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... SC Medicaid CMO, RVP Health Services (CMO)relies on medical background to ... Carolina Medicaid CMO, RVP Health Services Location: Work from Home in ... and strategy for the Health..
... and shaping the necessary tech-enabled services to deliver on that experience ... to help shape the technology-enabled services we will build together to ... and shaping the necessary tech-enabled..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Description The Managing Clinical Pharmacist within the Pharmacy Claim Audit & Review department monitors drug development pipeline, and medical literature, while providing clinical and audit support for internal stakeholders. Utilizes broad ..
... Medical Director supports the Medicaid program in meeting optimal member outcomes, ... that medically necessary and appropriate services are in place and are ... to make determinations whether requested..
