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American multinational healthcare company
Position Purpose: Relieves the executive of administrative type functions in order to increase the time the executive has available for senior level responsibilities. such as fostering executive partnerships, calendar…
Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Key Details: Must be authorized to work in the U.S. without the need for employment-based visa…
Position Purpose: The Creative Production & Communications Manager is an individual contributor responsible for creating multimedia and communications materials while coordinating the execution of creative…
Position Purpose: Lead the development, implementation, and ongoing optimization of Medicaid benefit programs and supporting vendor solutions throughout the product life cycle. Partner with regional Medicaid markets to…
Position Purpose: The Senior IAM Engineer designs, develops, implements, and supports enterprise Identity and Access Management solutions. This role operates as an independent technical expert and combines strong IAM…
Position Purpose: Oversee the product development function, including formulating product vision and strategy, defining future product needs and enhancements, and driving the creation of profitable, highly engaging,…
Position Purpose: Collaborate with healthcare providers to help them achieve high performance with their value based contracts. Key Details: Must be authorized to work in the U.S. without the need for employment-based…
Position Purpose: Assist the Vice President of Medical Affairs to direct and coordinate the medical affairs functions for the business unit. Oversee the denials and appeals department. May manage other medical…
Position Purpose: Leads an Analytics Engineering team in designing, building, and optimizing scalable, analytics-ready data models and solutions. Bridges business needs with technical execution, ensuring the delivery…
Position Purpose: Develop and implement business process excellence initiatives throughout the organization to analyze and address process and operational inefficiencies by utilizing Six Sigma/LEAN methodologies.…
Position Purpose: Design, develop, implement and manage new and existing special population programs and community-based initiatives to improve member and provider outcomes. Oversee and support the development of…
Position Purpose: Manages the correspondence and/or appeals, disputes, and reconsiderations process including the drafting and review of correspondence to ensure regulatory compliance. Manages issues and provides…
Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service…
Position Purpose: The Director, Healthcare Analytics leads analytic service delivery by aligning strategic objectives with the development of tools and capabilities and appropriate deployment of supporting analytic…
Position Purpose: Oversee the development and implementation of contracting activities in network development and enhancement. Key Details: The Senior Director, Network Development & Contracting is responsible for…
Position Purpose: Assist in maintaining Centene Corporation’s Compliance Program. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing…
Position Purpose: The Program Manager IV is responsible for all aspects of the planning and delivery of strategic programs and complex, large-scale enterprise-wide projects to execute defined requirements and meet…
Position Purpose: Manage the workflow and all activities related to the investigation, review, resolution, recovery and settlement of complex claims issues along with Revenue Cycle Management. Key Details: Applicants…
Position Purpose: A key executive role responsible for leading and managing billing and enrollment processes across multiple regions. this position ensures operational efficiency, accuracy, and compliance with…
Position Purpose: Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Engage with providers to align on network performance opportunities and solutions,…
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