The Rawlings Group…If you’re looking for a career and not just a job!
All of our employees play an important role in the dynamic organization that is The Rawlings Group. We are constantly looking for hard-working, talented people who share our commitment to excellence. Your responsibility as a Rawlings associate will be to excel in each task you undertake. Our responsibility is to provide a pleasant, supportive, and respectful working environment which makes that possible.
For more information or to apply go to: http://www.rawlingsgroup.com/careers/
Available Open Positions:
Jr. Software Developer
1-year C#/.Net Software Developers who are looking for development and growth opportunities La Grange, KY; Louisville, KY Not Provided
The Rawlings Group provides timely, concrete solutions for our customers and an outstanding foundation on which you can build your career . This is your opportunity to make a strong and visible impact helping to control healthcare costs through advanced data analysis and investigation of improper he …
Drug Claim Auditor La Grange, KY $42,000 + Bonus
Assist in the development of the process/procedures for recovery of overpayment of high cost/specialty drugs claims. Assist in the research and testing of queries to refine the auditing process. Identify potential recoverable claims and perform investigations to determine if claims are billable. Ass …
DIG – Software Developer La Grange, KY Not Provided
(All candidates must be available for onsite interviews) Under the direction of the Manager of Data Integrity Group and Team Leads, the Software Developer will design, develop and maintain application programs used by the Data Integrity Group. ESSENTIAL DUTIES & RESPONSIBILITIES Work with cu …
DIG – ETL Developer La Grange, KY Not Provided
JOB SUMMARY (All candidates must be available for onsite interview) Under the direction of the Manager of the Data Integrity Group, the ETL (Extract, Transform & Load) Developer will design, develop, test, and implement ETL and reporting programs for the Data Integrity Group to provide business …
Software Developer/Software Engineer – .Net/C#/AngularJS La Grange, KY Not Provided
(All candidates must be available for an onsite interview) Do you have a knack for building applications that directly impact an organization? Are you a wizard with C#, ASP.Net and MVC? We are working for a Software Developer who is passionate about joining a company with a strong and visible impact …
Pharmacy Division Support Specialist La Grange, KY Not Provided
Validate COB information and claims processing information to support ongoing investigations or recoveries in client systems. Utilize client systems to validate eligibility information for members on the Post Term file from client. Process inbound retro termination response mail received to the Phar …
Subrogation Recovery Analyst
If you’re looking for a career and not just a job………….. La Grange, KY Not Provided
The Subrogation Analyst uses complex analytical skills to handle a large volume of Subrogation files and ultimately negotiate settlements on behalf of The Rawlings Group’s health insurance clients. ESSENTIAL DUTIES AND RESPONSIBILITIES Meet the goal of taking 16 inbound calls and making 32 ( …
Bilingual (Spanish) Subrogation Recovery Analyst – $43,900 Base + Bonus Opport.
If you’re looking for a career and not just a job………….. La Grange, KY Not Provided
The Subrogation Analyst uses complex analytical skills to handle a large volume of subrogation files and ultimately negotiate settlements on behalf of The Rawlings Group’s health insurance clients. YOU WILL DO THIS BY….. Determining if a subrogation opportunity exists and taking steps to i …
Medicare Compliance Specialist La Grange, KY Not Provided
The Pharmacy Compliance Audit Specialist will complete investigations of pharmacy claims data through outreach to pharmacies, physicians, other medical providers and long term care facilities. Through this outreach, the Specialist will verify information provided to our client by CMS and gather supp …
Mailroom Administration Clerk La Grange, KY Not Provided
Operate scanner, mail machine, folding machine mail opening machine, computer and Scandall software. Open and process checks. Prep documents to be imaged. Image incoming mail, questionnaires, closed files and all other documents. Distribute incoming mail. Process documents in imaging software on com …
Client Contact and Support Associate La Grange, KY Not Provided
Processes plan document requests for open files. Utilizes and builds established client contact relationships. Accesses client systems to obtain necessary information and/or language documents. Maintains existing language database. Each team member checks the Group Portal, SharePoint and Product Sup …
DIG – Data Extraction Specialist La Grange, KY Not Provided
Track and receive client data. Load data files received to multiple network servers. Monitor data loading process and compare record counts and dollar amounts reported from our client to what was received. ESSENTIAL DUTIES & RESPONSIBILITIES Monitor client data schedule, report any late data …
Recovery/Collections Manager La Grange, KY Not Provided
In addition to working his or her own files and meeting their individual performance goals, the Recovery Manager is responsible for leading a group of collectors in the areas of quality, productivity, and exceeding monthly recovery goals. Ability to lead point of service recoveries and management. H …
Quality Control Analyst La Grange, KY Not Provided
All duties and responsibilities are to be performed in accordance with The Rawlings Company’s policies, procedures, guidelines and contractual commitments and within governmental regulations. Perform analysis and verification of file openings from various sources and appropriate TRC systems&rs …
Human Resources Specialist La Grange, KY Not Provided
Coordinates new employee orientation and electronic processing of paperwork. Responsible for assuring new hire onboarding is complete. Checks I 9 for accuracy and signatures, process paperwork for temporary employees, interns and new hires. Schedules pre screens and interviews with selected applican …
Facility Event Coordinator & Marketing Intern La Grange, KY Not Provided
This internship is based at CityPlace, Oldham County’s premier exhibition and convention center. CityPlace is a project of The Rawlings Foundation, which is a non profit, Christian organization. Through this internship, a student will gain extensive, experience in setting up and organizing eve …
Legal Client Support Specialist La Grange, KY Not Provided
A Legal Client Support Specialist offers services to the Legal Analysts so they can focus on delivering the Rawlings Experience to our clients. Under moderate supervision, the Legal Client Support Specialist position is accountable for daily office administration functions as well as a variety of cl …
Quality Assurance Analyst – Code Tester – SQL knowledge a must!!!! La Grange, KY Not Provided
All candidates must be able to interview on site. We do not offer webcast or Facetime interviews. POSITION SUMMARY Support business units by performing all quality control testing to ensure no adverse impact on customers, financials, operations or systems. This position may include quality assurance …
Product Support Associate La Grange, KY Not Provided
Identify, qualify, and open files for the Workers Comp and Subrogation departments by researching correspondence with insufficient information using multiple systems and making outbound calls as necessary to get the correct information. Review insurance claim data from client systems and validate th …
Group Contact Associate La Grange, KY Not Provided
Contact employer groups on behalf of Auditors to obtain employment verification and group size information. Enters updated data regarding group restrictions and blocks in the Group Restriction database. Completes special projects. The ability to work at our Facility and maintain our regular work sch …
Operations Management Associate La Grange, KY Not Provided
Operations Management Associate At Rawlings, our most important competitive advantage is our people. If you have a Bachelor’s degree and/or MBA with three to five years of professional work experience , then this is the opportunity you are looking for. As an Operations Management Associate , y …
Director of Operations (Health Insurance Industry) La Grange, KY Not Provided
The Rawlings Group, located in the greater Louisville, Kentucky area and founded in 1977, is the nation’s leading provider of data mining and claims recovery services to the healthcare industry. Recognizing the need for specialized recovery services, Rawlings launched what would ultimately bec …