Vice President, Medical Director, Health Plan Join Martins Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of people caring
Associate Director Of Financial Aid Full Time Hybrid Position Southern Maine - South Portland, ME 04106 Starting salary range: $55,767 - $72,763 Benefits: 100% employer paid health, dental and life insurance for employees (spouse/domestic partner/dependent coverage
Clinical Trainer Join Martins Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of people caring for people, Martins Point
Advisory Services Analyst As an Optum employee, you will provide support to a Health account. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data
Care Manager Join Martins Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of people caring for people, Martins Point
Remote Pharmacy Technician Prior Authorization Review This remote Pharmacy Technician role focuses on reviewing pharmacy prior authorization requests for a large health insurance pharmacy services department. You evaluate coverage determinations for a wide range of health
Essential Duties and Responsibilities: - Answer general inbound calls and place outbound calls with the goal of increasing business, customer satisfaction, and customer retention. - Follow basic procedures and scripts, using fundamental knowledge of company and
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: - Build and maintain knowledge base in SharePoint. - Build document management processes and procedures. - Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current. - Work
- Partner with senior business leaders and executives to define and execute HR strategies that align with business goals, driving organizational performance and operational effectiveness. - Provide thought leadership on key HR initiatives, advising leadership on
Essential Duties and Responsibilities: - Perform hands-on data analysis and modeling with huge data sets. - Apply data mining, NLP, and machine learning (both supervised and unsupervised) to improve relevance and personalization algorithms. - Work side-by-side
Essential Duties and Responsibilities: - Perform hands-on data analysis and modeling with huge data sets. - Apply data mining, NLP, and machine learning (both supervised and unsupervised) to improve relevance and personalization algorithms. - Work side-by-side
Essential Duties and Responsibilities: - Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations. - Render medical necessity determinations for Medicare State East cases assigned. - Resolve all other technical issues within Medicare
Essential Duties and Responsibilities: - Provide expert psychological consultation and guidance to clients, stakeholders, and project teams. - Lead the design, implementation, and evaluation of psychology-based programs, services, and initiatives. - Develop and enhance assessment methodologies, tools,
Essential Duties and Responsibilities: - Manage day-to-day operational aspects of a project and scope including facilitating and preparing all planning activities and artifacts. - Oversee and manage large multi-project programs including planning, organizing, staffing, leading, and controlling
Essential Duties and Responsibilities: - Collaborate with project managers on various initiatives and projects to track progress and provide support as necessary. - Support leadership in ensuring that the project is delivered to specifications, is on
Essential Duties and Responsibilities: - Determines security requirements by assessing business strategies and requirements, researching information security standards, conducting system security and vulnerability analyses and risk assessments, studying architecture/platform, and identifying integration points and issues -
Essential Duties and Responsibilities: - Build and maintain knowledge base in SharePoint. - Build document management processes and procedures. - Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current. - Work
Essential Duties and Responsibilities: - Complete cost allocation plans for assigned clients. - Obtain contract renewals for multiple clients. - Manage relationships with multiple clients as well as project staff responsible for projects. - Support leadership