Qualifications And Experience Jobs in Newtown

... this position should have extensive experience with architecting and designing enterprise Cloud platforms and infrastructure. This role ensures that ... workloads have optimal performance, continuity and efficiency in virtualized,..

... 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 .....

... 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 .....

... Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that ... communicates contract terms, payment structures, and reimbursement rates to..

... 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..

... 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..

... 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..

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..

... 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..

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..

... offers a variety of responsibilities and assignments centered around sales. Responsibilities ... the art of inside sales and account management within a fast-paced, ... ) to promote Humana health..

... 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 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,..

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..

... 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..

... 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..

... all of our team members and appreciate all that they do ... Ross Twp., Ben Avon, McCandless, and Wexford. If you are like ... you a sense of fulfillment..

... on problems of diverse scope and complexity ranging from moderate to ... the Illinois Medicaid Market. Develops and implements compliance policies and procedures and monitor key market metrics. Researches..

... 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..

... 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..

... 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,..

... Needs Plans provide personalized guidance and resources to help members get ... members get the right care and information based on their specific ... Are eligible for both Medicare..

... 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..