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Encounters Business Systems Analyst, Senior
Primary point of contact for interface between the business users and IS teams. Formulates and defines systems’ scope and objectives through research...
FL - Tampa
Director, State Pharmacy - Columbia, SC
Provides clinical pharmacy direction for the state health plans including, but not limited to Medical Economics, Disease Management, Pharmacy,...
Network Management Rep, Sr
Manages physician contracting, network development and provider relations functions for developing, executing and maintaining a provider network...
TX - Houston
LTC Enrollment Specialist - Registered Nurse Required - Buffalo (Erie County) - Bilingual Spanish Preferred!
Assess applicants in the community for eligibility and enrollment in our Managed Long Term Care program. Provides overview of program benefits to...
NY - Buffalo
Department: Operations - Customer Service Reports to: Supervisor Location: Tampa, FL Hours: Monday through Friday - flexible start time between 7:30...
Configuration Specialist, Senior
Ensures accurate and timely loading of the Institutional/ASC or professional provider contracts. Oversees the maintenance and termination processes...
Benefit Configuration Analyst
Collects and analyzes data to evaluate operational obstacles which include revenue and compliance issues, and makes recommendations to resolve issues...
Senior Manager, Field Health Services - Long Beach, CA
DEPARTMENT NAME: Health Services HIRING MANAGER: State Medical Director Manages the daily activities of the Field Health Services team. Develops and...
CA - Long Beach
Position is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key...
Network Management Representative - Behavioral Health - Tampa, FL
DEPARTMENT NAME: Behavioral Health Provider Relations HIRING MANAGER: Director, Product Operations Manages physician contracting, network...
Manager,Cost Containment Unit
Position is responsible for managing operations and functions of the Cost Containment Unit. Primary responsibility is to prioritize the assignment of...
Senior Network Management Representative - Columbia, SC
DEPARTMENT NAME: Provider Relations HIRING MANAGER: COO, State Manages physician contracting, network development and provider relations functions...
SC - Columbia
Marketing Communications Planner
Supports development and implementation of integrated prospective member, member, and provider communications across functions for specific markets,...
Supervisor, Community Relations - Columbia, SC
DEPARTMENT NAME: Community Relations HIRING MANAGER: State COO Supervises day to day activities and monitors staff assignments. Uses subject matter...
Director, Human Resources - Long Beach, CA
Works with the area/function leader and other members of the management team to build and manage the Human Resources organization, which includes...
Database Administrator, Senior (MS SQL Server)
Performssenior-level database administration and management tasks including: databaseinstallation, configuration, logical and physical database design...
Quality Improvement Project Manager - Columbia, SC
Supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies that impact plan...
Supervisor, Claims - Hospital and Provider Claims
Department: Operations - Claims (Provider Resolution) Reports to: Sr. Manager, Provider Resolution Location: Tampa, FL Position is responsible for...
Financial Planning & Analysis Manager
Manage the detailed preparation of the annual SG&A budget and monthly forecasts, Cognos/Hyperion updates, integration of actual results into the...
Business Analyst, Senior - Operations
The Senior Business Analyst leads in the development of complex adhoc reports to enable process and trend analysis and provides recommendations for...
Programmer Analyst, Senior (.Net)
The Senior Programmer Analyst develops, deploys, and maintains distributed enterprise (multi-user, multi-machine, multi-tier) online transactional...
Network Management Rep
NY - New City