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Displaying results 1 - 15 of 100

Freelance Anchor - Weather

Cablevision - Norwalk, CT

Are you driven by what's next? Become a Cablevisionary. We are looking for Cablevisionaries who always keep the customer first in mind, who insist on continuing to learn every day, who thrive in a highly collaborative work environment and who when presented with a challenge, don't quit until they find a solution. News 12 Connecticut is looking for the right individual to be a pr...

Application Deadline: None

Sr. Specialist-Customer Support Professional

Cablevision - Jericho, NY

Application Deadline: None

HR Consultant / Generalist

McDonald's Corporation - Pittsburgh, PA

#mcd12 *LI-RM JB-Glass Partners with HR Manager and Operations Leadership to help shape the business strategy for assigned areas and provides input into the development of people strategies. As a member of the leadership team, provides expertise and consulting on all HR systems and assists in implementing people strategies.   Builds capability of line management ...

Application Deadline: None

Provider Data Management Analyst II

Provider Data Management - Town and Country, MO

Position Purpose: Perform provider data management related activities based on plan and contract specifications and standard business rules – includes data analysis and entry, review of data via internet sites and other systems, usage of multiple systems and applications to validate data is complete and accurate, and investigation and resolution of data issues. Set up and perform...

Application Deadline: None

Supervisor, Program Specialist (Social Work)

Managed Health Services IN - Indianapolis, IN

Position Purpose: Oversee all screening and risk assessment interventions per program guidelines, and manage all non-medical aspects of the member's care, including referrals to community resources Coordinate team work flows with community outreach and member advocates to coordinate member care Ensure and maintain compliance with Federal and State Regulations and co...

Application Deadline: None

Program Coordinator I

Superior Health Plan - Austin, TX

Position Purpose: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. Perform tasks necessary to promote member compliance such as verif...

Application Deadline: None

Member Advocate I - McAllen, TX

Superior Health Plan - McAllen, TX

Position Purpose: Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care. Establish a community presence, promote Member education, identify and resolve any systemic barriers that limit Members access to appropriate care. Receive and respond to Member complaints and formal grievances and identify potential...

Application Deadline: None

Administrative Assistant II

Absolute Total Care - Columbia, SC

Position Purpose: Provides administrative and staff support to an organizational unit. Schedules appointments and travel arrangements, gives information to callers, and takes dictation Composes memos, transcribes notes, and researches and creates presentations Administers programs, projects, and/or processes specific to the operating unit served

Application Deadline: None

Compliance Auditor (Medicare)

Compliance - Austin, TX

Position Purpose: Lead the operations and vendor performance audits for all Medicare operations. Execute risk based Medicare processes, reporting, and business execution audits evaluating controls and processes for scalability, effectiveness, efficiency, and risk mitigation strategies for Medicare Operations Centrally, at the Plans, and for all Vendors Act as a consultant related...

Application Deadline: None

Compliance Auditor (Medicare)

Compliance - Atlanta, GA

Position Purpose: Lead the operations and vendor performance audits for all Medicare operations. Execute risk based Medicare processes, reporting, and business execution audits evaluating controls and processes for scalability, effectiveness, efficiency, and risk mitigation strategies for Medicare Operations Centrally, at the Plans, and for all Vendors Act as a consultant related...

Application Deadline: None

Compliance Auditor (Medicare)

Compliance - Tampa, FL

Position Purpose: Lead the operations and vendor performance audits for all Medicare operations. Execute risk based Medicare processes, reporting, and business execution audits evaluating controls and processes for scalability, effectiveness, efficiency, and risk mitigation strategies for Medicare Operations Centrally, at the Plans, and for all Vendors Act as a consultant related...

Application Deadline: None

Compliance Auditor (Medicare)

Compliance - Clayton, MO

Position Purpose: Lead the operations and vendor performance audits for all Medicare operations. Execute risk based Medicare processes, reporting, and business execution audits evaluating controls and processes for scalability, effectiveness, efficiency, and risk mitigation strategies for Medicare Operations Centrally, at the Plans, and for all Vendors Act as a consultant related...

Application Deadline: None

Compliance Auditor (Medicare)

Compliance - Dallas, TX

Position Purpose: Lead the operations and vendor performance audits for all Medicare operations. Execute risk based Medicare processes, reporting, and business execution audits evaluating controls and processes for scalability, effectiveness, efficiency, and risk mitigation strategies for Medicare Operations Centrally, at the Plans, and for all Vendors Act as a consultant related...

Application Deadline: None

Medical Home or Health Home Specialist (New Orleans)

LA Healthcare Connections - LA

Position Purpose: Support network physicians to redesign practice operations alignment with Medical Home (MH)/ Health Home (HH) standards, through outreach and education Perform outreach to new providers to educate them of the benefits associated with MH/HH designation including, but not limited to developing on-site and online training materials Serve as a primary ...

Application Deadline: None

Manager, Clinical

IlliniCare Health Plan - Westmont, IL

Position Purpose: Manage Case Management and Care Coordination services and activities for members with co occurring behavioral health and medical conditions. Manage clinical team of licensed medical and behavioral health clinicians. Manage clinical services including oversight of clinical policies and procedures and daily activities of integrated care coordination team staff.

Application Deadline: None