Position Scope: Manages/coordinates an active caseload of case management cases for Cigna Medicare. Uses clinical.../caregivers, and the healthcare team, and embedded care coordinator as well as internal matrix partners. Build solid working...
a comprehensive management plan. They are the client’s healthcare consultant and expert and are responsible for providing... is looking to leverage their pharmacy and healthcare expertise to meet the Health Plan client’s strategic goals and drive improved clinical...
) with a focus on digital asset management, direct response campaigns, customer retention, broker engagement, online tool support..., external creative agencies, and project management for the D2C and Broker support of Open Enrollment) Manage a full review...
is their vitality, energy, and caring nature that allows us to fulfill our mission of enriching and inspiring the journey of life. In... supervision of registered nurses and healthcare professionals. What You'll Do Helping residents with personal hygiene...
Healthcare, performing research and analysis within the Medicare Stars program with a focus on HEDIS Stars measures... including healthcare claims, clinical outcomes and Stars quality measures to make recommendations based on relevant findings...
with Pharma Contracting, Sales & Account Management, Regulated Markets, and Finance partners. ESSENTIAL FUNCTIONS... Management interpretation) and serve as a primary point of contact for modeling tool enhancements. Act as a resource to field...
is their vitality, energy, and caring nature that allows us to fulfill our mission of enriching and inspiring the journey of life. In... background/drug screens. Demonstrates effective time management skills. High school diploma or equivalent required; Associate...
is their vitality, energy, and caring nature that allows us to fulfill our mission of enriching and inspiring the journey of life. In... supervision of registered nurses and healthcare professionals. What You'll Do Helping residents with personal hygiene...
must have experience dealing at various management levels to achieve desired outcomes through sourced engagements. Responsibilities... negotiation and facilitates negotiation strategy in conjunction with the Business Staff and Supply Chain Management leadership...
and case management activities. The physician provides clinical insight to the organization through peer review, benefit review... benefit-driven medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information...