. Additional Information Requisition ID: 1000002679 Hiring Range: $77,760-$149,040 Security Disclosure If you receive..., purpose and value statement. Principal Accountabilities Manage daily operations of the Care Management team including...
the needs of the department. Provide services per the NYCE contract. Principal Accountabilities Trains workflow... and/or accreditation experience. Experience with medical management / claims systems. Additional Information Requisition ID...
are embedded in the service level agreements with our vendors. Provide services per the NYCE contract. Principal... HEDIS STARS. Accountable for the preparation of and delivery of information as it pertains to State, Federal...
Summary of Position Assess medical risk for each identified claimant utilizing all available information and applying... and available clinical information from a variety of sources including trigger reports, detailed individual claim reports, pending and denied...
programs. Additional Information Requisition ID: 1000002694 Hiring Range: $68,040-$118,800 Security Disclosure.... Principal Accountabilities Direct oversight of team members, including 1:1 meetings and yearly performance evaluations...
needs. Additional Information Requisition ID: 1000002681 Hiring Range: $68,040-$118,800 Security Disclosure... members with Care Management needs. Principal Accountabilities Assess and evaluate the needs of our most complex members...
of the Care Management team to support Organizational deliverables Principal Accountabilities Manage daily operations... to improve performance in collaboration with the leadership team. Additional Information Requisition ID: 1000002677 Hiring...
. Additional Information Requisition ID: 1000002689 Hiring Range: $68,040-$118,800 Security Disclosure If you receive.... Provide services per the NYCE contract Principal Accountabilities Audit, monitor and track compliance of the UM, CM, MRU...
. Ensure information is appropriately entered in the system to effectively execute member care plans, originate authorizations..., request clinical information, perform case research, and essentially execute all behind the scenes desk-level procedures...
feedback to members of the medical and care management care teams. Principal Accountabilities Develop, facilitate... with MS Office (Word, Excel, Powerpoint, Teams, Outlook, etc.) Additional Information Requisition ID: 1000002683 Hiring...
per the NYCE contract. Principal Accountabilities Act as a coach and mentor to staff to ensure understanding... to provide weekend and holiday coverage on a rotating basis. Additional Information Requisition ID: 1000002692 Hiring Range...
's care plan. Additional Information Requisition ID: 1000002687 Hiring Range: $68,040-$118,800 Security Disclosure.... Principal Accountabilities Utilize MCG, CMS Guidelines, medical and administrative policies to evaluate medical necessity...
and responsibilities. Additional Information Requisition ID: 1000002696 Hiring Range: $189,000-$361,800 Security Disclosure... standards. Provide services per the NYCE contract. Principal Accountabilities Manage use of medical resources...
, consistent with Emblem Health Plans mission, vision, purpose and value statement. Principal Accountabilities Manage daily... strategies to improve performance in collaboration with the leadership team. Additional Information Requisition ID...
contract Principal Accountabilities Direct oversight of Care Specialists and Sr. Care Specialists, including 1:1 meetings... and important benefit information to providers and members in accordance with applicable standards. Interact with various...
Support Services to the Office of Principal Legal Advisor (OPLA). OPLA requires case management support and administrative... to all ICE offices and programs. OPLA's responsibilities include representing the Department of Homeland Security (DHS...
Job Description ONLY PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE PRINCIPAL ADMINISTRATIVE.... - Administratively receive and process Freedom of Information Law requests. - Perform administrative and clerical duties...
Stabilization Mission in the Central African Republic (MINUSCA). • Gathers, selects and analyses information contained... in computerised databases information relating to potential disputes and conflicts involving assigned countries or region...
: Options for medical coverage through UnitedHealthcare, and Dental and Vision coverage through Principal Financial Security... with vendors via telephone and/or email to verify banking information accuracy while also managing and maintaining emails in the...
to risk management, such as information security. Other Duties: Responsible for additional compliance and risk management... general support to the ACBD1 Planning Team for tasks assigned by the UH. PRINCIPAL DUTIES Responsibilities include...