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Solid understanding of IT estimation activities for small to large/complex initiatives and ensures efficient utilization of staff and non-labor resources. SAFe Lean Portfolio Management 5.1 or higher (LPM); Portfolio Performance Management (PPM.
$130,000 - $150,000 a yearFull-timeRemoteExpandUpdated Today - UpvoteDownvoteShare Job
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Supports the adherence to all global/regional processes and tools as defined by Global Delivery Engineering Management organization and the Regional Engineering Director (who is the primary person in the Region charged with governance on project engineering practices, processes, and tools.
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Demonstrated experience utilizing project plans, enterprise resource management plans, issue logs, risk/mitigation strategies and well versed in Agile, project and portfolio management techniques, processes, methodologies, tools (exWorkfront, Planview, Clarizen, MS Office, Azure DevOps, etc.
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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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The Clinical Access Nurse assists with the preliminary step of the utilization management process and serves as the access point for admissions. Obtains precertification and insurance verification on transfers from other facilities and works in conjunction with patient care services for proper bed utilization and assignment.
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Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for Dupixent. Sanofi Group Field Reimbursement Manager - Pulmonary - Gastro - Las Vegas Baton Rouge , Louisiana Apply Now Position Title: Field Reimbursement Manager (FRM), Dupixent.
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Today, we provide best-in-class housekeeping, culinary, patient flow, linen utilization management, facilities management, and clinical engineering services to a wide range of hospitals and healthcare providers.
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Wellframe’s Digital Health Management solutions have been shown to increase the utilization of preventive medicine services by 29%, reduce inpatient admissions by 17%, and reduce ER utilization by 9.
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The Supply Lead will report to Program and Amentum leadership and will be responsible for the performance of limited aspects of technical supply management work (e.g. inventory management, storage management, cataloging, property utilization, and Procurement) related to depot, local, or other supply activities.
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Other tasks and ad-hoc analyses as may be assigned by Treasurer including, but not limited to, debt issuance, M&A activity, integration of acquisitions, modeling cash flows, risk management, etc.
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Wellframe partners with health plans to provide digital health solutions for Digital Care Management, Clinical Advocacy, and Member Advocacy. Opportunity to lead and shape the performance testing strategy for cutting edge Digital Health Management platform.
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Knowledge of legislative/oversight bodies (e.g., URAC-Utilization Review Accreditation Commission, CMS-Centers for Medicare & Medicaid Services, NCQNational Committee for Quality Assurance, and ERISEmployee Retirement Income Security Act of 1974.
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Provide utilization management services to patients of Coordinated Health Care employer groups with catastrophic illnesses and/or injuries. Serve as a clinical resource for various departments within the company, including utilization review, patient services, disease management, and sales.
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Exercises concurrent review techniques utilizing evidence based guidelines such as InterQual and Milliman to communicate with multidisciplinary personnel and insurance providers; Enhances the quality of patient management and satisfaction while promoting continuity of care and cost effectiveness through integration of utilization management, case management and discharge planning.
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Proficient in API utilization and DevOps methodologies, leveraging tools like Ansible, Terraform, or Python to automate and streamline processes. Experience in a technical consulting or pre-sales engineering role, with a focus on security operations and management.
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utilization management jobs in Baton Rouge, LA
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