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
Senior Manager Transportation Solutions Design (Remote) Lead Solutions Design Engineers are responsible to support the growth of our Supply Chain Solutions & Dedicated Transportation Solution offerings by developing, designing and winning new business through: Designing solutions
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
Delivery Manager The Delivery Manager holds program-level execution accountability for an assigned portfolio and is responsible for the financial performance, operational execution, and strategic success of an assigned portfolio within the Business Unit. This role owns the
Essential Duties and Responsibilities: - Supervise a designated team of unit staff - Responsible for the training and development of unit staff - Monitor the activities, schedules, productivity and work product results of the assigned unit
Essential Duties and Responsibilities: - Develop and drive integrated marketing strategies tailored to Defense, National Security and the Space Sector. Strategies will be built annually/quarterly, include demand generation, account-based marketing and pipeline support for key franchise
Essential Duties and Responsibilities: - Generate and implement efficient sourcing and category management strategies through the RFx process. - Develop and negotiate contracts with new suppliers and/or renegotiate existing contracts to accomplish the lowest total system cost
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: - 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 determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases
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 producing accurate project financial reporting and submit on a monthly basis to Corporate Finance. - Track financial status by monitoring variances from forecasts. - Organize monthly Finance Calendar activities. -
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
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 program activities. -
- Train, mentor and coach less tenured change management analysts. - Partner with product management team to see changes through implementation. - Partner with project management team to see changes through implementation. - Communicate directly with the client. - Develop
Essential Duties and Responsibilities - Serve as a subject matter expert and provide guidance on Information Security solutions, supporting other engineers in selection, integration, and optimization. - Lead or actively contribute to other information security projects and