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New SearchJob Description Job SummaryProvide oversight of the Marketplace compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which ...
JOB DESCRIPTION Job Summary Manages a team of professional Configuration Analysts. Responsible for operational activities for the assigned team, including accurate and timely ...
MULTIPLE POSITIONS OPEN for CASE MANAGERS for our CALIFORNIA Health Plan. Candidates must live in LOS ANGELES COUNTY in the state of California for consideration. Will ...
JOB DESCRIPTION Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving ...
JOB DESCRIPTION EMPLOYEE FOR THIS JOB POSITION MUST RESIDE IN CALIFORNIA. Job Summary Responsible for the oversight and monitoring of entities delegated for claims compliance. ...
JOB DESCRIPTION EMPLOYEE FOR THIS JOB POSITION MUST RESIDE IN CALIFORNIA. Job Summary Responsible for the oversight and monitoring of entities delegated for claims compliance. ...
POSITION SUMMARY The Automotive Technician II will repair, overhaul, and maintain fleet vehicles and equipment. Pay Range: $22.00 - $29.00 RESPONSIBILITIES Perform ...
JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE For this position we are seeking a (RN) Registered Nurse with previous experience in Acute Care, Concurrent ...
JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE For this position we are seeking a (RN) Registered Nurse with previous experience in Acute Care, Concurrent ...
Candidates must live in SAN BERNARDINO OR RIVERSIDE COUNTY in the state of California for consideration. Community Connectors will work in remote and field settings our ...
Job Description Job SummaryThe Sr Analyst, Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, and complete encounter ...
Job Description Job SummaryThe Sr Analyst, Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, and complete encounter ...
JOB DESCRIPTION Job Summary Manages people who are responsible for internal business projects and programs involving department or cross-functional teams of subject matter ...
JOB DESCRIPTION Job Summary Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products ...
JOB DESCRIPTION Job Summary Manages internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through ...
MULTIPLE POSITIONS OPEN for CASE MANAGERS for our CALIFORNIA Health Plan. Candidates must live in SAN DIEGO COUNTY, in the state of California for consideration. MASTERS ...
JOB DESCRIPTION For this position we are seeking a Nurse or Licensed social work manager to support our Medicaid Pediatric Case Management team. Case Management, pediatric, ...
JOB DESCRIPTION Job Summary Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ...
JOB DESCRIPTION Job Summary Responsible for continuous quality improvements and risk adjustment accuracy for all government lines of business. Supports robust provider engagement ...
Job Description Job Summary Develops, recommends and implements controls and cost-effective approaches to minimize the organization's risks effects. Identifies and analyzes ...
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