Job Summary

This position is responsible for the implementation and maintenance of all member and provider letters, and automated letter process used in the process of completing investigations for our Payment Integrity and Drug Claim Payment Integrity Divisions.

Hours: Day shift, 40-hour work weeks. During training, 8am - 5pm. Flexible schedule options available between 7am - 7pm after six months of employment.

Setting: Professional office environment with a hybrid remote opportunity available after six months of employment based on performance.

Compensation: This is a non-exempt position at a very competitive hourly rate. Our comprehensive benefit package includes health and dental benefits, short-term disability plans, 401k with company matching, paid time off policy and more. We also offer an onsite gym, cafe, and coffee shop.

Training: The Rawlings Company takes great pride in providing exemplary training and development program, including policies and procedures, state-of-the-art proprietary systems, and many other tools to place new employees on the path to success.

Responsibilities

• Implement new letters, creating configuration and letter templates for members and provider communication.
• Change letter templates as requested by business and clients.
• Create letter cycles for automated letters.
• Develop letter sets for new implementations.
• Follow Client guidelines on use of their logos (i.e. placement, size, and color).
• Maintain knowledge of proper letterheads, logos and footers that should be used for all clients.
• Backup for ACT support (internal system), Client reports and processes and auditor reassignments.

Qualifications

• Associate’s Degree or equivalent combination of education and experience which would provide the necessary knowledge, skills, and abilities to successfully perform the work.
• Ability learn multiple internal computer systems.
• Above average oral and written communication skills required.
• Ability to work independently.
• Attention to detail, ability to multi-task, adapt quickly to change and demonstrate flexibility.
• Professionalism in dealing with Management, Analysts and Client Success.
• Data entry experience preferred.
• Experience working with text files preferred.
• Proficient in Microsoft Office programs, specifically Word and Excel.

Physical Requirements

• Frequently remains in sitting position for long periods of time to perform duties.
• Frequently concentrates for long periods of time, paying close attention to detail.
• Frequently uses and views the computer using fingers, hands, and vision.
• Frequently works in a well-lit, tempered environment.
• Occasionally moves through office to communicate with other employees

Our Company Culture

The Rawlings Company LLC is looking for hard-working, talented people who share our commitment to excellence. The Rawlings Company LLChas successfully provided cost containment services to the largest health insurers in the country for more than 40 years and continues to grow as an industry leader.

On April 2, 2024, the Company announced a strategic investment from affiliates of New Mountain Capital, LLC (“New Mountain”), a leading growth-oriented investment firm with approximately $50 billion in assets under management. New Mountain is partnering with the Rawlings management team to support the next phase of growth for the Company, including investments in artificial intelligence, product development, and expansion into new markets and capabilities.

Our Culture is focused on:

• The guiding principle of doing the right thing
• Caring for our employees and taking pride in the work they do
• Providing recognition and financially rewarding employees for their success

Our Values are:

• Integrity and Trust
• Customer Service Excellence
• Innovation
• Diversity and Inclusion
• Honoring our Veterans and Their Service 

*Equal Employment Opportunity. It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification.
*The Rawlings Group is an employment at will employer.

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