Job Summary: The Senior Director, Supplemental Providers & Enhanced Benefits is responsible for the oversight, administration, and performance of supplemental vendor relationships and enhanced benefit programs across assigned markets and products. This position is responsible for establishing
JOB TITLE: Home Health RN Supervisor / RN Case Manager & Recertification Nurse (RNCM) This position will be hired as PRN or Part-Time only. Additional Part-Time ihours are also available with a 2-hour travel radius to
Job Summary: The Director, Market Quality Improvement is responsible for directing activities to achieve defined quality goals and outcomes and improve quality performance for assigned market(s). Essential Functions: Executes Quality Improvement program for assigned market(s) while ensuring
Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide clinical review services as directed Participate in peer-to-peer discussions Provide provider education,
Job Summary: The Data Scientist IV is responsible for leading the design, development, and operationalization of advanced analytics, machine learning, and artificial intelligence solutions that improve healthcare operations, patient outcomes, and organizational performance. This role provides
Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide clinical review services as directed Participate in peer-to-peer discussions Provide provider education,
Job Summary: The Enterprise Medical Director is responsible for the development, implementation and revision of corporate level clinical care standards and practice guidelines, ensuring compliance with nationally accepted quality standards. Essential Functions: Development, implementation and revision
Job Summary: The Manager, Integrated Care Strategic Partnerships leads the business-level vendor optimization, business process governance, and program-specific partnership strategy to enable compliant, high-performing third-party partnerships across the organization. This role designs and advances governance frameworks, policies,