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OF POSITION The purpose of your position is to assist the department supervisor and with day to day operations within Networks, Credentialing and Contracting Departments. It is expected of the employee to develop, implement and maintain an accurate provider data base; analyze provider data, facilitate the preparation and follow up of the monthly activities of the Membershi
Posted 1 day ago
Under the direction of the directors of surgical services, the surgical RN is responsible for the safety and planning of care of the patient while in the surgical department. The RN assists with surgical procedures in circulating and scrub duties. Assists in orientation, training and education of personnel. The RN takes call as assigned to meet department needs. PHYSICAL
Posted 1 day ago
Under the direction of the directors of surgical services, the surgical RN is responsible for the safety and planning of care of the patient while in the surgical department. The RN assists with surgical procedures in circulating and scrub duties. Assists in orientation, training and education of personnel. The RN takes call as assigned to meet department needs. PHYSICAL
Posted 1 day ago
Under the direction of the directors of surgical services, the surgical RN is responsible for the safety and planning of care of the patient while in the surgical department. The RN assists with surgical procedures in circulating and scrub duties. Assists in orientation, training and education of personnel. The RN takes call as assigned to meet department needs. PHYSICAL
Posted 1 day ago
OF POSITION The primary purpose of the Senior Contract Specialist is to support the Retention Department by functioning as liaison between Retention, Underwriting, Enterprise Risk Management (ERM), Technical Support, Claims and Customer Service, Information Systems, and Pharmacy in the creation of the Electronic Benefit Specifications (EBS) checklist to ensure that client
Posted 2 days ago
OF POSITION The primary purpose of the RPA Software Developer is to work with the Artificial Intelligence automation team to develop processes, perform machine learning and automate tasks which were previously manual. RESPONSIBILITIES & EXPECTATIONS Develops, tests and implements software solutions and machine learning models. Designs software solutions to address business
Posted 4 days ago
OF POSITION The primary purpose of the Quality & Medical Management Supervisor is responsible to coordinate and supervise the day to day functions of the medical management department in an efficient, cost effective manner in accordance with governing and accrediting bodies' policies and standards. The Quality & Medical Management Supervisor offers guidance to the staff to
Posted 17 days ago
OF POSITION The primary purpose of the Analyst is to produce various reports and analyses of claims data for all focused plans. The position includes producing reports, detailed analysis at varying levels of claims data, analyzing data for trends, as well as various reporting projects. Analysts are also responsible for creating/editing reports using the tools available, wo
Posted 25 days ago
OF POSITION The Director of Clinical Quality, Disease Management and Case Management reports to the Vice President of Quality and works closely within the Quality team and in collaboration with other operational and clinical teams in order to administer the organizations Quality program and workplan in order to meet all quality of care and quality of service goals of the o
Posted 29 days ago
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