Relationship Coordinator from American CyberSystems, Inc.

Innova Solutions has a client that is immediately hiring for a Relationship Coordinator

Position type: Full Time-Contract

Duration: 6 months

Location: Philadelphia, PA/Salt Lake City, UT/Houston, TX/Columbus, OH

As a Relationship Coordinator you will:

• Provide planning for all lines of business and products such as Preferred Provider Organizations (PPO), Traditional, Medicare Advantage, Health Maintenance Organizations (HMO), Medicare Supplement, Medicare Cross-over to resolve problems related to service delivery, claims processing and procedural issues.
• Resolve common, complex and escalated issues directly impacting Out-of-Area (HOST) provider claims by working with other Health Care Plans or directly with internal business teams.
• Track issues, provide root cause analysis and escalates to Management enabling issues to be addressed at a National level.
• Partner with all areas of company, especially the various provider teams to achieve timely issue resolution and compliance with other Health Care Plans' benefits requirements.
• Take ownership of resolving a partner plan inquiry from start to completion, including when an issue requires assistance of another internal area.

The ideal candidate will have:

• High School Diploma or GED,4 years' experience in a Claims/Service operations environment OR
• A bachelor's degree, 2 years' experience in Claims/Service environment
• Demonstrated understanding of Products to include Medicare Advantage, Medicare Cross-over, State Health Plan, Administrative Services Only (ASO) and Fully insured and Individual products, National Accounts Database
• Experience in the development, design and execution of account specific, customized education programs in the health care industry is preferred.

Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.

Thank you!

Garv Bhalla

Team Recruitment

678-207-5236

PAY RANGE AND BENEFITS:

Pay Range*: $28 - $30 per hour

*Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions:

• Named One of America's Best Employers for New Grads by Forbes (2024
• Named One of the Best Companies to Work For by U.S. News & World Report (Private Companies List, 2024-2025)
• One of the Largest IT Staffing Firms in the US - Ranked #3 by Staffing Industry Analysts (SIA, 2024)
• One of the Largest Staffing Firms in the US - Ranked #13 by Staffing Industry Analysts (SIA, 2024; includes Innova Solutions, Volt, & HireGenics)
• Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
• One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC, 2024)
• AWS Advanced Tier Services Partner with 100+ certifications

Website: https://www.innovasolutions.com/

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b.

The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

American Cybersystems, Inc is acting as an Employment Agency in relation to this vacancy.