Summary Leads provider data integrity, attribution governance, and related operational controls supporting Medicaid operations. The senior manager serves as a key liaison between provider relations, provider data management, information technology, analytics, claims, and other…
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Director Of Ai Data Operations Jobs
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Position Summary This Case Management Coordinator position is with Aetna’s Long-Term Services and Supports (LTSS) team and is a field-based position out of the Henderson, Hancock, Warren, and Knox County IL Areas. The requirements is for candidates to travel 50-75% of the time…
Position Summary This Analyst, Case Management position is with Aetna’s Long-Term Services and Supports (LTSS) team and is a field-based position out of Harrisonburg, Virginia Region. The requirements is for candidates to travel 70% of the time to meet with members face to face.…
Utilization Management Nurse Consultant (RN) Remote | Concurrent Review | Utilization Management Are you an experienced RN with utilization management or prior authorization experience looking to make an impact beyond bedside care? Join our team and help ensure members receive…
Title: Patient Growth Specialist (Outreach Executive I) Company: Oak Street Health **Now offering a $2,000 Sign-On Bonus!** Role Description: The Patient Growth Specialist (internally known as an Outreach Executive) is a community-facing role dedicated to connecting…
Outreach Executive - Bilingual at Cvshealth in Phoenix, United States.
Position Summary This position is responsible for performing utilization management (UM) reviews and authorization activities for post-acute services, including Skilled Nursing Facilities (SNF), Inpatient Rehabilitation Facilities (IRF), Long-Term Acute Care Hospitals (LTACH),…
Position Summary As a Case Management Coordinator you will facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources. Travel: 50-75% travel required within Lake…
Position Summary The Waste & Error Certified Coding Manager is responsible for leading the Certified Coding Analyst and W&E Team Lead roles that conduct medical claim reviews and coding audits to identify billing errors, waste, abuse, fraud, and payment integrity opportunities.…
A World-Changing Company Palantir builds the world’s leading software for data-driven decisions and operations. By bringing the right data to the people who need it, our platforms empower our partners to develop lifesaving drugs, forecast supply chain disruptions, locate missing…
About Us: Comfrt is one of the fastest-growing direct-to-consumer brands, dedicated to blending mental wellness, inclusivity, and elevated comfort into every piece we create. Our mission goes beyond clothing — we strive to build a community where everyone feels supported and…
Help Us Build The Future of Travel At Airalo, we're making it easier for people to stay connected wherever they travel. As the world's first eSIM store, we help millions of travelers access affordable mobile data in 200+ countries and regions around the world. Today, we're a…
Every day, tens of millions of people come to Roblox to explore, create, play, learn, and connect with friends in 3D immersive digital experiences– all created by our global community of developers and creators. At Roblox, we’re building the tools and platform that empower our…
TERRITORY : The territory covers Northern California (from CA/OR border to Santa Barbara). Ideal candidate must reside in the territory. The District Manager, Women’s Health Sales is a leadership position responsible for growing Natera’s Women’s Health Prenatal and Hereditary…
Fireblocks is the company bringing global finance onchain. Backed by over $1 billion in capital, we are the premier digital asset infrastructure provider trusted by thousands of industry-defining financial institutions, including banks, payment providers, fintechs, and global…
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