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As a Lead Systems Engineer, you will oversee system engineering projects, provide technical direction, and mentor team members. Responsibilities include planning and implementing IT solutions, managing project timelines and budgets, troubleshooting infrastructure issues, and ensuring compliance with policies and standards.
The Senior Technical Platform Owner translates business problems into technical features, creates product technical road maps, works with stakeholders to define requirements, and captures user stories. The role involves research, enhancement of business systems processes, and collaboration with various teams for product development, ensuring alignment with user needs and technical objectives.
The DSNP Project Manager III is responsible for planning, organizing, and overseeing complex projects while managing the full project life cycle. This includes requirements gathering, resource management, budget oversight, and project execution. The role also involves maintaining project documentation, communicating project status, and coordinating cross-functional teams to meet strategic objectives.
The DSNP Project Manager II will manage the full project life cycle, including requirements gathering, project planning, resource management, budget management, and ensuring project execution and closure. Responsibilities include communicating project status to stakeholders, maintaining documentation, coordinating meetings, and ensuring project deliverables meet quality standards.
The Product Operations Specialist Associate will support the operational maintenance of products by managing relationships, identifying process improvements, analyzing performance, and ensuring compliance with contractual requirements. The role involves creating reports, guiding project implementations, and assisting in strategic planning activities.
The Compliance Specialist will ensure adherence to contractual and regulatory requirements, act as a compliance resource, and oversee health plan policies. Responsibilities include conducting audits, developing compliance policies, and coordinating compliance projects in the government relations area.
In this role, you will support the Buckeye Healthplan Finance team by developing and analyzing financial reports, forecasting expenses, and presenting findings to senior management. You will also ensure accurate recording of financial information and identify trends in competitive environments.
The Quality Improvement Specialist conducts audits of Primary Care Physicians and associated facilities to ensure compliance with regulatory standards. The role involves managing scheduling, documenting findings, developing reports, and providing training and technical assistance to improve accessibility for members, while maintaining confidentiality and adhering to policies.
The Senior Manager of Incident Response leads the Cybersecurity Incident Response Team, managing security incidents, recommending process improvements, and ensuring compliance with security policies. They are responsible for hiring and training staff, developing team capabilities, and delivering presentations to senior leadership on cybersecurity matters.
Supervises the prior authorization request process, ensuring compliance with contract requirements and performance standards. Guides the authorization team, monitors requests inventory, implements process improvements, provides coaching, and develops onboarding and training for team members while communicating risks to management.
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