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1 - 10 of 315 matches in 0.015 seconds
Program Coordinator I (JC191928274)
Last Updated: 2021-09-24
Employer: Centene Corporation
Location: Burr Ridge, IL

Position Purpose : Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care.

+ Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility.

+ Perform tasks necessary to promote member…

Long Term Support Services Care Specialist-Marion, Carbondal (JC191928286)
Last Updated: 2021-09-24
Employer: Centene Corporation
Location: Carbondale, IL

Position Purpose : Oversees the care for long term support services / long term care populations and provides coordination of care services for lower acuity individuals living in the community or nursing facilities. Ensures a comprehensive assessment of member’s care needs and status, interdisciplinary team approach, and education of members…

Long Term Support Services Care Specialist-Morton Grove, Nil (JC191928379)
Last Updated: 2021-09-24
Employer: Centene Corporation
Location: Skokie, IL

Position Purpose:

Oversees the care for long term support services / long term care populations and provides coordination of care services for lower acuity individuals living in the community or nursing facilities. Ensures a comprehensive assessment of member’s care needs and status, interdisciplinary team approach, and education of members. Works…

Supervisor, Medical Management (Non-Clinical)-Cook County (JC192156095)
Last Updated: 2021-09-24
Employer: Centene Corporation
Location: Evanston, IL

Position Purpose:

Supervise the day-to-day operations of the medical review unit

+ Oversee changes to medical review unit functions and performance in relation to company mission, philosophy objectives and policies

+ Assist senior management with budgets and forecast for strategic planning and key initiatives. Balance current and future needs effectively…

Supervisor, Medical Management (Non-Clinical)-Cook County (JC192156130)
Last Updated: 2021-09-24
Employer: Centene Corporation
Location: Chicago, IL

Position Purpose:

Supervise the day-to-day operations of the medical review unit

+ Oversee changes to medical review unit functions and performance in relation to company mission, philosophy objectives and policies

+ Assist senior management with budgets and forecast for strategic planning and key initiatives. Balance current and future needs effectively…

Channel Development Lead (JC192157562)
Last Updated: 2021-09-24
Employer: Humana
Location: Chicago, IL

Description

The Channel Development Lead will translate the departmental strategic direction of the Humana Pharmacy organization into actionable tactical strategies which will effectively drive Mail Order Pharmacy growth (MOP). By using these tactical strategies along with data/analytics & collaboration of aligned partners, this role will be responsible for…

Associate Actuary - Specialty Benefits (JC192158648)
Last Updated: 2021-09-24
Employer: Humana
Location: Chicago, IL

Description

The Associate Actuary on the Specialty Benefits team will have a wide range of responsibilities. This is an exciting opportunity with highly visible work products. The ideal candidate would have the opportunity to lead an actuarial analyst. Work assignments involve moderately complex to complex issues where the analysis of…

Long Term Support Services Care Specialist-South Chicago (JC192830230)
Last Updated: 2021-09-24
Employer: Centene Corporation
Location: South Chicago, IL

Position Purpose : Oversees the care for long term support services / long term care populations and provides coordination of care services for lower acuity individuals living in the community or nursing facilities. Ensures a comprehensive assessment of member’s care needs and status, interdisciplinary team approach, and education of members…

Quality Management Associate (JC192830233)
Last Updated: 2021-09-24
Employer: Centene Corporation
Location: Chicago, IL

Position Purpose:

Responsible for Medical Record retrieval projects; provides clerical support to the department; targets member and provider outreach. Utilize departmental tracking tools to request and retrieve Medical Records; transcribe, format, input, edit, retrieve, copy, and transmit text and data. Store and retrieve files in accordance with established procedures to…

Senior CRM Process Improvement Professional (JC192877308)
Last Updated: 2021-09-24
Employer: Humana
Location: Chicago, IL

Description

Join our Talent Acquisition team as a Senior CRM Process Improvement Professional that uses Talent Acquisition best business practices and a test and learn methodology to develop business processes that focus on improving the candidate experience and recruiter productivity. In this role, you will act as a subject matter…

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