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The CAR-T Cell Therapy Experience Lead is a member of this account management team, reporting to the Senior Manager, CAR-T Cell Therapy Experience Lead. The role will serve as the primary field-based point of contact for a portfolio of certified sites, facilitating successful CARVYKTI product utilization of the sites by advising them on order management, operations and logistics.
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You’ll work closely with the CARVYKTI Order Specialist Team who will be the certified sites’ primary day-to-day contact for case-level order management. In this capacity, you’ll be the face of Janssen Oncology CAR-T utilization to these sites, and will be tasked with upholding the high standards of service to which we subscribe.
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1 Year experience in acute care Case Management setting or Utilization Management at an acute care facility and/or insurance company in either UR or CM. (Required) Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.
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Job Summary: The Grievance Resolution Specialist coordinates the Grievance and Appeal resolution process, responds to verbal and written Grievances and Appeals from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, and pharmacy and vision decisions.
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Blended Case Manager Supervisor Position Summary: Blended Case Management Supervisor are responsible for assuring that the DBH Practice Guidelines are put into operation to the extent possible within the general operations of the TCM duties.
$57,000Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Director of Case Management directs the Case Management and Utilization Management activities in a Kindred hospital. Participates as a management team member in the Utilization Management Committee and serves on other committees as required and requested.
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Via both personal, onsite observations, as well as reviews of system-generated data, you’ll proactively advise the treatment facility on opportunities to improve their utilization of, and efficiency around, the CARVYKTI therapy.
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Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.
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Technical Skills: Thorough knowledge of TRICARE policies and procedures; Case Management, ECHO, Autism Care Demonstration, Referral Management, and Utilization Management principles; HIPAA Privacy and Security regulations; URAC accreditation standards, Managed Care concepts; community resources; alternative funding programs; medical management systems.
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Additionally, the applicant must have employment experience with: (1) Analytics, Medicare data, including HEDIS, Star Ratings, or Risk Adjustment; (2) Data domain in cost and utilization analytics metrics, methods, and frameworks via medical/pharmacy claims data, and prediction/ML data science tools.
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Minimum three (3) years’ experience with the Funds processing/management systems (e.g., QNXT (Claims, Providers, Utilization Management, Memos/Alerts), Appeals Tracking System (ATS), etc.
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The Master Data Analyst will work to successfully deliver a quality solution implementation and help develop the ongoing Master Data Management strategy and activities. The Master Data Analyst will need to have a strong system acumen to ensure that we are accurately creating and maintaining all data; in addition to, assisting all data stewards both at headquarters and store level with proper utilization of the system.
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Conflict Management - Steps up to conflicts, seeing them as opportunities; reads situations quickly; good at focused listening; can hammer out tough agreements and settle disputes equitably; can find common ground and get cooperation with minimum noise.
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Assists in promoting cost-effective utilization of services through anticipatory coordination of population health management; assistance with population health management programs, projects, and health education services, including literature reviews, program/project development and coordination, intervention implementation, health education and promotion, and evaluation.
$74,579.76 - $85,766.73 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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As a Reliability Engineer you will review and participate in capital projects to ensure total cost of ownership is considered, Own and optimize the preventive and predictive maintenance processes and systematically identify and eliminate production losses and asset failures through Risk Based Asset Management and Life Cycle Asset Management (LCAM.
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