benefits. RESPONSIBILITIES: Manages administration of employee benefit programs including self-funded medical, dental..., pharmacy, vision, etc. Researches, recommends and implements changes to programs for annual review. Maintains knowledge...
, but are not limited to: Supports legal, management, and executive leadership by managing State Fair Hearing and External MedicalReview..., and analysis of state appeals;summarizing medical information for review by medical directors and consultants;preparing...
assessments in care management database for EmblemHealth managed LTSS members. Coordinate the Independent Review Panel (IRP... (preferably within a managed care, home care, or community health organization * Experience in case management/care coordination...
Executive Director and resident's responsible party. Benefits when choosing a career with Distinctive: Medical, Dental... systems including review of swing and night shifts to monitor staff compliance with policy and procedure and to ensure...
. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Negotiates rates.../software quickly preferred. Ability to manage, review and respond to emails/instant messages in a timely fashion preferred...
improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing... (i.e. ability to write/review Python code in order to develop and debug complex software solutions using Python). Ability...
of collaboration technology solutions, which include our award-winning managed services. Our highly certified industry experts... Host at minimum quarterly business reviews with key customer contacts and internal AVI-SPL stakeholders to review...
of collaboration technology solutions, which include our award-winning managed services. Our highly certified industry experts... Host at minimum quarterly business reviews with key customer contacts and internal AVI-SPL stakeholders to review...
hours a day/seven a week oversight of the medical and clinical aspects of the CCS units. The CCS serves as a medically... the activities of program nursing staff (RNs and LPNs), including Certified Medical Assistants, and MAP certified staff...
: Project Management Projects managed for the School of Medicine include multiple, simultaneous assigned design... projects of the largest size ( $250k). * Review and manage assigned design activities and interface with key cross...