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WALNUT CREEK, California
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Business Information Developer Consultant
Job Family: RDA > Business/Health Info
Type: Full ... , CHICAGO
VA, NORFOLK
Description
**Business Information Developer
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WALNUT CREEK, California
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HEDIS Business Information Consultant
Job Family: RDA > Business/Health Info
Type: Full ...
Description
HEDIS Business Information Consultant
Location: This position will
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Walnut Creek, California
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Financial Consultant Manager
Job Family: AFA > Financial Reporting, Planning & Analysis
Type ... , Morristown
Description
Financial Consultant Manager
**Location
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Walnut Creek, California
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Workfront Business Consultant
Job Family: BSP > Business Support
Type: Full time
Date ... Business Consultant is responsible for translating moderately complex and varied business needs into
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WALNUT CREEK, California
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Compliance Manager (US)
Job Family: FRD > Compliance
Type: Full time
Date Posted:Apr 25 ...
MA, WOBURN
FL, TAMPA
Description
**Compliance Manager
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WALNUT CREEK, California
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Manager is preferred.
Participation in the American Association of Managed Care Nurses preferred ... market/business considerations. No amount is considered to be wages or compensation until such amount is
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WALNUT CREEK, California
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Executive Advisor and Program Lead, Global Business Resilience
Job Family: IFT > IT Bus Systems ... , CHICAGO
Description
**Executive Advisor and Program Lead, Global Business
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Walnut Creek, California
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compensation will vary depending on the above factors as well as market/business considerations. No amount is ... behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and
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Walnut Creek, California
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solution to the market problem(s) presented by the Product Manager (business).
Works with the business ... .
Agile Product Owner Senior
Job Family: BSP > Business Support
Type: Full time
Date
...
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WALNUT CREEK, California
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overall account reporting.
Proposes rates for prospective business utilizing a combination of other ... departmental processes and procedures in compliance with system, regulatory and business requirements
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WALNUT CREEK, California
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summarizes medical information for medical director, consultants and other external review.
Prepares ... /grievance information on relevant tracking systems and mainframe systems.
Generates written
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WALNUT CREEK, California
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Utilization Manager Correspond Representative Sr (US)
Job Family: CUS > Service Operations ... **
Utilization Manager Correspond Representative Sr
Location: Remote
**Hours: 12pm-8
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WALNUT CREEK, California
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summarizes medical information for medical director, consultants and other external review.
Prepares ... /grievance information on relevant tracking systems and mainframe systems.
Generates written
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WALNUT CREEK, California
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distributes meeting minutes.
Compiles information for reports, documents and proposals.
Collates and ... /business considerations. No amount is considered to be wages or compensation until such amount is earned
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Walnut Creek, California
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, write business case and requirements documents, and develops ROI analysis.
Partners with team ... partnership with technical, clinical, and other cross functional teams.
Works with other business
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Walnut Creek, California
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actual compensation will vary depending on the above factors as well as market/business considerations ... behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and
...
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WALNUT CREEK, California
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summarizes medical information for medical director, consultants and other external review.
Prepares ... /grievance information on relevant tracking systems and mainframe systems.
Generates written
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WALNUT CREEK, California
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summarizes medical information for medical director, consultants and other external review.
Prepares ... /grievance information on relevant tracking systems and mainframe systems.
Generates written
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WALNUT CREEK, California
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initial clinical information presented meets medical necessity criteria or requires additional medical ... additional clinical information.
Ensures proper documentation, provider communication, and telephone
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WALNUT CREEK, California
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summarizes medical information for medical director, consultants and other external review.
Prepares ... /grievance information on relevant tracking systems and mainframe systems.
Generates written
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WALNUT CREEK, California
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summarizes medical information for medical director, consultants and other external review.
Prepares ... /grievance information on relevant tracking systems and mainframe systems.
Generates written
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WALNUT CREEK, California
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responsible for providing strategic leadership for the Commercial California business segment. In this role ... priorities at the business segment level. Accountability for partnering with other leaders to determine and
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WALNUT CREEK, California
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hour shift based on the needs of the business. The hours of operation are Monday - Friday, between 7 am ... for completeness and follows up for additional information.
Assigns referrals to staff
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Walnut Creek, California
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Senior**
Supports the Payment Integrity line of business
_Location: This ... may impact more than one company health plan, line of business and/or state.
May interface
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WALNUT CREEK, California
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on the above factors as well as market/business considerations. No amount is considered to be wages ... our culture. They are how we achieve our strategy, power our business outcomes and drive our shared
...
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WALNUT CREEK, California
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above factors as well as market/business considerations. No amount is considered to be wages or ... achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our
...
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WALNUT CREEK, California
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initial medical necessity clinical screening and determines if initial clinical information presented ... preauthorization determination decision.
Follows-up to obtain additional clinical information.
Ensures
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WALNUT CREEK, California
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referral sources.
Reviews referrals for completeness and follows up for additional information ... requirements for patient eligibility.
Contacts physician offices to obtain demographic information or
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WALNUT CREEK, California
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business operations and/or customer relationship; or any combination of education and experience which ... on the above factors as well as market/business considerations. No amount is considered to be wages
...
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Walnut Creek, California
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Business Robotics Process Automation Consultant
Job Family: BSP > Process Improvement
Type ...
Description
Business RPA Consultant
**Locations: Indianapolis, IN; Mason, OH; Atlanta
...
