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 ...
Real Time Analyst - Lead Workforce Management Representative. Real-time monitoring of queues and transaction management across multiple lines of business. Provide real-time updates regarding queue management and performance. Perform other duties as assigned by management. ...
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 ...
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...
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. ...
The Oracle Fusion and Inventory Management Analyst will provide IT implementation services and technical support for our customer’s Inventory Management, business applications and business processes. Develop and implement change management plans, evaluate risks, and improve organizational procedures...
As a Project Manager, will leverage their strong organizational and technical skills in the context of the software development project lifecycle to deliver complex changes on time and on budget. As a Senior Professional Project Manager at Gainwell, you can contribute your skills as we harness the p...
Business Analyst Quality Improvement Specialist. Join the group that solves business challenges and enhances the way we work and grow. Bachelor's degree in business or healthcare management discipline is preferred. ...
Demonstrated ability to manage and motivate various project management team members, including project coordinators and project managers, in order to fulfill customer demands effectively and to the highest quality. X is currently hiring for Account Executive (Project Manager) to join our Domestic Re...
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...
To ensure the business solution designed is based on the holistic view across all the processes of assigned domain while leveraging the pre-delivered best Practices. ...
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...
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 Delivery Analyst (DA) supports ongoing delivery to clients through issue resolution, Change Requests (CRs), and standardized processes that contribute to achievement of Service Levels (SLAs or RSLs) and Key Performance Indicators (KPIs). The Delivery Analyst will work to support, coach and train...
Prepare month end close activities including analysis of financial information in order to create journal entries which impact the financial condition of AHM / HDMA with some supervision. Use professional accounting standards to ensure appropriate reporting of actual financial data and use analytica...
A $2 billion retail bank looking to bring on a new "Financial Crimes Analyst" to join their team. Review and evaluate financial crime investigations, including anti-money laundering (AML), fraud, and other suspicious activities. Develop and implement QC procedures and protocols for financial crime d...
To manage a staff of data analysts; to develop complex reports and analyze company data including Corporate or client specific data; to serve as a technical resource for company staff on data analysis and benchmarking issues; to meet with clients on such issues as necessary; to provide training and ...
This is a fantastic opportunity for a CAPEX Project Manager to join our major, global pharmaceutical client on their latest new-build project based in Ohio, this is a large-scale greenfield capital project and investing more than $1bn. CAPEX Project Manager– 12 month Contract – Ohio. Assist the Glob...
IT Development Program Analyst. At Genworth, our products and our business rely on the strong technical and analytical skills that our Information Technology Development Program helps to cultivate and grow. In this development program, you will work alongside other energetic and talented technologis...
Manages and executes daily on-site activities for multiple projects and leads project meetings with subcontractors, consultants, and stakeholders at frequent intervals to discuss problems, progress, and scheduling of work. Conducts frequent property inspections to ensure projects follow proper safet...
Tax Transformation Senior Business Analyst. In this role, you will collaborate with cross-functional teams, including Tax Professionals, IT, and Operations to help them (a) identify and solve process inefficiencies, (b) where relevant, help us to drive standardization, (c) leverage technology platfo...
Role sits within my 007620 COE Claims Portfolio, who supports our Operations (Claims/Provider/Enrollment). Master's degree in Computer/Information Science, Mathematics/Statistics, Economics, Industrial Engineering or Operations Research, or related field. Industrial Engineering or Operations Researc...
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...
Research customer and item related inquiries.Facilitate small to intermediate projects.Root cause and inventive thinking.Develop strong working relationships with internal and external stakeholders.Takes initiative on work/projects as appropriate.Assists with training and day-to-day questions.Bachel...