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Required 2+ years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning (Prefer location is Oahu).
$97,100 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Available to the CHC-MCO's medical staff for consultation on referrals, denials, complaints and problems.
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Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment.
$46.68 an hourFull-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment.
$46.68 an hourFull-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment.
$46.68 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Position is fully remote and will be supporting dental grievance and appeals cases.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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This position has oversight of Provider Relations, Provider Data Management and Contracting.
$323,300 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Develop and execute comprehensive provider strategy plans that support the organization and value-based care objectives.
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NOTE This is a fully remote role for US based applicants with independent clinical licensure.
$46.68 an hourFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Position Purpose Leads enterprise strategic Provider Experience initiatives with regards to Value-based Care (VBC) performance strategy with heavy focus on clinical performance that drives outcomes/performance across lines of business.
$263,500 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria
$46.68 an hourFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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This Sr. Actuarial Analyst position is ideal for those who have some actuarial experience & SOA exams (required), and who are not yet credentialed with their ASA. If you have your ASA/FSA, please review our Associate Actuary or Actuary titled job openings.
$121,300 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Field Based positionCovering Bronx countyPosition Purpose: The Health Benefit Representative (HBR) sells Fidelis Care products and services by first identifying membership growth opportunities in an assigned territory and then meeting or exceeding production goals by enrolling individuals in the appropriate Fidelis Care product.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
$31.73 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Position Purpose Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members.
$130,100 a yearFull-timeExpandApply NowActive JobUpdated 11 days ago
Company: Centene Corporation
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