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The Utilization Management Nurse collaborates with healthcare providers to ensure efficient use of health services through monitoring of member utilization and claims, making referrals for case management, and ensuring continuity of care coordination.
As a Software Developer II, you will support internal applications, modernize systems, and apply engineering principles to design, develop, test, and maintain software. You'll ensure high-quality code delivery, collaborate with various teams, provide maintenance support, and seek automation opportunities.
The Account Manager I will build strong relationships with clients and brokers, manage a book of business, execute client retention strategies, and represent client needs within the organization. Responsibilities include providing excellent service, preparing renewal strategies, and updating CRM for client activities.
The Case Manager III provides comprehensive care management for clients, focusing on medical and mental health services. They monitor patient utilization and claims, collaborate with brokers and group contacts, and ensure adherence to HIPAA regulations while conducting case reviews and supporting ongoing treatment plans.
The Sales Executive II role involves selling HMA's health insurance products to medium and large employers in Utah and Idaho. Responsibilities include managing broker relationships, driving new business, responding to RFPs, and maintaining knowledge of self-funding options and underwriting requirements.
The Sales Executive will educate and partner with brokers in Eastern Washington and Northern/Central Idaho to sell HMA's health plans. This role involves building producer relationships, managing sales goals, and collaborating with internal teams for client onboarding and satisfaction. Up to 40% travel may be required.
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