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...
Performs one or more financial activities within various finance job functions.Compiles and reviews budgets using actual performance, previous budget figures, estimated revenue, expense reports, and other data sources to control funds and provide for proper financials administration.Performs multipl...
This Analyst Healthcare Quality Management will be a Quality Practice Liaison who builds positive relationships between Aetna Better Health (ABH) and its providers to facilitate high quality care for members. ...
You will be the Logistics Management Analyst for the Lexington, KY area and must have the ability to obtain a Secret Security Clearance. As a Logistics Management Analyst embedded with a SOF GLSS Program Team, your duties will include:. Work within three Inventory Management Systems – GOLDesp / DPAS...
The Juvenile Justice Care Management Coordinator (CMC) utilizes critical thinking and clinical judgment to collaborate and implement the case management process, in order to facilitate appropriate juvenile justice and healthcare outcomes for members by providing advocacy, care coordination, support ...
Lead one or more large project management teams by breaking down bigger technological programs and assisting with project staffing. Communicate with the client, company and project team leadership, measuring and sharing project metrics/status; recommend program changes as needed . Create project sch...
A leading organization in Kentucky is looking to bring in Construction Project Managers to support multi-million dollar projects. In this role, you will have an opportunity to work alongside many personnel while acting as Project subject matter expert leading various projects for large capital impro...
Location – Louisville, KY –Onsite.Here's more inputs on the candidates they are looking for - BA - STARS or HEDIS experience FMC Measure or any other STARS measure need to know how CMS calculates, how to improve the scope, what did they do to improve Data mapping - to be able to find sources - to le...
As SS&C Advent Senior Project Manager, you will manage and coordinate activities in software implementation projects, with distinct deliverables, start and end dates, budget and resources. As Senior Project Manager, you will own and manage all activities in software implementation projects, with...
To help carry us even further, we are seeking an Associate Controllership Analyst to join our expanding, problem-solving team, supporting our Long Term Care Operations functions. Wellness support including gym membership reimbursement and Employee Assistance Program resources (work/life support, fin...
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...
Applies basic knowledge of compliance, business, analytical, and communication skills to support compliance programs and processes that promote compliant and ethical behavior, meet regulatory obligations, and prevent, detect, and mitigate compliance risks. This position will focus on compliance with...
Creates, analyzes, and distributes monthly, quarterly, and annual reports and ensures financial information has been recorded accurately. Analyzes, interprets, and communicates complex market, financial and business trends, and provides recommendations to support positive performance. Completes comp...
A Professional Services Project Manager is responsible for overseeing and managing projects from inception through completion, ensuring they are completed on time, within budget, and to the client's satisfaction. Conduct project post-mortems and create recommendations reports in order to identify su...
Job Title: Business Analyst with RPA(Healthcare Payer Exp is must)</b></p> <p><b>Location: Remote prefer EST & CST </b></p> <p><b>Duration: 1 year </b></p> <p> </p> <p>Job Description: </p> <p>As a hea...
Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and policies. Oversight and Management of clinical team processes including the organization and development of high performing teams. May be accou...
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...
The Pharmacy Program Manager position is a 100% remote role requiring a HIPAA-compliant workspace. A Pharmacy Program Manager is a Clinical Pharmacist providing pharmacist support for an interdisciplinary care management team and members under assigned plan sponsors through conducting comprehensive ...
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...
Senior Business Systems Analyst . Wellness support including gym membership reimbursement and Employee Assistance Program resources (work/life support, financial & legal management). ...
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...
Business Analyst plays a critical role in supporting the business team by handling the configuration and home Office onboarding actions for our digital products. You will be a part of the Broadridge Advisor Solutions team using your business analysis skills to listen to clients and translate busines...
This job consults with cross-functional groups and levels to identify data and analytical needs, conduct analyses, review analyses and findings with leadership, facilitate related process/data improvement efforts, and develop executive level presentations. Develop and implement data collection syste...
Are you looking to advance your career and flex your Leadership and Program Finance skills in a fast-paced and rewarding organization? Join us! As Program Finance Manager II, you will be responsible for leading the Program Finance team in implementation and management of the integrated program manag...
Perform detailed analysis of complex business process requirements and provide appropriate system solutions. Conduct workshops to collect business requirements. Map client business requirements, processes, and objectives. Proactively propose business process and system enhancements. ...