Description: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. Manages all aspects of investigative activity on complex claims. D...
Duties Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health mana...
Duties Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health mana...
Duties Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health mana...
Description: Cybersecurity Engineers are responsible for activities including (but not limited to) administration and configuration of information security tools, security devices, cybersecurity safeguards, countermeasures, and cybersecur...
Job Description: Cybersecurity Engineer is responsible for activities including (but not limited to) administration of information security tools, security devices, cybersecurity safeguards, countermeasures, and cybersecurity event manage...
Duties Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health mana...
Duties Manages the research and development of new products. Works with various functional areas (marketing, underwriting, actuarial, claims, information systems, finance) to provide innovative approach to new product lines. 30% Identifi...
Job Description: JOB SUMMARY The Associate Cybersecurity Risk Analyst aids in the development and implementation of a comprehensive information security program including defining security policies, processes, and standards. The Associa...
Duties Assists with health management activities/programs for Client •50% Provides health coaching or intervention telephonically or in person for assigned health programs. Utilizes all data systems containing patient information and doc...