Position Purpose: Provide clinical expertise to clients in designing benefits to optimize therapeutic outcomes while maintaining economic efficiency in the delivery of medication therapy. Responsible for the overall clinical relationship with the client to ...
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IT Support Specialist (ServiceNow experience) Position Purpose: - Provide first-level remote support of customers' software and minor operating system modification requests. Investigate, research, and resolve moderately complex issues - Respond to requests and...
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Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Develop, assess and adjust, as necessary, ...
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Position Purpose: Manage the detailed preparation of the annual budget, monthly budget, reforecasting, Hyperion updates, integration of actual results into the budgeting models, and the associated internal reporting to department heads including monthly review...
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Grievance & Appeals Coordinator II This position is based out of our office Camp Hill or Pittsburg, Pennsylvania office. Currently during the pandemic we are working remote but anticipate to return to the office in September 2021. Position Purpose: Analyze and...
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Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and ...
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Intern (Operations Undergraduate - Summer) Position Purpose: - Learn various job functions within the Managed Care industry and explore various career opportunities - Apply academic knowledge and learn new skills by contributing to various projects - Research ...
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Position Purpose:Oversee and ensure HEDIS data accuracy and reporting, including investigations, auditing, and improvement opportunitiesCollaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout ...
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Senior Manager, Product Operations Position Purpose: Oversees Product Operations for a line of business, including potentially serving as the official Contract Manager. Serves as the primary day-to-day liaison for the Agency or Vendor, including interpretation...
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Intern (Software Engineering & Machine Learning Undergraduate - Summer) Position Purpose: - Learn various job functions within the Managed Care industry and explore various career opportunities - Apply academic knowledge and learn new skills by contributing to...
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