Job Overview Requirement/Must Have: Project Management. PMP Certified. Healthcare Payer. Waterfall. Hybrid. Agile. Responsibilities: Manage large, complex business and technology programs in a Waterfall environment. Manage multiple projects concurrently with interdependencies. Own the end-to-end project lifecycle
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 delivery of a defined program, ensuring achievement of schedule, cost, quality, compliance, and client satisfaction objectives. - Oversee day-to-day program execution, including planning, resource coordination, workload management, and monitoring progress
Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for services and supports, eligibility, level of
Job Description Essential Duties and Responsibilities: - Oversee and manage the Projects financial performance, including budgeting, forecasting, and analyzing profit and loss statements to ensure financial targets are met and profitability is maintained. - Ensure program