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Full-Time

Position Purpose: Oversee and direct Medicare operations, compliance and business strategy utilizing cross functional business units and corporate teams to meet strategic objectives. Lead Medicare operations, planning, market strategy and compliance betwe...

Austin, TX

Full-Time

Position Purpose: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry...

Lenexa, KS

Full-Time

Position Purpose: Work with Marketing & Community Relations Manager to develop and implement community outreach plan for the Health Plan. Participate as a member of the Marketing team in developing and implementing strategies to support the department and...

Lubbock, TX

Full-Time

Position Purpose: Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with reco...

Reno, NV

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Full-Time

Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care Develop, assess and adjust, as necessary...

Lenexa, KS

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Full-Time

Position Purpose: Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care settings, provide and/or review intakes and initial evaluations, brief focused treat...

Dallas, TX

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Full-Time

IT SERVER ADMINISTRATOR The candidate for this position will design, install, administer and optimize company servers, and related components in a physical and virtual environment to achieve high performance of the various business applications supported...

Wichita, KS

Full-Time

Position Purpose: Identify special needs members through the completion of health screens and other resources Work with community outreach/member advocates to coordinate member care Educate providers and community resources on program components and avail...

Seattle, WA

Full-Time

Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care plan development, assessment, and care coordination. Complete asse...

Tampa, FL

Full-Time

Position Purpose: Assist the health plan in establishing a presence in the community through home visits and community outreach. Educate members on health care benefits through home visits and outreach Assist members with activities related to accessing c...

McAllen, TX

Full-Time

Watson Health - Project Manager - Truven Job Description Candidates must be available to work on-site in Atlanta 5 days a week. Position Overview The primary role and responsibility of the Project Manager is to work with the Account Lead, Data Warehouse L...

Atlanta, GA

Full-Time

Authorize, direct and monitor care for mental health and substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care. Ensure compliance with all performance measures...

Dallas, TX

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Full-Time

*****Hospital Position***** The Clinical Coordinator (Registered Nurse-RN) is responsible for the coordination of clinical activities of the Wound Care Center including but not limited to use of organizational skills, leadership, planning, implementing, e...

Easton, PA

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Full-Time

****NEW CENTER Scheduled to Open May 2017**** Summary: Responsible for implementation, ongoing management and strategic growth of a satellite program: outpatient Wound Care Center, HBO, inpatient and outreach. Oversees day to day program operations and is...

Cherry Hill, NJ

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Full-Time

***Full Time 30*** The Wound Care LPN (Licensed Practical / Vocational Nurse) is responsible for all assigned nursing care activities to include but not limited to wound care for patients of all ages and other clinical activities associated with providing...

Spartanburg, SC

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Full-Time

PRN Position Summary: The Hyperbaric Tech, under the direction of the Program Director and/or Safety Director of the Hyperbaric Medicine Department, administers hyperbaric oxygen therapy to patients as prescribed by the Hyperbaric Physician. • Performs du...

St. Louis, MO

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Full-Time

Overview The Underwriting Support Technician I handles several aspects of policy processing and issuance which include new business and/or renewal preparation, quoting and issuance; endorsement processing; cancellations; and/or all other policy processing...

Williamsville, NY

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Full-Time

Responsibilities Develops information systems by designing, developing, testing and evaluating software applications using a structured product development process. Designs and develops software modules, develops interfaces for applications based on prior...

Cleveland, OH

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Full-Time

Overview Underwriting Director, Workers Comp Responsibilities The Underwriting Director, Workers Comp will manage a team of underwriters and underwriting assistants and will specialize in PEO accounts. You will be accountable for achieving core operating...

Boca RatonUS, FL

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Full-Time

Overview Prior Claims experience with advanced knowledge of Claims backend operations, including Indexing mail and Workers Compensation claim entry processes. This position will supervise a team of up to 14 claim clerks and manage the Operations work flow...

Latham, NY

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Full-Time

Overview Publicly traded P&C insurance company seeks a controller for its internal managing general agent (“MGA”) to perform and manage a variety of day-to-day operations and financial reporting functions including intercompany transactions, accounts paya...

Cleveland, OH

Full-Time

Responsibilities Responsibilities: Works as a liaison among stakeholders to elicit, analyze, communicate, validate and document requirements for changes to business processes, policies and information systems. Business Analysts must able to efficiently re...

Cleveland, OH

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Full-Time

Overview The Software Quality Assurance Analyst will develop and execute exploratory tests as well as automated tests in order to ensure product quality. This Software Quality Assurance Analyst will have experience automating tests and creating, executing...

Cleveland, OH

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Full-Time

Overview The claims clerk is responsible for performing various support functions for the claims department upon request by the department manager. Responsibilities New claims setups (property and casualty), with the possibility of setting up worker’s com...

Covina, CA

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Full-Time

Overview The Warranty Solutions Regional Sales manager will manage their assigned markets to drive production and profitability growth. The position will work closely with key production partners while managing the day to day activities of assigned Client...

Charlotte, NC

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