Team leadership, strategy and overall success of the MPE contract and program. Specifically, the Account Manager is responsible for meeting and / or exceeding the financial, operational and service objectives of the client.
Business Solutions Manager is someone who can effectively cross-collaborate with multiple stakeholders to define the current and future state of Salesforce business process, identifying issues and risks, suggesting mitigation strategies and driving towards technology solutions.
Development and implementation of technical solutions. This role will leverage technical expertise in database applications, ETL processes, and automation in support of internal and external customer's.
Quality Assurance team members and business stakeholders to review use cases and develop and execute test plans, and test cases to ensure application development meets or exceeds business requirements.
Managing state and health plan request for proposal (RFP) responses beginning at capture management transition, through RFP release and completion and post-proposal submission including finalist presentations.
Dental Consultant will review claims based on medical necessity, in accordance with market contracts, evaluate appeals, counsel providers, identify providers with aberrant utilization patterns, provide clinical support for provider outreach, and act as a clinical SME (or liaison) for internal entities.
The Director of National Provider Recruitment is responsible for developing effective talent acquisition strategies for our Care Group division. The director will establish, implement, and direct a team of clinical recruiters responsible for processes.
This role acts as the primary vision provider recruiter, ensuring compliant vision networks in accordance with the requirements and guidelines within a specific market. Additionally, this position is charged with maintaining and enhancing all Networks and Provider Relations.
Dental Consultant will review claims based on medical necessity, in accordance with market contracts, evaluate appeals, counsel providers, identify providers with aberrant utilization patterns, provide clinical support for provider outreach, and act as a clinical SME ( or liaison ) for internal entities.
Associate General Counsel will be a member of the Legal Department, will work collaboratively with other members of the Department and will report directly to the Company's Chief Legal Officer or Deputy General Counsel.
Application Architects, Developers, Software Quality Assurance team members and business stakeholders to develop and execute test scripts to ensure application development products meet non-functional business requirements relative to performance SLAs.
The Project Manager II will have responsibility for leading business projects supporting our external client growth. This position will have experience in implementing new lines of business, products and business concepts.