The Case Management Analyst facilitates appropriate healthcare outcomes for members by locating and establishing communication with members that have not been reached and engaged in active care management. The Analyst will make all efforts to outreach and locate members that are currently unable to ...
The Business Analyst position in Transmission Portfolio Management is responsible for the creation of project master data in SAP (work orders and WBS's) as requested from Transmission Portfolio Development or other business entities. ...
Claims Testing Analyst needs claims or data processing / testing experience. Claims Testing Analyst requires:. Claims Testing Analyst duties:. ...
As a Senior Litigation Adjuster in Risk Management, you will be responsible for managing litigation against CVS and overseeing outside counsel and national coordinating counsel defending CVS in general pharmacy, healthcare and premises lawsuits filed throughout the United States. Excellent organizat...
Identity and Access Management Analyst. Position Title: Identity and Access Management Analyst. We are currently recruiting an IAM analyst that will provide thought leadership and design assurance for Identity and Access Management. Proven experience as an Identity & access management business analy...
The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools...
Drive and participate in the broad configuration, administration, support, and enhancement of FE’s Outage Management software. Support, configure, and develop within the application architecture (vendor or custom developed) Perform software installation and patching, as needed, based on application ...
Configuration Data Analyst needs 5+ years' experience with health plans or medical claims. Configuration Data Analyst requires:. Configuration Data Analyst duties:. ...
The Workforce Management Analyst creates, implements, and maintains workforce management in the Luxottica Service Center. The Analyst incorporates multiple data points, trends, and various operational requirements (i. Service Level) into workforce management analyses. The Analyst prepares and presen...
Financial Analyst needs 2+ years of experience in Finance, Accounting or related field. ...
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical ...
Supervises all PMO staff including project managers and domain leads. Provides oversight for all projects. Standardizes methodologies and processes for project management. Encourages skill development of project team members. ...
We're looking for a Business Analyst to work with internal teams to create, maintain, and improve corporate systems. This analyst will be responsible for working with internal functional and technical teams to understand the business needs; translate those into technical requirements and specs; and ...
As an Automation Lead/Program Manager - Vice President within the Governance & Oversight Team, you will work with a range of teams across the firm as part of the global Client Tax Operations Utility. Maintain all program documentation including Standard Operation Procedures, Team Operating Models, F...
As the Employee Insights Data Analyst, your primary responsibility will be designing, implementing, managing and analyzing listening channels such as surveys, focus groups and interviews, in partnership with key stakeholders to deliver unique insights about the organization. Advanced knowledge of an...
This means you are called to be creative and compassionate in all that you do: serving families, educators and case managers, supporting Empowered staff, and ensuring meaningful services for the people we serve. Assisting the Branch Manager in maintaining enrollment targets of Empowered Center inclu...
The Data Analyst will: aggregate and perform advanced statistical analysis on business data; Integrate data from multiple data sources or functional areas, ensure data accuracy and integrity; Write advanced queries or reports to provide data for various analytical projects; Identify, analyze, and in...
The Project Safety Manager supports the Project Teams in developing and sustaining an Incident and Injury Free Culture (IIFC) by developing and maintaining a Project Safety Roadmap and Site Safety Plan. As the Project Safety Manager, you will be responsible for generating weekly Total Case Incident ...
Develop and/or implement individualized client service plans and | | ensure compliance with applicable standards and agency policies | | - Document all clinical activities to meet specific program, funder | | and credentialing entity criteria timely and with accuracy | | - Participate in treatment t...
Senior Business Systems Analyst . Act as a liaison between IT, Long Term Care Product, Operations, and our development teams for the implementation of new complex systems or enhancements to existing systems. Partner with varies business stakeholders and subject matter experts to assess and document ...
Job Description - Health Plan Quality Program Manager (2400371). Health Plan Quality Program Manager -(2400371). Health Plan Quality Program Manager. Senior Health Plan Quality Program Manager . ...
Manager Trainee- Operations (Travel Program- Relocation Required). The development program lasts approximately 12 months. Upon completion, you’ll have an additional six months to advance into an Assistant Manager position. During the program, you’ll learn the business and industry, and build your sk...
Prepares analysis to identify trends and issues, troubleshoot errors, validates data against other data sources, requirements and/or technical specifications, and work with data exchange processes and workflows between Company, government entities, and delegated entities to ensure accurate and compl...
The Business Analyst will support the data team in internal and external engagements, focusing on Microsoft Copilot projects, product reporting, Internal analytics projects, and establishing Business Analyst standards for data requirements. The Business Analyst will also be responsible for the manag...
Trains and reviews the work of other Financial Analysts. Identifies complex financial problems or issues, research solutions, and implements corrective steps to achieve higher level of efficiency. Advises management on various financial models and recommendations. Financial Reporting, Planning & Ana...