- BMO Financial Group (Chicago, IL)
- …Makes recommendations related to policy, standards and strategies for identified controller- managed risks. + Supports the execution of strategic initiatives in ... streamlined reporting. + Executes work to deliver timely, accurate, and efficient service . + Operates at a group/enterprise-wide level and serves as a specialist… more
- Molina Healthcare (Sterling Heights, MI)
- …**REQUIRED QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more
- Centene Corporation (Mcallen, TX)
- …ensure identified services are accessible to members + Monitors care plans/ service plans and/or member status and outcomes for changes in treatment side effects, ... the resources available, and recommends and/or facilitates the care plan/ service plan for the best outcome, which may include...ensure member has timely access to needed care or services + Collects, documents, and maintains member information and… more
- Ascension Health (Rolla, MO)
- …The Resource Group, a subsidiary of Ascension, is a business transformation services organization that specializes in resource and supply chain management. The ... and key performance indicators, and to deliver a cost-effective, highly-efficient managed distributor model. By combining a culture of hospitality with leading… more
- Health Care Service Corporation (Santa Fe, NM)
- …in managed care, a state care coordination or waiver program . + Knowledge of healthcare terminology + Experience coordinating member healthcare related ... required. **JOB REQUIREMENTS** **:** + Bachelor's degree in nursing, social work, counseling, human- services or social sciences, or LVN, LPN and 1 year of related… more
- Deloitte (Cleveland, OH)
- …to develop and lead global initiatives. We deliver strategic programs and services that unite our organization. Work you'll do Role requires excellent customer ... service skills, coordination with stakeholders, in-depth analysis skills, and...autonomously, ability to influence others The team Global Finance Services uses the latest technology and insights to provide… more
- Virtua Health (Moorestown, NJ)
- …the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access ... program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings,...practice(s) Lead Physicians, directs and coordinates administrative and clinical services for assigned practice(s) as part of the dyad… more
- CVS Health (Austin, TX)
- …that the CVS PCI environment remains secured and that all identified gaps are managed to closure appropriately. The manager will be responsible for, but not ... system and process updates and/or remediation + Provide advisory services on complex PCI DSS compliance considerations + Work...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- HD Supply (Denver, CO)
- …objections, and adversities. + Identifies, develops, and maintains a pipeline of qualified, managed accounts to meet or exceed total sales and margin plan using a ... company designated customer relationship manager tool. + Focuses on new account opportunities by...industry-specific product knowledge and a deep understanding of specialized services to effectively cater to client accounts. + Utilizes… more
- CVS Health (Collinsville, VA)
- …all with heart, each and every day. **Position Summary** Nurse Case Manager is responsible for assessing, planning, implementing and coordinating all case management ... well as opportunities to enhance a member's overall wellness through integration. Services strategies policies and programs are comprised of network management and… more
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