Jobs at SKYGEN USA

The Appeals & Complaints Specialist III resolves appeals and complaints in a managed care setting and ensures compliance with operational standards. Responsibilities include analyzing complaints, acting as a liaison between clients, and supporting departmental functions and training.

The role involves recruiting providers, conducting negotiations, maintaining relationships, ensuring compliance, and performing market analysis to meet contractual requirements in a remote setting.

The Account Manager acts as a primary liaison for clients, managing relationships, resolving issues, and ensuring compliance with contractual obligations while identifying business opportunities.

The Project Manager will lead multiple operational projects, manage timelines, scope, resources, and ensure high-quality outcomes while coordinating cross-functional teams and maintaining relationships with stakeholders.

Manage a team of data analysts to ensure quality reporting. Lead process improvements, evaluate client requests for standard reports, and maintain performance metrics. Develop staff through training and feedback while collaborating with leadership on strategic initiatives.