Job Title Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to
Inbound Customer Service Agent Consumer Relations (Remote) At GE Appliances, a Haier company, we come together to make good things, for life. As the fastest-growing appliance company in the U.S., were powered by creators, thinkers and
Claims Analyst - REMOTE The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryders self-administered liability program. This position investigates and adjusts claims, as well as directs defense counsel, independent
Clinical Pharmacist, Pharmacy Outreach The Clinical Pharmacist, Pharmacy Outreach is responsible for optimizing patient outcomes through telephonic interventions. This role focuses on the tactical execution of medication management services, including polypharmacy, adherence, and pharmacotherapy optimization. Candidates should
Leave Specialist - Remote Manage full cycle leave of absence cases via ServiceNow for all of the United States plus Canada. Case load average is 150+ cases and the specialist handles the case from intake to eligibility checks, sending required
Essential Duties and Responsibilities: - Lead the development and implementation of advanced sourcing and category management strategies through the RFx process. - Oversee the negotiation and development of contracts with new suppliers and/or renegotiate existing contracts to
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system