, contracting utilization management, or clinical operations. Project management experience at a medical group, IPA, or health plan... and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract...
Agoura Hills, CA area the expectation will be that the role is hybrid. Responsibilities Proactively identify and resolve.... Diagnose and resolve application performance problems or system outages. Play the role of Incident Manager during outages...
repetitive tasks. The SRE role is a hybrid of systems engineering and operations engineering, where you’ll enhance operational... will have a strong background in system administration, and network management, and a keen interest in implementing new technologies to improve...
facilities, estimating, project management team, and other stakeholders to optimize equipment utilization, cost management..., and career advancement to allow for continuous professional development. Our management is committed to the latest advances...
nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical... indications and side effects is strongly preferred. Familiarity with Utilization Management Guidelines, ICD-10 and CPT-4 coding...
. Works collaboratively with Utilization Management departments across Cedars Sinai facilities. Analyzes denial and adjustment... Supervisor is accountable to the Patient Access Manager or Director. The Supervisor guides staff in meeting customer's needs...
, and utilization of F-35 aircraft. Serve as an F-35 Manager for all F-35 programs, assisting the Strike Division and director, aircraft..., and engine life cycle concerns, including prognostic or health monitoring management systems, to ensure new technology meets the...
Write queries in SQL Server Management Studio Other Job Requirements/Information This job is eligible for a hybrid..., and troubleshoot technical issues as well as system utilization, changes, and performance Maintain disaster recovery/business...
in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work... VIRGINIA AVE KY-LOUISVILLE, 3195 TERRA CROSSINGS BLVD STE 203-204 & 300 Hybrid: This role requires associates...
categories). Operational & Process Management: Experience owning recurring monthly/quarterly finance deliverables... arrangements. Knowledge of utilization, claims, member-months, and how they relate to cost reporting. Leadership & Review...
, which will align successfully in the organization. Job Title: Data Analyst (Hybrid) Location: Longview, WA Pay Rate: $21.72/hour... information through research and resource utilization. Sort MRO items into appropriate categories and update existing records...
Counselor Review Associate Genetic Testing Utilization Review Carelon Medical Benefits Management Virtual: This role... for utilization management, out of network and appropriateness of treatment. Maintains confidentiality of patient and provider...
for management's corrective action, using appropriate criteria and cost-benefit considerations. Prepare formal written reports... knowledge to identify audit constraints and shape priorities. Negotiate audit parameters with Manager or Sr. Director. When...
-builder with a strong background in account management and sales, ideally within the education or professional services sector... a seamless client transition from SPLA to OTS. Essential Job Functions and Responsibilities Account Management and Client...
case (utilization management, case management, QI, Med Review). Provides information regarding network providers.... Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information...
that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location... to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs without compromising...
and upgrades. Monitor z/OS system health, performance, and resource utilization using tools like RMF, SMF, Omegamon, etc. ISV... Product Management: Install, configure, upgrade, and maintain a wide range of Independent Software Vendor (ISV) products (e.g...
, our students work with their dedicated manager and other interns to make an impact and find innovative solutions. Each intern..., maintaining, and analyzing tax records and reports for utilization in tax returns or tax reporting. Preparing local, state...
for conversions: -Possibility of conversion to FTE Max BR: BR/hr Onsite/Hybrid/Remote: Hybrid-Minimum 3 Days Per Week(Bangalore... Management Systems (LMS) Administrator 1 is responsible for the administration and maintenance of the company s learning system...
if needed. Senior Healthcare Accountant Location: [City, State / Hybrid / Remote] Reports to: Accounting Manager / Controller..., utilization, productivity, patient experience, and financial performance Oversee staffing, scheduling, and capacity planning...