Job Description Provides senior level support for clinical quality member intervention activities. Responsible for the developing and implementing new and existing member intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid, etc.). Executes health plan
Job Description Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes. Uses a consultative approach emphasizing physician engagement and behavior change through actionable
Job Description Leads and manages team responsible for health plan provider engagement activities. Collaborates with senior leadership and the health plan network team to drive value-based care strategies, and operational direction for risk adjustment and quality improvement.
Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This
Job Title Provides support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes. Uses a consultative approach, emphasizing physician engagement and behavior change through actionable data and
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
Amazon Marketplace Manager – Remote This is a full-time, long-term remote position open to qualified candidates About the Role Tiffand is seeking an experienced Amazon Marketplace Manager to help manage and grow our Amazon business. This