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Healthtech
As a Remote Psychologist Reviewer, you will authorize and monitor care for behavioral health issues, conduct peer reviews, educate practitioners, and address complaints, focusing on youth with Autism.
Top Skills:
Applied Behavior AnalysisBehavioral HealthClinical PsychologyPsychological Testing
Healthtech
The Finance Analyst III will analyze financial data for Network Reimbursement, develop reports, present findings, and collaborate across teams to optimize financial initiatives.
Top Skills:
ExcelPlanviewPower BI
Healthtech
The role involves performing data analysis to support business initiatives, enhancing processes, and leading coordination efforts across business units in the healthcare sector.
Top Skills:
Business Process ManagementData AnalysisHealthcare FraudProject ManagementUser Acceptance TestingWaste & Abuse
Healthtech
Responsible for analytical data needs, guiding complex data projects, and providing insights for decision-making in workforce and talent operations.
Top Skills:
AccessExcelPower BISQLWorkday
Healthtech
The Pharmacy Resolution Specialist handles inquiries from members and providers, processes prior authorization requests, and resolves issues related to pharmacy benefits.
Top Skills:
Call Center SystemsCustomer Service Software
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Healthtech
Lead the creation and management of provider and member communication journeys, coordinate member communication channels, and oversee vendor management.
Top Skills:
Adobe DesignMicrosoft PlannerMicrosoft Sharepoint
Healthtech
As a Pharmacy Resolution Specialist, you will handle inquiries from members and providers regarding pharmacy benefits, process prior authorization requests, and resolve issues while adhering to guidelines.
Top Skills:
Call CenterCustomer ServicePharmacy Benefits
Healthtech
The Program Manager II will manage health service programs focusing on quality improvement, project execution, and stakeholder collaboration in healthcare settings.
Top Skills:
CahpsHedisNcqa
Healthtech
Support quality improvement projects for HEDIS Hybrid Operations by training providers, analyzing quality indicators, and implementing performance improvement plans.
Top Skills:
HedisNcqa
Healthtech
The Actuary Manager will lead ACA pricing analysis and risk assessment for ICHRA products, mentor team members, and collaborate with various stakeholders to support company growth strategies.
Top Skills:
ExcelOutlookRSQLWord
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