- Linchpin Solutions, Inc. (Quantico, VA)
- …+ Working knowledge of Marine Corps correspondence standards (SECNAV M-5216.5, MCO 5216.20B) + Experience developing and editing lesson plans, SOPs, reports, ... and doctrinal documents for DoD or USMC programs + Familiarity with MCISD/SATE instructional frameworks and TECOM documentation processes + Experience managing document version control, configuration, and quality assurance in an ISO 9001-certified environment… more
- Centene Corporation (Cheyenne, WY)
- …weekends and holidays in support of business operations, as needed + Consults on MCO clinical policy related to Substance Use Disorders and the cases of individual ... members for the MCM program on a routine basis. + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality… more
- Boehringer Ingelheim (Ridgefield, CT)
- …and tactical goals of Boehringer-Ingelheim (BIPI) across channels and customers, including MCO , Part D, LTC, GPO, Medicaid and other Government markets through the ... analysis, negotiation, and execution of contracts in support of the Organizations' sales and marketing goals. The position also provides support to continually improve systems/processes, analytical capabilities, and compliance oversight, as well as to… more
- Mental Health Association of SCK (Wichita, KS)
- …appropriate documentation and billing of services to ensure MHA, COMCARE and MCO guidelines are followed. 6. Handles and documents personnel matters effectively and ... consistently with existing policies, including: interviewing, hiring, counseling, terminating, and completing annual evaluations for employees. 7. Provides assistance with orientation and training of new hires, and ongoing on-site support and shadowing to… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …coordinate hospital admission/discharge plans with the behavioral health clinician, PCP, ACO, MCO etc. + Use data to evaluate outcomes of targeted interventions for ... panel. Assist in developing appropriate adjustments to care plans based on this data. + Implement prevention & engagement strategies in collusion with Care Coordinator. + Provide health coaching for groups of enrollees or individual enrollees as needed. +… more
- Paccar Winch Inc. (Denton, TX)
- …of Excellence Financial Scorecard monthly for the dealer network. + Regularly mail MCO documents to dealers. + Run daily control reports, parts lines, and backlog ... reports to assist management. + Assist in preparing the monthly dealer financial summary for senior management. + Input dealers CPA prepared financials into Moody's for financial analysis and credit line renewals. + Manage lease agreements to ensure expiration… more
- Centene Corporation (Cheyenne, WY)
- …weekends and holidays in support of business operations, as needed + Consults on MCO clinical policy related to Substance Use Disorders and the cases of individual ... members for the MCM program on a routine basis. + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality… more
- Apicha Community Health Center (New York, NY)
- …any inquiry from external entities such as Department of Health, AIDS Institute, MCO , or other service providers on inquiries related to services. + Provide ... information and facilitate referral to services available at the Agency. + Collaborate with internal and external entities in fostering effective partnership. + Represent the agency at various venues to promote agency services. Qualifications: + Advanced… more
- HCA Healthcare (Oviedo, FL)
- …of life, economics and education. Walt Disney World and Orlando International Airport ( MCO ) are minutes away, and residents have both the Atlantic and Gulf coasts ... located 90 minutes to the east and west for convenient day trips or a weekend getaway. Live and work in sunny Central Florida, with easy access to beaches, theme parks, and year-round outdoor activities. Come see what Oviedo has to offer! more
- Lundbeck (Kansas, IL)
- …formulary advancement + Understanding of formulary control mechanisms employed by MCO /PBMs and how they impact patients and physician's utilization + Resourcefulness ... in getting access to decision makers, directly or indirectly, to represent the company's products + Demonstration of ability to work collaboratively and influence without authority in achieving outcomes. + Demonstrated problem-solving and negotiation skills. +… more