and those involved with members' care including clinical nurses and treating MDs. The Case Management - Nurse, Senior will report to the... Manager, Care Management. In this role you will determine, develop and implement the plan of care based on accurate assessment...
with at least 2 years utilization review in an acute hospital, surgical hospital, or commercial/managedcare payer setting... experience a plus. Managedcare payor experience a plus either in Utilization Review, Case Management or Appeals. Interaction...
in service of those players. You'll identify opportunities to centralize functionality and architect solutions that enable... containers and orchestration (such as Docker, Kubernetes), managed using infrastructure as code (such as Terraform, Ansible...
. We offer our industry stakeholders in over 150 countries access to a global platform of high-quality vision care products such as the..., Oakley, Persol and Oliver Peoples, as well as a network that offers consumers high-quality vision care and best-in-class...
field support to Medical, Sales and Marketing, as well as ManagedCare and Government by using academic/professional... Doctoral degree required At least two years' experience in a health-related system, pharmaceutical company, or managedcare...
, budget setting, and operations of Blue Shield of California's value-based care (VBC) payment models, including Accountable... Care Organization (ACO), Virtual Care, and other innovative incentive programs. The Actuarial Analyst, Senior will report...
The Managed Services Analyst IV role represents an advanced level of expertise and responsibility within the... with diverse stakeholders and build strong relationships Exceptional professionalism Project Management Ability to evolve...
quality and customer service initiatives to assist with closing care gaps Mentor fellow Outreach team members..., a clinical services company;and Stellarus, a company designed to scale healthcare solutions. Together, these organizations...
. We offer our industry stakeholders in over 150 countries access to a global platform of high-quality vision care products such as the..., Oakley, Persol and Oliver Peoples, as well as a network that offers consumers high-quality vision care and best-in-class...
field support to Medical, Sales and Marketing, as well as ManagedCare and Government by using academic/professional... Doctoral degree required At least two years’ experience in a health-related system, pharmaceutical company, or managedcare...