The Clinical Care Representative (CCR) is a telephone triage nurse, providing a variety of services and information to patients over the phone in a fast-paced call center environment. The CCR utilizes written protocols and clinical judgement
This position is based out of our South Portland, ME office. This is a hybrid role Hourly pay range: $22.00-$34.00 based on experience Position Summary: The Cash Management Specialist accurately and timely prepares reports on daily
Senior Vice President (SVP), Operations 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
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 Documentation Improvement Nurse 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,
Insurance Sales Representative At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years, our innovative drive has kept us a step
Senior Financial Business Partner 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,
Health Plan Clinical Pharmacist 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,
Senior Pharmacy PA/Appeals Technician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by
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
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
Clinical Program Manager - Case Management 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
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
Essential Duties and Responsibilities: - Responsible for directing all quality operations including planning, implementation monitoring and reporting functions. - Develop and oversee an effective management system to continuously identify opportunities for improvement while maintaining adherence to contract
Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are predominantly routine, but may require deviation
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: - Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments. - Provide written clinical rationales for CA Workers Compensation
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
Company Description WHO WE ARE Velotic is a newly-formed independent software company with a pure-play focus on industrial operations. We unite two category-defining portfolios, ThingWorx and Kepware (formerly part of PTC) and Proficy (formerly part of GE Vernova), to
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