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American multinational healthcare company
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: Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective…
Position Purpose: Completes Qualified Health Plans (QHP) federal and/or state required application templates and documents for low, medium and high risk states, including policy forms for individual commercial…
Position Purpose: Responsible for advanced and predictive data analytics using big data and data science technology for healthcare innovation. Perform analysis using data science techniques on structured and…
Position Purpose: Contributes to the design of data integration, processing, reporting, and analytics. Executes strategies for warehouse implementation, data acquisition and access, and data archiving and recovery.…
Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…
Position Purpose: Deploys data center related end-to-end technologies. Tracks assets and cabling using standard documentation. Monitors and responds to alarms for data center equipment. Monitors and responds to alarms…
Position Purpose: Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality,…
Position Purpose: Perform duties to develop, direct and implement a pharmacy benefit management program. Aid the Vice President of Medical Affairs in formulating and administering related organizational policies and…
Position Purpose: This role, sitting within the Integrated Communication Services (ICS) Center of Excellence, utilizes business expertise to facilitate, lead and drive complex large-scale work efforts across domains…
Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value,…
Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. This position supports the accuracy, consistency, and regulatory readiness of…
Position Purpose: Manage assigned functional area (filing submissions; state legislative/regulatory interpretation and policy research; development of member materials or QHP templates, and/or product benefit…
Position Purpose: Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan…
Position Purpose: Manage the business processes related to risk adjustment and quality improvement across Centene’s for assigned products and plans. Key Details: Ideal candidate to live in the state of PA. Develop and…
Postition Purpose: Manages a team responsible for facilitation and leading external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out audit deliverables and associated risk related…
Position Purpose: The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages…
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