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The Administrative Assistant III provides essential support by managing schedules, handling communications, transcribing notes, preparing reports, and assisting with budget development while managing multiple projects simultaneously.
The Field Marketing and Sales IPA Specialist will prospect and obtain sales leads for enrollment in Medicare Health Plans, develop community and provider relationships, create marketing strategies, and support membership growth through business outreach. This role requires extensive travel and strong relationship-building skills.
The Utilization Management Coordinator I supports the Medical Management department by ensuring timely processing of outpatient or inpatient referrals and authorizations, troubleshooting issues, and coordinating with leadership to adhere to state and federal guidelines.
The Compliance Consultant II supports compliance functions by preparing for audits, responding to non-compliance allegations, delivering training, drafting policies, and conducting monitoring activities, helping manage organizational risk.
The Coordinator II, Case Management is responsible for gathering information about member populations for assessments and care planning. Responsibilities include resolving complex issues independently and participating in interdisciplinary care meetings.
The Manager of Provider Contracts develops and manages the provider network through contract negotiations and relationship development. This role focuses on building lasting relationships, negotiating contract terms, and managing existing contracts. It includes liaising with various healthcare providers and supervising Managed Care department staff.
The Senior Specialist, Communications is responsible for researching, drafting, and delivering content across various digital and traditional platforms. They manage communications planning sessions and project manage mailings for diverse audiences, ensuring alignment with brand strategy.
The Utilization Management Supervisor oversees daily operations of the Utilization Management Department, coordinates care activities, and develops strategic plans to improve patient outcomes and achieve cost containment objectives.
The Marketing Coordinator is responsible for coordinating marketing projects, promotional events, and preparing marketing reports. This role includes handling inventory and creative tasks such as designing flyers and presentations while ensuring collaboration with internal and external teams.
Responsible for analysis, design, development, testing, and support of information systems with a focus on the "Connect" software system. Develop secure and high-performing solutions for participating clinics and providers. Communicate effectively across departments, gather requirements, provide technical support, and document architectural design. Proficient in type-safe programming languages, relational databases, web technologies, and building HTTP APIs. Knowledge of OOP principles, design patterns, Scrum, and Agile methodologies. Must have problem-solving skills and experience in resolving production and infrastructure issues.
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