support for critical production systems • Perform scheduled maintenance and support release deployment activities after hours. • Share domain and technical expertise, providing technical mentorship and cross-training to other peers and team members. qualifications:Competencies/Qualifications: • 3+ years MS SQL Server Data Engine experience required • 3+ years of experience in using MS Visual Studio, SQL Server Data Tools (SSDT), GIT, SQL Server Management Studio (SSMS) required • 3+ years of experience with complex SQL Server queries & stored procedures required (Rev 09.21.21) • MCTS, MCITP, MCSA and/or MCSE certifications a plus • Excellent written and verbal communication between varied teams • Ability to organize and plan work independently in a rapidly changing environment • Ability to multi-task and context-switch effectively between different activities and teams • Ability to pass strict background check for handling sensitive data Supervisory Responsibility: This position does not have direct supervisory responsibilities but does serve as a coach and mentor for other positions in the department. Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as laptop computers, photocopiers and smartphones. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. Specific vision abilities required by this job include close vision and ability to adjust focus. This would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary. EEO/E-Verify: We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. VPay participates in E-Verify to confirm work authorization. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. skills:This position does not have direct supervisory responsibilities but does serve as a coach and mentor for other positions in the department. Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as laptop computers, photocopiers and smartphones. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. Specific vision abilities required by this job include close vision and ability to adjust focus. This would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary. EEO/E-Verify: We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. VPay participates in E-Verify to confirm work authorization. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
      job summary:Job Title Database Developer FLSA Status Full-Time/ExemptReports To Manager of Development Worksite On-site Plano, TX; remote employmentpermitted. Also accepting applicantsresiding in FL, KS, MI, NJ, OH, TN, TX, andUTSchedule M-F, with occasionalweekend/afterhours support rotationEEO Category ProfessionalsCompany Description:VPay® (www.vpayusa.com), a part of Optum Financial, is modernizing the insurance industry by digitizing complex claims paymentprocesses, allowing people to access their funds faster than ever before. Here, we will leverage your talents along with ourtechnology and financial expertise to streamline claims processes across health and dental plans, auto and property insurance,worker's compensation claims, and third-party administrators. Our great products need great people like you. We invite you to takeyour career to the next level with our teams that work every day to improve the lives of others.We offer a competitive compensation based on experience, an excellent benefits package, and a fantastic work environment that ishigh energy, dynamic and progressive. Because our business is rapidly growing and changing, you will need to be receptive to aconstant state of change. VPay was also recently named to Dallas Morning News' "Top 100 Places to Work 2019 & 2020", an annualranking of the best work environments in the Dallas-Fort Worth metropolitan area.Our office is located in Plano, Texas near the intersection of Coit Road and Plano Parkway.Position Description:As part of our development team, in this role as a Database Developer, you will play a significant part in developing databases,deploying migrations and database design by analyzing requirements within a complex data environment. There will be a strongemphasis on strong SQL skills and stored procedures. You will interact with other teams such as DBA, development, architects andother areas of the business.Essential Functions:Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.- Manage SQL Server databases, SSRS/SSIS instances through multiple product lifecycle environments, from proof of concept todevelopment to staging to mission-critical production systems.- Configure and maintain database servers and processes, including monitoring of system health, performance, and security toensure high levels of performance and availability.- Apply data modeling techniques to ensure development and implementation support efforts meet integration and performanceexpectations.- Independently analyze the database to optimize and tune as well as automation, providing problem resolution end-to-end.- Work with the DBA team to define architectural standards- Refine and automate regular processes, track issues, and document changes.- Assist application developers with complex query tuning and schema refinement.- Provide support for critical production systems- Perform scheduled maintenance and support release deployment activities after hours.- Share domain and technical expertise, providing technical mentorship and cross-training to other peers and team members.Location: Plano, Texasjob type: Direct Hirework hours: 9 to 5education: BA,BFAexperience: 0 responsibilities:Assist application developers with complex query tuning and schema refinement. • Provide support for critical production systems • Perform scheduled maintenance and support release deployment activities after hours. • Share domain and technical expertise, providing technical mentorship and cross-training to other peers and team members. qualifications:Competencies/Qualifications: • 3+ years MS SQL Server Data Engine experience required • 3+ years of experience in using MS Visual Studio, SQL Server Data Tools (SSDT), GIT, SQL Server Management Studio (SSMS) required • 3+ years of experience with complex SQL Server queries & stored procedures required (Rev 09.21.21) • MCTS, MCITP, MCSA and/or MCSE certifications a plus • Excellent written and verbal communication between varied teams • Ability to organize and plan work independently in a rapidly changing environment • Ability to multi-task and context-switch effectively between different activities and teams • Ability to pass strict background check for handling sensitive data Supervisory Responsibility: This position does not have direct supervisory responsibilities but does serve as a coach and mentor for other positions in the department. Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as laptop computers, photocopiers and smartphones. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. Specific vision abilities required by this job include close vision and ability to adjust focus. This would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary. EEO/E-Verify: We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. VPay participates in E-Verify to confirm work authorization. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. skills:This position does not have direct supervisory responsibilities but does serve as a coach and mentor for other positions in the department. Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as laptop computers, photocopiers and smartphones. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. Specific vision abilities required by this job include close vision and ability to adjust focus. This would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary. EEO/E-Verify: We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. VPay participates in E-Verify to confirm work authorization. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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