and documentation Ensure systems are scalable, secure and efficient Collaborate with IT teams and business units Stay.... The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits...
and documentation Ensure systems are scalable, secure and efficient Collaborate with IT teams and business units Stay.... The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits...
are to deliver a superior customer experience for our members through supporting the direct needs of the business. If you want... ● Creates strategy and technology road-maps for voice services to meet business demands. ● Designs new interactive voice...
. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits... and respond to network adequacy requirements, identify and correct errors within our contract management systems and/or respond...
. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits... and respond to network adequacy requirements, identify and correct errors within our contract management systems and/or respond...
, we must empower them. The Risk Adjustment Analytics Principal acts as the primary technical resource and business liaison, working... Actuarial, Network, Strategic Accounts, Compliance and Regulatory Finance, IS, Pharmacy, and agencies outside the organization...
to objectives Conduct investigations using all available systems to research suspicious activity and fraud and maintain case... investigation documentation in accordance with department standards Perform periodic and for-cause pharmacy and prescriber risk...
. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits... the business need, to work occasionally overtime or weekends. You'll enjoy the flexibility to telecommute...
. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits... the business need, to work occasionally overtime or weekends. You'll enjoy the flexibility to telecommute...
. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits... validation, Prospective Payment Systems (HIPPS), CVA, APC, etc. Provide clear and concise clinical logic to the providers when...
. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits... validation, Prospective Payment Systems (HIPPS), CVA, APC, etc. Provide clear and concise clinical logic to the providers when...
of business including but not limited to modeling, forecasting, predictive analytics Monitor data management processes to ensure..., automate tasks) throughout the unit, particularly as they relate to reports, existing spreadsheets, programs, systems and data...
-related discipline (Nursing, Pharmacy, etc.), Computer Science, Business Administration, Liberal Arts, Science, or related... and support of clinical information systems. Functions independently, performs analysis, testing and implementation of procedures...
-related discipline (Nursing, Pharmacy, etc.), Computer Science, Business Administration, Liberal Arts, Science, or related... and support of clinical information systems. Functions independently, performs analysis, testing and implementation of procedures...
expert level by providing advice and aid in the implementation of quality systems and procedures to ensure compliance... business rules in the assigned electronic document management system. Contribute to the modification, development...
Company: Central Admixture Pharmacy Job Posting Location: Irvine, California, United States Functional Area: Quality..., pharmacy admixture and compounding, ostomy and wound care, and dialysis. The company is committed to eliminating preventable...
contracting configuration and maintenance. 10 or more years in a Business Analyst function with a medical insurance carrier... management and specialty pharmacy services, behavioral health services, and other administrative services. Discover...
is a hybrid analyst and administrative role responsible for driving operational excellence, employee engagement, and continuous...: Support quality initiatives and patient safety standards in partnership with the quality analyst. Documentation: Maintain...
is a hybrid analyst and administrative role responsible for driving operational excellence, employee engagement, and continuous...: Support quality initiatives and patient safety standards in partnership with the quality analyst. Documentation: Maintain...
communication skills Desired 2+ years of healthcare-related experience Any data/business/process analyst experience Certified... and respond to changing business priorities Strong follow-up, accountability, and attention to detail Proficient in Microsoft...