Job Description Job Summary Focuses on process improvement, organizational change management, project management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning and issue/risk management. Knowledge/Skills/Abilities Ability to manage multiple complexes, challenging
Job Title Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. Responsibilities include: Ensuring
Job Title Leads and manages team responsible for configuration activities including accurate and timely implementation and maintenance of critical information on claims databases, validation of data stored on databases, and adherence to health plan business and
P2S stands as a provider of professional engineering services to a broad range of markets, including higher education, healthcare, ports/harbors, industrial, entertainment, commercial, laboratories, municipal, and federal sectors. Our specialties include electrical, mechanical, plumbing, fire protection,
Job Title Investigative Support for Special Investigation Unit (SIU) Activities Job Summary Provides investigative support for special investigation unit (SIU) activities. Responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related
Job Title Provides subject matter expertise and leadership for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers
Job Title Leads and directs team responsible for configuration activities including accurate and timely implementation and maintenance of critical information on claims databases, validation of data stored on databases, and adherence to health plan business and
Job Title Job Description Job Summary 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
AVP Of Maternal & Child Clinical Operations The AVP of Maternal & Child Clinical Operations provides strategic leadership and operational oversight for enterprise-wide maternal, newborn, and child health programs. This leader ensures high-quality, equitable, evidence-based care management
Clinical Wellbeing Specialist 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 connecting
Job Title Claims Adjudication Support Job Summary Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. Essential Job Duties Responds to