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American multinational healthcare company
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: Oversee provider network and contracting related activities. Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis…
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based…
Position Purpose: Oversees the design and management of an organization's cloud systems, applications, policies, and strategy. Manages the development of scalable architecture to support applications and…
Position Purpose: As part of Carolina Complete Health, the Finance Analyst II will compile and analyze financial information for the company, health plan. Key Details: For this role, while it is remote, we are…
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: Oversee and direct all clinical operations, including care management and coordination, and utilization management Establish the business unit’s clinical strategic vision, objectives, policies and…
Position Purpose: Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends/schemes Monitor business processes and systems to assure…
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: Responsible for leading the Finance System Analyst team, overseeing daily operations, ensuring project alignment with business goals, and driving the overall direction of financial systems.…
Position Purpose: Responsible for participating in all phases of the financial system product lifecycle from business problem identification to solution deployment. Responsible for providing the primary functional and…
Position Purpose: Manages the team members accountable for designing, developing, and implementing complex enterprise software solutions. Collaborates closely with technical and non-technical roles such as data…
Position Purpose: Provides leadership and direction in planning, developing, and maintaining Centene's IT service operations function. Provides oversight to the major enterprise system management and event…
Position Purpose: Manages the care management team and the care coordination of behavioral health members to develop and assess high quality, cost-effective healthcare outcomes related to mental and behavioral health…
Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. This position supports member communications by gathering, analyzing, and documenting business…
Position Purpose: Promote increased program efficiency, service levels, and value by capturing and monitoring performance, and then identifying opportunities for improvement and strategies to realize those…
Position Purpose: Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and…
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care…
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