... resources. Evaluation of Members; Through the use of care management tools and information/data ... aspects of the utilization/benefit management program. -Applies critical thinking and knowledge in ...

... care and educational materials, patient care plans, patient self-management tools, referrals, and ... management practices, commits to recognize and respect cultural diversity for all customers (internal and ...

... -platform data aggregation, analytics, and insights, in partnership with the Lead Director of Observability ... , log management, incident management and triage, data analysis, and events management. Prior ...

... -term. The Executive Director provides critical insight through analysis of a variety of factors ... & Performance Management), as well as various business segment leaders and third-party consultants (as ...

... Care Plan and sets the foundation for follow up care management by assessing a member’s medical ... medical terminology, health care, and the concepts of care management Experience with computers ...

... service solution for large plan sponsors. The high-touch, high-tech member advocacy service combines data ... and create behavior change. Our data analytics, white-glove service and end-to-end ownership of member ...

... experience with a law firm, healthcare or retail company focused on issues related to privacy, data protected ...

... business, applications/integration, data, infrastructure, platform, and security architectures. In ... Leaders and the Portfolio Management Team Proof of concept technology support: Lead and drive ...

... service solution for large plan sponsors. The high-touch, high-tech member advocacy service combines data ... and create behavior change. Our data analytics, white-glove service and end-to-end ownership of member ...

... Accredited Actuary is required (Associate of the Society of Actuaries or Fellow of the Society of Actuaries ... ’ experience working directly with healthcare client data analyzing pharmacy claims or other relevant data ...