- The County of Los Angeles (Los Angeles, CA)
- …of violations through criminal and civil suits, and acts as the departmental advocate in civil administrative hearings. + May act as bureau director in the ... Agricultural/Weights and Measures Inspector III is defined as a senior or lead, performs the more difficult and complex...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- Fallon Health (Norwood, MA)
- …support, informal counseling, assist with applications for state benefits, and advocate for an individual's community health needs using a strengths perspective ... team members per program protocol. + Serves as an advocate for members to ensure they receive Fallon Health...community transportation, food programs, and other services available through senior centers and other external partners. + Helps to… more
- Molina Healthcare (Ramapo, NY)
- …skills to successfully engage high volume, high visibility providers, including senior leaders and physicians, to ensure provider satisfaction, education on key ... minimal direction, works directly with the Plan's external providers to educate, advocate and engage as valuable partners, ensuring knowledge of and compliance with… more
- Takeda Pharmaceuticals (Boston, MA)
- …alignment of the labeling strategy and labeling content. **Interface with Senior Management Cross-Functional Team (GLOC)** + In alignment with TAU/MPD Labeling ... Lead, coordinates the process to obtain labeling approval by Labeling Senior Management Cross-functional team (Global Labeling Oversight Committee - GLOC) providing… more
- State of Arkansas (Little Rock, AR)
- …partners. Managing special projects and providing regular updates to senior management. Investigating issues and situations, gathering facts and evidence, ... to all areas of the division. Working closely with the business teams and senior management to understand the needs and strategic objectives of the division to… more
- Corewell Health (Grand Rapids, MI)
- …Eligible Special Needs (HIDE-SNP) Long-Term Services and Supports (LTSS) is a senior leadership role responsible for the strategic and operational oversight of ... in coordination with external partners and reports directly to the Senior Director of Utilization Management. Essential Functions Strategic Leadership & Program… more
- Astellas Pharma (Northbrook, IL)
- …+ Pull Veeva metrics to ideate on MLR process improvement and serve as advocate and champion for MLR transformation projects to deliver an accelerated speed to ... needs of target customer profiles leveraging insights and key messaging and claims as outlined in the Omnichannel Engagement Framework (OEF), or similar framework,… more
- McLaren Health Care (Flint, MI)
- …at the most appropriate and cost-effective setting. Performs as the member advocate with emphasis on education regarding managed care, disease management and PCP ... and under and overuse of services. Collaborates with Medical Director and senior management on complex cases and specialist projects. **Clinical expertise related to… more
- The Cigna Group (Atlanta, GA)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... Experience in developing and managing key provider relationships including senior executives + Knowledge of complex reimbursement methodologies, including incentive… more
- The Cigna Group (Charlotte, NC)
- …prospective providers + **Collaborate cross-functionally** with teams such as Claims Operations, Medical Management, Legal, Medical Economics, Compliance, Sales, ... Relations **Minimum Program Qualifications** + **Currently enrolled as a senior or a recent graduate from a bachelor's degree...Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.… more