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American multinational healthcare company
Position Purpose: Provide strategic leadership and accountability for a portfolio of complex, high-impact programs supporting an assigned Contact Center Line of Business. Establish program strategy, governance,…
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including…
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: Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and…
Position Purpose: Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business. Must be authorized to work in the U.S.…
Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved.…
Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning…
Position Purpose: Works with members and providers to close care gaps, ensure barriers to care are removed, and improve the overall member and provider experience through outreach and face-to-face interaction with…
Position Purpose: Assesses the quality of departmental interactions, systems, and relevant processes through a variety of communication channels to ensure compliance of established policies and procedures are met.…
Position Purpose: Leads Centene's AI innovation and strategic technology partnerships function, providing enterprise technical leadership for the highest-value AI use cases and shaping partner platforms/harnesses…
Educate members about needed screenings, including diabetic and breast cancer screenings. Encourage members to schedule appointments and assist with scheduling as needed. Complete assessments, including the Conditions…
Position Purpose: Supervises the care management team and the care coordination of behavioral health members to promote quality and efficacy of care management delivery related to mental and behavioral health needs.…
Position Purpose: Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams. Assesses and performs review of member clinical records and…
Position Purpose: Assists with responding to complaints and escalations from members/providers. Supports in handling escalations, handling problem tickets, and providing feedback to senior team members regarding…
Position Purpose: Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a…
Position Purpose: Provides strategic leadership for training operations delivered across a complex, heavily outsourced environment focused on healthcare member and provider experience. Establishes and governs a common…
Position Purpose: Manage a team responsible for driving strategic business and technology initiatives. Source talent, coach, train, mentor and provide feedback; conduct annual reviews and all matters required by HR.…
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