- Molina Healthcare (Albany, NY)
- …Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, ... identifying root-cause of processing errors through research and analysis, coordinating and engaging with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. **Essential Job Duties** *… more
- Molina Healthcare (Owensboro, KY)
- …Job SummaryProvides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of ... integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Facilitates administrative support including case assignment, member screening and scheduling,… more
- Molina Healthcare (New York, NY)
- …**Job Summary** Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure ... access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and preventive care and develop payment strategies that give incentives to providers and… more
- ThermoFisher Scientific (Wilmington, NC)
- …**CSM (Clinical Study Manager):** **OBJECTIVES:** **Lead or support study operational strategy and planning and oversee execution of select clinical studies ... (global/regional and/or local country) for assigned clinical program(s), supporting clinical strategy defined in Clinical Development Plan.** **In close collaboration with the Clinical Operations Program Lead (COPL) and the Clinical Operations Manager (COM)… more
- Insight Global (Auburn Hills, MI)
- …Oakland Community College is seeking a hands-on Colleague Developer to support and enhance its Ellucian Colleague systems. This role involves leading development ... efforts, providing technical direction, and working closely with stakeholders to deliver reliable, secure, and scalable software solutions that support the college's operations. Compensation: $25/hr to $35/hr Benefit packages for this role will start on the… more
- Molina Healthcare (MA)
- …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more
- Molina Healthcare (TX)
- …Supervisor opportunity in Texas is open to TX licensed RNs; candidates must reside in the state to be considered for this position. Preference will be given to ... applicants with a minimum of 2 years' experience in Case Management/Service Coordination within an MCO. Candidates should be able to speak to how their experience has prepared them to step into a leadership role. Candidates also need solid experience with… more
- Cordis (Miami Lakes, FL)
- …**Job Summary :** The Analyst II role runs our spend and market intelligence engine-cleaning and modeling data, maintaining dashboards, and building savings bridges ... that reconcile with Finance. They turn business needs into sourcing-ready insights and keep us ahead of renewals and consumption trends. They also produce supplier scorecards and risk signals so category managers can stay focused on strategy and negotiations.… more
- Molina Healthcare (Boise, ID)
- …Leads and directs team(s) responsible for member outreach and scheduling of member visits across all lines of business and states. Participates with senior leadership ... to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. This position will support operations until 7pm PST and some weekend work. **Essential Job Duties** + Directs member outreach… more
- Datavant (Honolulu, HI)
- …skills, and experience for a specific job. The estimated salary range for this role is $128,000 - $160,000. To ensure the safety of patients and staff, many of our ... Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health… more