Thursday, July 15, 2010










ITIL Problem Manager: SPS Consulting, LLC

Job IDL3
Company NameSPS Consulting, LLC
Job CategoryTechnology; Engineering
LocationRockville, MD
Position TypeFull-Time, Employee
Experience2-5 Years Experience
Desired Education LevelBachelor's degree
Date PostedJune 17, 2010 (Reposted Jul 15)
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Technical Manager-Development: Blackboard Inc.

Job ID101806
Company NameBlackboard Inc.
Job CategoryTechnology; Technology
LocationWashington, DC
Position TypeFull-Time, Employee
Experience2-5 Years Experience
Date PostedMay 11, 2010 (Reposted Jul 15)
Blackboard Inc.
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Claims Recovery Specialist

Responsible for achieving company goals for the recovery of claims overpayments by performing claims quality assurance audits to measure the accuracy & completeness of claims overpayments submitted to the Recovery Department from the QCT & R Auditors, CRU, & the Account Management Team. Also responsible for communicating w/ providers & participating in negotiations for recoveries. Essential Functions: - Works independently w/ assigned groups of providers to recover claims overpayments identified by various audit groups. - Performs separate jurisdictional screening & quality review of overpayments received from the various audit groups to identify claims that are not recoverable due to state/federal rules & regulations or other reasons; prepares reports of findings. - Works closely w/ Recovery Supervisor to facilitate quality improvement w/in the Department. - Enters scrubbed claims overpayment spreadsheets into the Claims Administration Recovery System database (CARS). - Presents findings in inter- departmental meetings to representatives from Provider Relations, Contracting & the Legal departments. - Prepares & sends recovery letters to providers along w/ spreadsheets of the details supporting the recovery request. - Participates in negotiations & communicates w/ providers to follow-up the recovery letters. - Works w/ providers to further explain the identified overpayments & reconcile the KP position w/ the provider’s position in order to gain acceptance of the overpayments. - Maintains a tracking tool of recovery progress; prepares weekly & monthly reports for management. - Performs root cause analysis & proposes appropriate “corrective actions” to eliminate claims overpayments. - Writes & communicates desk level procedures as appropriate. - Performs special projects, reconciliations, research & analysis relating to quality claims processing improvements. - Attends inter-departmental meetings as deemed necessary. - Performs other duties as directed. Qualifications: Basic Qualifications: - 5 years of claims processing experience required. - 1 year of quality assurance &/or medical claims auditing experience required. - Bachelor’s degree in business/accounting or equivalent relevant work experience required. Preferred Qualifications: - 2 to 3 years of experience in training &/or audit learning preferred.

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Desktop Support Specialist (006589:FCD): Dell

Job ID006589:FCD
Company NameDell
Job CategoryTechnology; Technology
LocationWashington, DC
Position TypeFull-Time, Employee
Experience5-10 Years Experience
Date PostedJuly 7, 2010 (Reposted Jul 15)
Dell
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Tax Professional

H&R Block is the world's largest tax services provider and a leader in tax preparation. We are committed to providing our clients with the highest level of customer service, and are looking for Tax Professionals.
Position Overview

Our Tax Professionals are our greatest assets. To become a Tax Professional, you'll start by taking the H&R Block Income Tax Course. If you're already a Tax Professional, you may be able to test out of the Income Tax Course and go straight to the interview phase.
Advantages

Once you become an H&R Block Tax Professional, you'll enjoy a challenging job that offers you:
  • Extra income
  • A flexible schedule
  • Opportunities for career growth
  • The chance to learn new, valuable skills
About Us

We've prepared over 400 million tax returns since 1955. Year-after-year our Tax Professionals enjoy the flexibility and opportunities that come from being part of the H&R Block team.

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