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JOB DESCRIPTION Job Summary The role is responsible for establishing premium rates and conducting financial analysis and reporting. A key responsibility of this role is supporting the Molina...
**JOB DESCRIPTION****Job Summary**Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding...
Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based...
Duties Description DUTIES DESCRIPTION: Under the supervision of a Lead Business Analyst, this POSITION will work with HESC FAS Modernization Project and other Program teams on an array of duties including but not limited to: 1.
PATIENT CARE ASSOCIATE - EMERGENCY ROOM Job Type: Full-Time (Day Shift) & Part-Time (Night Shift) Salary: $24.95/hr. - $25.49/hr. About Jamaica Hospital Medical Center: Jamaica Hospital Medical Center, a...
Duties Description The New York State Education Department's (NYSED) Office of the Professions (OP) is seeking candidates for a Project Assistant position in the Office of Tech Team. Under the direct supervision of the Supervisor of Administrative...
**JOB DESCRIPTION****Job Summary**Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including...
About the Role As a Registered Nurse (RN), you'll play a vital role in providing compassionate and high-quality care to patients. You'll work in a variety of healthcare settings, such as hospitals, clinics, and nursing homes, assessing patient...
100% telecommute. Hours: 8am - 5pm PT Interview Process: 3 rounds via video. Description: The role is for a Sr Project Manager II (Master Scheduler) on the...