sales of an organization's products and/or services. Responsibilities: Responsible for prospecting and developing new... weekly client meetings virtually or in-person. Complete sales activities via CRM tool set. Review weekly with management...
, and financial needs. Use claims processing tools to review and research paid claim data to develop a clinical picture of a member... referrals for wellness programs. Maintain complete and detailed documentation of case managed patients in Eldorado and UM Web...
Experience in a managed care organization Knowledge of Interqual or MCG Pay is based on several factors including... management of hospitalized health plan members. You will ensure patients receive quality medical care in the most appropriate...
organization. This role will primarily focus on Microsoft Azure while maintaining proficiency in Amazon Web Services (AWS... with industry regulations. This position will lead a team of onshore and offshore engineers within a managed service provider (MSP...
of IntegriChain’s Access Management Operations organization, which provides managed services and business process outsourcing... for review and maintenance of key master data utilized within all Government Pricing calculations. Manages the clients’ class...
and Training teams. Attending meetings to review performance and functioning of the line, process changes and improvements, staff... as a health professional within the scope of licensure in Massachusetts. Prior experience in Managed Care setting required. MS...
review and risk management activities. Determines appropriateness and medical necessity of admissions, continued hospital... to organization and interdisciplinary rehab team and monitors admissions, length of stay and clinical documentation for regulatory...
technologies and automation systems to improve the pilot plant’s reliability and increase efficiencies Author and review GMP... systems with Enterprise IT managed systems, e.g. MES, virtualization, networking, windows and antivirus patching/updates...
, and will be part of an outcome-oriented treatment plan developed with in a managed care framework, which includes periodic reviews... for appropriateness of services and intensity. The individual in this Job will participate actively in the treatment planning and review...
Welcome to Adelante Mujeres, where we are more than just an organization;we are a movement. Our mission is to uplift... into your activities, fostering a well-managed, high-quality program that resonates with our youth. At the heart of it...