Job Description Provides senior level support for clinical quality member intervention activities. Responsible for the developing and implementing new and existing member intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid, etc.). Executes health plan
Outpatient Retail Pharmacy Prn Position Outpatient retail pharmacy PRN position with occasional inpatient coverage. Estimated 20 hr/week on Wednesday, Thursday, and Friday with goal of building up meds to beds program. Works under the direct supervision
Essential Duties and Responsibilities: - Perform hands-on data analysis and modeling with huge data sets. - Apply data mining, NLP, and machine learning (both supervised and unsupervised) to improve relevance and personalization algorithms. - Work side-by-side with product managers,
Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS117, P3, Band 6 Job-Specific Essential Duties and Responsibilities: - Analyze AWS and Azure cloud environments to support provisioning, operations, lifecycle management, and performance monitoring across
Essential Duties and Responsibilities: - Provide guidance and subject matter expertise on policy support activities, including interpretation of relevant statutes, regulations, and executive directives. - Serve as a key point of contact with government representatives and stakeholders
Essential Duties and Responsibilities: - Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments. - Provide written clinical rationales for CA Workers Compensation
