A health management solutions company is seeking a Remote Health Plan Accounts Vice President. Core Responsibilities Include: Serving as the primary liaison between the client and the company. Identifying and developing strategies for client to identify areas of needs for further growth.
A healthcare technology solutions company is searching for a person to fill their position for a Telecommute Healthcare Technology Project Manager. Must be able to: Provide Project Planning Sites/Site with High Complexity. Provide Scope and Change Management. Provide Schedule Management.
Interpret criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Skills and Requirements Include: Active RN license without restrictions. Previous experience in utilization management.
Board Certified in an approved ABMS Medical Specialty. Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products. Possess analysis and interpretation skills with prior experience leading teams. All other requirements necessary for this position.
Analyzing all Care Management programs. Acting as the analytic lead for complex projects. Program reporting by understanding business requirements. Applicants must meet the following qualifications: Able to travel up to 10% Have a Bachelor's degree or equivalent experience.