Primary Duties & Responsibilities Manage and drive internal resources to document and complete customer checkpoints such as OK2EPI, OK2FAB, OK2TEST and OK2SENDMP, and others as required. Execute programs to deliver on time, within performance, on budget, with
Employment Type:Full time Shift:Rotating Shift Description: Looking for a candidate with an MA background/experience - will be training MA staff POSITION DESCRIPTION: This position is responsible for overseeing specified areas of the office in collaboration with the
Senior LVN, Care Manager The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior LVN, Care
Medical Director, Utilization Management Commercial Prior Authorization Review The Medical Management team ensures that Blue Shield of California (BSC) is on the cutting edge of utilization management reimagined to accelerate the development and sustainability of a value-based health care
Patient Care Coordinator We are looking for a Patient Care Coordinator to join the team! The Patient Care Coordinator (PCC) serves as the key liaison for our patients and ensures a seamless and welcoming experience. In
Case Management Nurse, Senior The Childrens Services Program (CSP) team provides identification, referrals, and care management for all Medi-Cal members under 21 years old and collaborates within Promise Clinical Team. The Case Management Nurse, Senior will report to the CSP
Job Title This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment.
Job Description The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi-Cal and Medicare populations. The Utilization Management Manager will
Job Description The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support quality outcomes aligned with benefit and contract requirements. You
Senior Manager of Care Management The Care Management team is looking for a leader who can lead and oversee our team to ensure the effective coordination of patient care across multiple settings. In this role you will be
Program Manager, Consultant The Program Manager, Consultant provides leadership and operational support to advance quality performance across clinical programs and contracted provider groups. This role drives the implementation, oversight, and continuous improvement of quality structures, processes, and outcomes necessary
Job Title Program Manager, Senior Middle Markets and Small Business Job Description The Strategic Planning and Performance team develops long-term strategies, annual plans, and supports tracking and reporting performance for Middle Markets and Small Business lines of
Management Training Program Start your career with Enterprise Mobility! Were hiring immediately for our respected Management Training Program. Whether you see yourself in sales, business development, customer service, retail management, or operations, as a manager in training, you can count on
Manager Of Quality Incentive Programs The Manager of Quality Incentive Programs is responsible for managing Partnership HealthPlans Primary Care, Hospital, and Long Term Care Quality Incentive Programs, also known as Quality Improvement Programs (QIPs). The QIPs provide financial incentives, data,
Job Description The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Manager, Behavioral Health
Program Manager Clinical, Senior The Care Management team is looking for a strategic leader with Care Management experience who can help support our Population Health Management (PHM) Medi-Cal Care Management line of business. The Program Manager Clinical, Senior will report to the
Director of Programs We are seeking a Director of Programs to oversee and lead program operations within our California division. This role is responsible for ensuring high-quality service delivery, regulatory compliance, and measurable program outcomes within a healthcare or human
Program Manager, Consultant The Behavioral Health Network Management, Healthcare Quality and Affordability (HQA) team is responsible for the development and maintenance of all Behavioral Health provider networks, including vendor relationships necessary to provide our members and clients with
Vegetation Program Lead Compensation: $39.00$45.00 per hour Location: Candidates must reside within PG&Es Central Valley or Central Coast Service Areas Hybrid Schedule: 90% remote position Explore the outdoors. Lead with purpose. Grow your career. At Eocene Environmental
At DICK’S Sporting Goods, we believe in how positively sports can change lives. On our team, everyone plays a critical role in creating confidence and excitement by personally equipping all athletes to achieve their dreams. We