Uses regular judgement and discretion to collaborate with customers in order to: Understand capability needs; Gather project specifications; Create business cases and cost sheet analysis; Translate high-level business needs into detailed requirements for new capabilities (and change request/enhancem...
Define requirements modeling standards to include definition of business needs, how and when to reuse functional requirements, and business scope of non-functional requirements. Use exceptional knowledge of business analysis to create compelling presentations and influences business leaders to make ...
Business System Analyst role supports the Business by working with Business Management, Subject Matter Experts, Product Owners, Project Managers, Technical Leads and Developers to provide Business Needs Analysis, Requirements elicitation, Requirements elaboration and Use Case/Story development. Form...
Certified Case Manager certification. Responsible to provide professional nurse case management coordination for claimants with compensable injuries. Coordinates and monitors referrals to rehabilitation and medical case management vendors. Working knowledge of utilization review process, medical bil...
Behavioral Health Case Manager I. Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be ...
Identify resources needed for a fully integrated care coordination approach including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. Document all case management services and intervention in the electronic heal...
Ensures data integrity and compliance by performing data cleansing, data audit and/or data validation. Ensure data integrity and compliance by performing data cleansing, data audit and/or data validation. Provides business process, system support and data quality governance through data coordination...
Experience with distributed data processing tools like Hive, Spark, Airflow and. Experience with distributed data processing tools like Hive, Spark, and Airflow is a plus. The Senior Data / ML Engineer:. Improve machine learning data quality by using & building tools to automatically detect issu...
Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost e...
The Business Analyst collaborates with the Product Owner on requirements, business value scoring and success metrics. As a Business Analyst, candidate performs the core duties of a BA and typically work with medium to large BU requests that have issues, requests or projects of moderate scope and com...
Proven experience as a Business Systems Analyst with a minimum of 8+ years of experience in business analysis and system design. Bachelor's degree in Business Administration, Information Technology, or a related field (Master's degree preferred). Proficiency in business analysis tools and techniques...
Behavioral Health Case Manager II. Responds to more complex cases and account specific requests. Serves as a resource to other BH Case Mgrs. Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or m...
DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in. Registered Nurse (RN) Case Manager. Case Management or Chronic Care Management. ...
In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: dev...
Bachelor's degree in Business Administration, Public Health, Information Systems or a related field from an accredited college or university, or equivalent experience with a minimum of 6-years Business Process Analyst experience in Public Health Care process improvement•Minimum of 5-7 years of exper...
The incumbent delivers data profiling, conducts testing and systems validation to troubleshoot data anomalies, monitors data management metrics and data loads. This job understands healthcare data from end-to-end and analyzes raw data and analytic data for the enterprise. Verify analytic data for th...
FULL-TIME FAMILY SERVICES CASE MANAGER - CLARK COUNTY, NV. Family Resource Specialist JusticeWorks YouthCare is seeking an experienced Family Services Case Manager to join our team. As a Family Services Case Manager, you will also provide guidance and direction to parents and families in need, helpi...
Certification as a Case Manager is preferred. Certification as a Case Manager and a BS in a health or human services related field preferred. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Unless specified as primarily virtual...
The ideal candidate is a team player who is open to working onsite! This company is an end-user and is looking for someone to work alongside the Dynamics team and is keen to grow! Along with a fantastic package, this company offers exposure to more than just one side of Dynamics and is looking to br...
Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and implement policies and security frameworks to ensure precise and secure delivery of knowledge and information. Perform modeling of data sources and flows, wo...