- LA Care Health Plan (Los Angeles, CA)
- …assists the Customer Solution Center Appeals & Grievance Manager and Director in meeting regulatory timelines by maintaining an accurate database inventory ... the monthly reporting responsibilities, Appeals and Grievance reporting to Department Director , ongoing referrals and authorizations for members in complex care… more
- Dow Jones (New York, NY)
- …Manager, Subscription Strategy, you will partner closely with the Senior Director to drive execution of key strategic initiatives, support performance monitoring, ... Serve as a strategic thought partner to the Senior Director , helping to prioritize initiatives and manage workstreams across...to ensure shared goals are met and dependencies are managed effectively. **You Have:** + 10+ years of experience… more
- Samaritas (Grand Rapids, MI)
- …+ Plus, many more benefits The Clinical Supervisor is accountable to the Director of the Substance Use Disorder (SUD) for providing leadership in ongoing development ... + Provide oversight at weekly team meetings and work with the Director in overseeing program implementation, hiring, training, monitor Clinician caseload, methods… more
- University of Utah (Salt Lake City, UT)
- …the challenges of providing high-quality psychiatric services in a growing mental health care market . HMHI (as part of the University of Utah Health) is relied upon ... providing team-oriented care, excellent time management skills, the ability to work within managed care settings, and a creative and adaptive outlook in a fast-paced… more
- Defense Health Agency (Falls Church, VA)
- …management, strategic planning skills, and organizational design. Programs and projects managed are of great breadth and intensity and often involve proposed ... experience working in the Military Behavioral Health System at the Market , Network, or Defense Health Agency Headquarter level*.** **Responsibilities** The incumbent… more
- ChenMed (Newport News, VA)
- …within the market + Prior experience working in a Medicare Managed Care environment preferred We're ChenMed and we're transforming healthcare for seniors and ... individual will report to and work with the Network Director to develop the CPL and serve as the...Leads a quarterly meeting National Specialty Directors and Network Director to review pattern, trends, and opportunities within the… more
- State of Colorado (Denver, CO)
- …Decision Making Process (CVDMP) or community violation matrix, most of which are managed in the community and do not require arrest; + Present case information ... by factors such as internal pay equity, budget constraints, market benchmarks, or the individual's current compensation level. Any...Board or request a review by the State Personnel Director . An appeal or review must be submitted on… more
- Humana (Bismarck, ND)
- …business, developing a refreshed membership acquisition strategy, identifying key go-to- market priorities, assessing the performance of strategic initiatives and ... portfolio, from problem structuring to analysis to recommendations + Analyze market trends, competitive dynamics, and internal performance data to inform strategic… more
- RTX Corporation (Melbourne, FL)
- …development from inception through completion. This leadership position reports to the Director of the Communications Portfolio and is an active participant of the ... Lead several cross-functional teams that regularly manage products/services with new market capabilities and offerings. + Manage multiple product line solutions (HW… more
- AbbVie (Mettawa, IL)
- …and Market Access. This role will report to the Director , Immunology Price Forecasting. Responsibilities: Responsibilities will include, but are not limited ... portfolio, triangulating data from monthly close, balance sheet reserve analyses, and recent market dynamics to ensure submitted unit forecasts for Plan, LBE and LRP… more