Case Management Pharmacist Coordinate Care and Improve Patient Outcomes A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members
_ Dawn Foods is a global leader in bakery manufacturing and ingredients distribution. As the partner of choice for inspiring bakery success, we help customers grow their business through meaningful partnerships, research-driven insights and innovations, and
Progressive Leasing is a leading provider of in-store and e-commerce lease-to-own solutions. With more than 20 years in FinTech, we’ve grown from start-up to industry leader by innovating, simplifying, and valuing people. We are a subsidiary
7-Eleven is an iconic family of brands with over 86,000 locations, surpassing every retailer in the world. We revolutionize convenience, restaurants and fuel through cutting edge innovation — working hard to be the customers first choice.
Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are performed virtually or face-to-face based on contractual requirements. Promotes
This position will work primarily with justice / incarcerated and recently released from incarceration members. This position is remote within New Mexico.Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations,
Join Tyson & Mendes – Where Insurance Defense Meets Innovation Please note: An active bar license in the State of New Mexico is required. At Tyson & Mendes, we’re more than a national litigation firm—we’re a
JOB DESCRIPTION Job Summary 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
Appeals Pharmacist Ensure Fair Medication Access for Patients A confidential managed care organization is seeking an experienced Appeals Pharmacist to review, evaluate, and process medication coverage appeals. This role is ideal for pharmacists who want to
Valor Healthcare Mental Health Professional Opportunity Valor Healthcare is a veteran- and physician-led provider of healthcare services for deserving, resilient patriots including those who serve or have served in the military as well as those who
Remote Teleradiologist Premium Shift Options (Early AM, Swing, or Overnights) An elite, nationwide teleradiology provider is actively seeking Board-Certified Diagnostic Radiologists to join their expanding Florida remote network. This 100% work-from-home position offers highly lucrative premium
Medical Management And Health Education Program Coordinator This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing data for regulatory reports. This position
Triage Nurse firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and
Remote IP CDI Health Information Management Position This will involve daily reviews of high acuity patient records; continuously communicating with department staff; educating physicians, residents and mid-levels; and assisting with appropriate documentation strategies. Partnering with Medical Coding,
Medical Management And Health Education Programs Coordinator Fully Remote Job Purpose This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing data for
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
Essential Duties and Responsibilities: - Lead and execute sensitive, high-risk investigations (e.g., harassment, discrimination, retaliation, serious misconduct), including matters involving senior leaders and significant organizational risk; gather evidence, conduct interviews, assess credibility, and document findings. -
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: - Make outbound calls and emails to military veterans and service members. Communicate with veterans and service members in a clear and empathetic manner, addressing their questions or concerns and keeping them