JOB SUMMARY: The Medical Director provides physician-level clinical review expertise within the health plan’s utilization management, appeals, and clinical governance programs. The Medical Director applies evidence-based clinical judgment...
JOB SUMMARY: Responsible for being the first point of contact for all membership related questions, requests and concerns and for providing outstanding service to our customers. You will answer queries regarding customer benefits, eligibi...
Overview: In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments is responsible for providing assistance in dispensing prescription medications to patients. Responsibilities: ...
JOB SUMMARY: The Provider Performance Specialist plays a key role in strengthening relationships between the health plan and its provider network by offering education, support, and guidance on performance improvement initiatives. This po...
Overview: JOB SUMMARY The Business Analyst – Value-Based Care serves as a key member of the Business Intelligence team supporting the Population Health and Value-Based Care data needs of the organization. This position focuses on support...
JOB SUMMARY: The Controller, reporting to the CFO, leads all accounting functions and guides financial decisions by establishing, monitoring, and enforcing policies and procedures regarding Accounts Payable, Accounts Receivable, journal e...
JOB SUMMARY: The Medical Director provides physician-level clinical review expertise within the health plan’s utilization management, appeals, and clinical governance programs. The Medical Director applies evidence-based clinical judgment...
JOB SUMMARY: Responsible for auditing and monitoring company processes. Meets with stakeholders to review corrective action and obtain resolution. Conducts follow-up audits to ensure corrective actions have addressed the root cause to pre...
Overview: In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments is responsible for providing assistance in dispensing prescription medications to patients. Responsibilities: ...
Overview: In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments is responsible for providing assistance in dispensing prescription medications to patients. ** this is a PRN...