Fenton, MO 131000
This position is a Business Analyst IV the Position Purpose is to Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements.  Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems Lead the identification and an...
Mineral Springs, NC 131000
Position Purpose: Analyze user requirements and issues, engaging closely with stakeholder to define requirements and ensure implementation of product vision. Own the end-to-end product strategy from concept to production. Gather feedback from operations teams and research industry trends to improve business systems processes Write and capture user stories and acceptance criteria to communicate cle...
Novi, MI 292000
Position Purpose: Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required Obtain verbal authorizations and request detailed clinical information from prescribers Approve coverage determination requests based on defined criter...
Breezy Point, NY 399000
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Utili...
Davidson, NC 151000
You could be the one who changes everything for our 24 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national Fortune 50 and rapidly growing organization, our mission is fueled by exceptional talent. To support our rapid growth, we are building our East Coast headquarters and innovation hub here in Charlotte.About UsWe are revo...
Courtland, CA 131000
Position Purpose: Review clinical data to determine claim payment based on company policies and National Committee for Quality Assurance (NCQA) guidelines, including overturning denied claims, upholding the denials and submitting cases to the Medical Director for reviewRecognize and identify potential quality care concerns by reviewing member grievances and potential quality issue cases. Prepare ca...
Jensen Beach, FL 399000
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care  Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and...
Plympton, MA 131000
Position Purpose: Responsible for provider recruitment, contracting and retention Responsible for recruiting new providers through the entire process including initial contact, credentialing process, and contract negotiations Monitor network dashboard and initiate additional recruitment efforts, when applicable, to meet or exceed established provider access requirements Educate providers and their ...
Roseland, IL 113000
Position Purpose: Lead and direct process improvement activities that provide more efficient and streamlined workflow.Responsible for leading and collaborating with others on National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performanceResponsible for quality improvement aspects of risk adjustment processes for all product...
Day, FL 211000
Location: Taylor CountyPosition Purpose:  Identify special needs members through the completion of health screens and other resources Work with community outreach/member advocates to coordinate member care Educate providers and community resources on program components and available support services Educate members with special needs to foster compliance with program and positively impact outcomes...
Mc Queeney, TX 399000
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.  Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Uti...
Kemp, TX
We are Aaron’s - an industry leader in the sales and lease-to-own retail industry known for quality brand names and superior customer service. We provide our team members the opportunity to reach their full potential in a team-oriented, high-energy, recognition-based environment with competitive pay and benefits. This is much more than a job – it is a career with purpose.Average Annual Total Co...

LVN/LPN FT Open

LVN/LPN FT Open

Watertown, MA Healthcare
OFFERING $10K BONUS for all our FT LPN opportunities in the following territories:Westwood, Dorchester, Quincy, Stoughton, Canton, Walpole, Framingham, Brockton, Foxborough, Waltham, Newton, Brighton, and surrounding areas in MAAccentCare is looking for passionate clinicians committed to delivering exceptional care in the home.We are committed to quality patient outcomes—delivering evidence-b...
La Crosse, WI Manufacturing/Production
Starting pay range of $16.50-$18.50 plus bonuses paid weeklyOur La Crosse, WI Distribution Center is hiring Order Fillers, Stockers, Shippers, and Receivers!Multiple Shifts are available:3rd Shift: Sunday-Thursday 8:00 pm to 4:30 am or Sunday-Thursday 10:00 pm to 6:30 amOur investments in your total well-being:Compensation: With the ability to be rewarded even more with our amazing incentive progra...
Danville, VA
ADEX Travel Nursing has been employing and servicing nurse travelers, sending them to great destinations around the country. Our vast networking affords us exclusive relationships at top facilities offering you unique career opportunities. Call us for more positions, 866-341-2339!   Benefits: - Hundreds of locations - Day One Major Medical and Dental - Top Pay - Custom pay package        ...
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