Available Positions

Register on our career portal (located at the bottom of each job description) to submit your resume to an open job. The following positions are available:
 

Contract Openings with Clients

Contract to Hire Openings with Clients

Direct Hire Openings with Clients

Scout Openings with Clients

  • Lead Contract Implementation Analyst-Columbus (Scout HOT Job)
    Position Purpose: Lead and oversee the implementation all provider contracts, including any pertinent changes and modifications applicable to these contracts. Serve as the subject matter expert on all contract implementation related issues and questions.

  • Lead and oversee the internal audits of contracts and related files to ensure compliance with corporate standards related to contracts and their implementation
  • Manage the health plan’s workflow to assure timely, accurate submission and implementation of contracts
  • Participate in provider contracting activities & provide technical support with internal departments to improve communication and minimize contract implementation issues/errors
  • Act as the health plan interface with Corporate Contracting and other business owners for all questions regarding implementation and claims accuracy issues
  • Act as health plan interface on software product upgrades/implementations which affect contract implementation
  • Assess state changes in reimbursement and/or benefits and request appropriate changes to configuration to correctly & timely implement these changes.
  • Ensure accurate contract implementation and subsequent claims processing through post production audits of claims payment, provider setup, UAT testing, etc.
  • Develop, communicate, implement and maintain production and quality standards
  • Qualifications:


    Education/Experience: Bachelor’s degree in business, finance, related field or equivalent experience. 4+ years of provider contract implementation, contract analysis, or claims payment system experience in managed care, health care, or TPA setting. Understanding of rate methodology and contract language. Strong problem solving and analytical skills. Government programs and Amisys experience preferred.

    Employee Status:

    Regular

    Job Level:

    Staff

    Job Type:

    Regular

    More Information About the Job

    What’s exciting about this opportunity?
    Great benefits and lucrative compensation

    How would you describe the team and culture?
    fast-paced, team work encouraged

    What kinds of people succeed in your organization?
    bright, sense of urgency, forward thinking

    Is this a replacement or a new position?
    replacement

    Where does the position sit in the organization and who does this position report to?
    Columbus, Ohio

    Does this position have direct reports?
    no

    What’s the bonus percentage?
    6%

    Are you ready to hire the right candidate immediately?
    yes!

    Is relocation available?
    yes

    Is there flexibility in hours and/or the ability to work remotely?
    possibly

  • Senior Application Software Engineer (Business Intelligence) (Scout HOT Job)
    Position Purpose: Design, build, test and maintain scalable and stable off the shelf application or custom built technology solutions to meet business needs. Act as a subject matter expert for Application Software developers and Engineers.

  • Contribute to the entire implementation process including driving the definition of improvements based on business need and architectural improvements
  • Meet with business partners to understand business needs
  • Responsible for overall design of the solution
  • Design, build and test applications
  • Conduct root cause analysis and advanced performance tuning for complex business processes and functionality
  • Qualifications:


    Education/Experience: Bachelor's degree in Computer Science, MIS, related field or equivalent experience. 3+ years of related experience. Healthcare experience strongly preferred, requires demonstrated understanding of business process as it relates to experience in the field. Experience with SQL. Advanced working knowledge of Business Intelligence Tools, including: MicroStrategy, Business Objects, Cognos or SAS. Experience with UNIX and ETL. Experience with various databases, including: Teradata, Oracle or SQL Server preferred.

    Employee Status:

    Regular

    Job Level:

    Staff

    Job Type:

    Regular

    More Information About the Job

    How would you describe the team and culture?
    3-4 member team

    What are you looking for on the resume, and why?
    Must have 5 years minimum hands on experience with Microstrategy (CRUCIAL) Must have worked on complex projects Must have Technical Bachelor's Degree

    Is this a replacement or a new position?
    New position

    Where does the position sit in the organization and who does this position report to?
    Reports to Sr. Manager Data Analyst

    What’s the bonus percentage?
    based on experience

    Is relocation available?
    Yes.

    Is there flexibility in hours and/or the ability to work remotely?
    No sponsorship candidates!