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Reporting to the Supervisor of care management, this position will provide telephonic case management to our members including medical, social, psychological, physical and spiritual needs by developing, implementing and monitoring the member's care plan in conjunction with the PCP, caregivers and other team members in order to help meet the member's needs.
$100,000 - $106,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The IT Systems Analyst will perform technical support activities within QNXT application. Assist QNXT Technical Support team in other activities as directed. IT Systems Analyst-Remote.
Full-timeRemoteExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Trivita Inc. Was established in 1999 as a company built on Christian principles and dedicated to helping people experience greater physical, emotional and spiritual wellness as promised in God’s word and through quality dietary supplements and leading wellness information of good lifestyle choices.
Part-timeRemoteExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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In addition, an IT Systems Analyst will be the primary contact for one or more QNXT system interface applications and is expected to provide expertise with matters relating to this interface and its functionality.
RemoteExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Outdoor activities are plentiful: Boating, white water rafting, and riding the scenic bicycle trails are popular. Senior Software Product Manager - Remote page is loaded. Senior Software Product Manager - Remote.
RemoteExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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The UMQM Nurse shall also participate in Utilization Management related activities with the Appeals and Grievance Department as well as the Compliance Department to assure that the quality compliance is being met for NCQA, state and federal regulatory requirements.
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The Medicare Compliance Analyst & Support Specialist position is an essential role within Fallon Health's Medicare compliance program and includes activities such as the collection and review of data universes for accuracy to protocols, data analysis to identify risks and trends, developing data visualization and dashboards to portray information to Fallon Health Leadership up to the Audit & Compliance Committee of the Board.
Full-timeRemoteExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Manage, perform, coordinate, and/or monitor Steam Turbine site activities. Supervise critical tasks when these activities are performed by third parties (as measuring, dimensional checks, other considered by the management.
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This leadership role is a critical member of the Chief Information Security Officer's (CISO's) team and acts as an interface between the CISO's strategic and process-based activities and the CSS team they will lead.
Full-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Year-Round Sunshine: Revel in the warm Florida climate with abundant sunshine, creating an inviting environment for outdoor activities, events, and a generally positive and energetic atmosphere.
$50,000 a yearRemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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As the Information Security Manager of Operations, candidate will be responsible for overseeing and managing the day-to-day activities related to information security within our organization. Lead incident response activities, including containment, eradication, and recovery efforts.
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Deep domain expertise in engineering design activities including flowsheet and P&ID development, equipment and piping specification and selection, functional control specifications, process safety studies and support of permitting activities.
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Provide day-to-day oversight of Supervisors of UM activities to ensure utilization review activities are conducted timely meeting IAC and URAC regulatory standards. Direct and evaluate the activities and effectiveness of Utilization Management activities.
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Manages all compliance, documentation and billing activities for assigned department(s) across the Duke Health physician practices. Experience in managing compliance activities, providing education, medical auditing, and / clinical documentation enhancement is highly preferred, in addition to possessing leadership and highly developed communication skills, and project management and teamwork skills.
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In this role, the FIU Operations Manager is responsible for overseeing the daily activities of the employees within the assigned group, provides direction, sets goals, and ensures department goals are attained.
Full-timeRemoteExpandApply NowActive JobUpdated 21 days ago
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