Position Summary Seeking a highly skilled Senior Solution Architect to support enterprise initiatives focused on healthcare payer systems, combining legacy platforms, cloud technologies, and AI capabilities. Job Responsibilities Define and maintain enterprise solution…
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Family Support Provider Jobs
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Position Summary We are seeking a highly skilled and experienced Solution Architect to support enterprise-level initiatives with a focus on healthcare payer systems. The ideal candidate will bring a strong background in legacy systems, modern cloud technologies, and emerging AI…
Position Summary - Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes…
Position Summary This role is based in a closed-door Long Term Care facility (non-customer-facing) This is a full-time position. Scheduled hours will vary but typically will start between 10am-12pm. Weekend shift will be either 6am-2:30pm or 10am- 6:30pm, based on business…
Title: Medical Assistant Company: Oak Street Health Role Description: The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making…
Title: Medical Assistant - Float Company: Oak Street Health Role Description: The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when…
Primary Job Duties & Responsibilities Evaluates patients using targeted intervention business rules and processes to identify needed medical services, make appropriate referrals to medical services staff, and coordinate the required services by the benefit plan. Communicates…
Position Summary Position: Community Health Worker Schedule: Mon-Fri 08:0-05:00 PM EST The Community Health Worker (CHW) will support the implementation of the CHW Pilot designed to address health disparities, improve outcomes, and reduce avoidable utilization among Medicaid…
Registered Nurse (RN) - Utilization Management Join a dynamic healthcare team where your clinical expertise helps ensure members receive the right care at the right time. We're seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization Management team . In this…
Medical Assistant (Spanish Preferred) at CVS Health in Elgin, Illinois, United States. Full-time.
Case management Analyst – Field Make a difference where it matters most. Aetna’s Long‑Term Services and Supports (LTSS) program is looking for a passionate, member‑focused Case Management Analyst to support individuals and families across the Northern Virginia region. This is a…
Registered Nurse (RN) – Utilization Management Remote | Afternoon/Evening Shifts Available | 24/7 Operations Are you an experienced RN looking to bring your clinical expertise to a fast-paced, collaborative Utilization Management team? Join us in helping ensure members receive…
Medical Assistant at CVS Health in Rickwood Field, United States. Full-time.
Dispensing Pharmacist - Long Term Care - Full Time at CVS Health in Salt Lake City, Utah, United States. Full-time.
This role is based in a closed-door Long Term Care facility (non-customer-facing) The schedule for this position is based on the needs of the business Monday-Friday, hours of the facility are 9am-8pm. Omnicare is a leading provider of pharmacy services to long-term care…
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