Qualifications And Experience Jobs in Brentwood

... to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization ... Nurse work assignments are varied and frequently require interpretation and independent determination..

... Engineer solves complex business problems and issues using data from internal ... issues using data from internal and external sources to provide insight ... describes the tools, technologies, applications..

... Business Systems Analysis Professional formulates and defines systems and objectives based on both user ... based on both user needs and a good understanding of applicable ... understanding of..

Description The Experience Strategy & Transformation Lead enhances ... Transformation Lead enhances the consumer experience by architecting experiences and building capabilities that will positively ... positively impact our customers. The..

... to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization ... 2 work assignments are varied and frequently require interpretation and independent determination..

... performs analysis of business, process and user needs, documentation of requirements, ... documentation of requirements, cost/benefit analysis and translation into proper system requirement ... with end users to identify..

... is responsible for the administration and monitoring of the Autism Care ... Plan (EFMP), auditing for quality and clinical compliance, and case management. Serve as a ... beneficiaries, guardians,..

... The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc ... Analyst generates ad hoc reports and regular datasets or report information ... for end-users using system tools..

... The Senior Application Architect designs and develops IT applications architecture solutions ... with the enterprise architecture direction and standards. The Senior Application Architect ... performs technical planning, architecture development..

Description The Sr. Consumer Experience Professional performs data analysis supporting ... supporting learning plans via management and usage of consumer behavioral, demographic, ... usage of consumer behavioral, demographic, and attitudinal..

... you will use your background and experience in program management to lead ... in program management to lead and manage a team of PMO ... delivery of strategic enterprise..

... 2 manages data to support and influence decisions on day-to-day operations, ... on day-to-day operations, strategic planning and specific business performance issues. The ... 2 work assignments are varied..

... Administration monitors drug development pipeline, and medical literature, while providing clinical ... broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate..

Description The Senior Clinical Strategy and Practice Professional builds strategies for ... development, engagement, best clinical practices and processes for clinical community within ... enterprise The Senior Clinical Strategy and..

... a world class Data Science and Insights enterprise capability leveraging digital-first ... capability leveraging digital-first platforms, analytics, and agile development methodologies. An opportunity ... we provide our consumers-physicians, patients,..

... health outcomes for our seniors and helping them to lead their ... best lives. Author's Product & Experience team drives the strategy and vision for our member and associate..

... for Clinical Pharmacy Products develops and evaluates new product ideas, enhance ... products or strategic product extensions, and translates research discoveries into marketable ... This role provides strategic advice..

... on problems of diverse scope and complexity ranging from moderate to ... expert responsible for developing, guiding, and documenting clinical business system and functional processes, influences system design .....

... The Associate Director, Problem, Incident and Event Management drives technical support ... The Associate Director, Problem, Incident and Event Management requires a solid ... The Associate Director, Problem, Incident..

... the TRICARE contract. Prepare, scan, and stage for final distribution all ... TRICARE contractual requirements for timeliness and documentation. Request medical records, enter ... records, enter information into database,..

... a history of successful innovation and reinvention, with over 50 years ... years as a proven leader and innovator in the health and wellness industry. A passionate emphasis .....

... The Senior Application Architect designs and develops IT applications and architects solutions to business problems ... with the enterprise architecture direction and standards. The Senior Application Architect ... performs..

... providing administrative support in new and existing Home Care markets. This ... This is achieved by managing and building a network of contracted ... We're passionate about helping families..