Duties:    • The primary purpose of the job is to:• As an individual contributor, the Behavioral Health Care Manager is responsible for the daily functions of the clinical department including triage of calls, care coordination and utilization management. • The Care Man...
Location: New Jersey, USA
Duties:    • The primary purpose of the job is to: • Under the supervision of the Community Outreach Services Team Supervisor, the Community Outreach Services Representative interfaces with members in person, on the phone and through correspondence as appropriate to communic...
Location: District of Columbia, USA
Care Manager II Feb-20-2019
Duties: • Under the Supervision of the Manager of Care Management, the Care Manager is responsible for the overall accountability for the identification of members appropriate for care management services.  • Completes a comprehensive Initial Assessment and gathers pertinent informati...
Location: District of Columbia, USA
Duties: • Enter data regarding requests for health care services such as personal assistant services, home delivered meals services, adult day health services, home-based health care services and support.• Review and compare claims data to the request for service informationSkills: • ...
Location: Pennsylvania, USA
Duties: • Under the direct supervision of the Provider Maintenance Supervisor, the Provider Maintenance Technician I is responsible for maintaining both participating and non-participating provider records in the provider database. • Demonstrates and supports commitment to corporate goals ...
Location: Pennsylvania, USA
Care Manager II Mar-15-2019
The primary purpose of the job is to:• Under the Supervision of the Manager of Care Management, the Care Manager is responsible for the overall accountability for the identification of members appropriate for care management services.  • Completes a comprehensive Initial Assessment an...
Location: Pennsylvania, USA
Duties: • Under the direct supervision of the Supervisor, Pharmacy Services Call Center, the Pharmacy Call Center Technician is responsible for providing knowledgeable and courteous customer assistance and response to members, providers and Pharmacy Call Center Technician inquiries.  Princ...
Location: Pennsylvania, USA
Pharmacy Auditor Mar-29-2019
Duties: The primary purpose of the job is to:  • Under the general observation of the Supervisor Pharmacy Network Audit  assists the Supervisor in the evaluation, reporting and monitoring of all aspects pertaining to Pharmacy Network auditing services • Audit to ensure pharmacies...
Location: Pennsylvania, USA
Executive Assistant Apr-10-2019
Duties: • Feed Provides executive administrative support to a Vice President(s) and teams along with Manager, IS Administration and Communications. • Manages SharePoint site for division. Performs administrative tasks such as managing the day-to-day operations of the department, managing E...
Location: Pennsylvania, USA
Software Development & Testing:• Develops using enterprise wide standard programming language(s)• Maintains existing code base and implements new features• Unit and system tests software to assure quality• Analysis & Design• Carries out systematic problem identificat...
Location: Pennsylvania, USA