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The Executive in Provider Network Management is responsible for managing relationships with panel hospitals, addressing claims processes and complaints, and ensuring effective service delivery. They will educate stakeholders on medical coverage and rights, implement process improvements, support data aggregation and reporting, and engage in continuous training. Additional tasks may include project management as assigned by leadership.

The Assistant Manager of Major Claims will oversee claims assessment and approval while ensuring team efficiency in processing. Responsibilities include coaching team members, ensuring compliance with regulatory requirements, delivering excellent customer service, and assisting in daily operations. The role requires a strong technical background and the ability to work collaboratively with various departments.

The Manager of Information, Technology & Privacy Risk is responsible for providing oversight and assurance on information, technology, and privacy risks. The role includes establishing local guidelines, monitoring compliance with regulatory requirements, coordinating training and awareness programs, and reporting on risk activities. The manager collaborates with various departments to ensure adherence to security and privacy policies and leads initiatives to promote a culture of information risk awareness.