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Client Engagement Delivery / Business Development (70% Time Allocation) Perform a lead billable role to clients in day to day delivery of large scale projects / programs, which are defined as high cost, high complexity and / or high risk Serve in an advisory role to clients on business strategy, operational effectiveness and healthcare best practices Ensure utilization rate and billable revenues
Posted Today
Lead or contribute to the development of program or project scope statements, in consultation with applicable stakeholders (e.g. program/project charter, Statement of Work, Business Vision Document) Identify project duration, effort, sequence and dependencies of tasks required to meet applicable project objectives Drive/participate in the capital request process, as appropriate (e.g. presentations
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Researches, obtains, and enters missing information/demographics for completion of accessions Demonstrates competency in eligibility, billing and receivable systems and associated applications Educates external customers on how to provide complete billing information and avoid additional contacts for information Informs customers of billing problem/issue findings and resolution as appropriate Make
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In partnership with functional leaders, you will identify performance and development needs and recommend training solutions Leverage the ADDIE/SAM instructional design framework to design effective learning solutions which are learner centered, organized, accurate, agile and engaging Working with SME's, you will leverage a variety of learning development tools to develop training that utilizes a
Posted Today
Consult complex business groups by leveraging hiring teams to develop and execute campus strategies to support hiring needs Partner with recruiting coordinator to manage on campus job postings and understand various candidate tracking programs used by each campus Bring an innovative lens to the campus recruitment strategy process by leverage talent Intelligence tools to continuously recruit top ta
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Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakehol
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Provides strategic oversight and vision related to reporting approaches for corporate human capital needs, owning the development of business insights and delivery, leading the design, development and implementation of standard reporting solutions, data visualizations, and ad hoc reports related to the organization's workforce Provides leadership to human capital partners on reporting approaches t
Posted Today
Analyze, review, and trend complex healthcare data Support short and long term operational/strategic business activities through analysis Develop recommended business solutions through research and analysis of data and business process and implement when appropriate Self starter that demonstrate accountability for all assignments Assess and interpret customer needs and requirements Identify sol
Posted Today
Responsibility for the performance management of a portfolio of partner providers, including ongoing monitoring and analysis of operational performance, design and implementation of development plans and complaints handling Support the provider recruitment process including maintenance and execution of provider network development schedules based on existing operational shortfalls and anticipated
Posted Today
Take calls from providers in regard to chemotherapy eligibility Determine if the consumers are eligible for a health program Connect consumers to a nurse Take calls from providers and enter services that they are requesting into the system Must have accurate documentation Must meet weekly metrics You'll be rewarded and recognized for your performance in an environment that will challenge you and
Posted Today
Responsible for the Product P&L and leadership of 300+ employee team and carries out supervisory responsibilities in accordance with established policies and applicable regulations Development and ownership of all LTSS (CHOICES and ECF CHOICES) clinical programs Assists in defining contract terms or adjustments with providers and vendors Ensures corporate departments provide excellent service to s
Posted Today
Collaborate effectively with integrated care team (ICT) to establish an individualized plan of care for members The interdisciplinary care team develops interventions to assist the member in meeting short and long term plan of care goals Serve as the clinical liaison with hospital, clinical and administrative staff as well as provide expertise for clinical authorizations for inpatient care based o
Posted Today
Supports case management operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating) Oversees care management functions and ensure compliance with application of criteria from approved standardized guidelines, government mandated regulations and contractual agreements, to include NCAQ, URAC, and CMS Engages in Care Team forums/meetings to s
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The NP or PA is expected to be able to provide care consistent with their licensure and/or certification Diagnoses and treats both acute and chronic conditions such as diabetes, hypertension, kidney disease and other chronic medical conditions. The NP or PA will also treat acute conditions such as minor injuries and other acute medical conditions such as infections or exacerbations of chronic dise
Posted Today
The NP or PA is expected to be able to provide care consistent with their licensure and/or certification Diagnoses and treats both acute and chronic conditions such as diabetes, hypertension, kidney disease and other chronic medical conditions. The NP or PA will also treat acute conditions such as minor injuries and other acute medical conditions such as infections or exacerbations of chronic dise
Posted Today
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