The Clinical Pharmacist will supervise drug utilization and prior authorization programs while developing pharmacy cost containment strategies. They will also serve as a corporate resource to medical management and operations staff regarding pharmacy policies and procedures.
The Utilization Management Nurse performs clinical reviews of prior approvals, admissions, and procedures to ensure medical necessity and quality of care. They collaborate with healthcare providers to promote cost-effective care while adhering to clinical guidelines and regulatory standards.
The RN Case Manager assesses, plans, and coordinates comprehensive care plans to optimize patient outcomes and ensure cost-effective healthcare delivery. They serve as a liaison between patients, families, and healthcare providers to facilitate appropriate services and maintain compliance with regulatory standards.
The Utilization Management Nurse performs clinical reviews of prior approvals, admissions, and procedures to ensure medical necessity and cost-effective care. They also facilitate collaborative processes between patients, families, and providers to promote quality outcomes and compliance with healthcare standards.
The Strategic Account Executive serves as the primary liaison for national clients, focusing on business growth, contract renewals, and the development of multi-year strategic account plans. They provide expert counsel on healthcare trends and cost containment while overseeing service delivery and ensuring operational compliance.
The CMDB Administrator ensures high availability, security, and consistency of enterprise data within the ServiceNow platform. They assist with database planning, troubleshooting, and support IT Operations Management functions including discovery and service mapping.
The Pharmacy Technician provides operational support to the Medicare Pharmacy team to ensure the safety and cost-efficiency of member prescriptions. They are responsible for troubleshooting daily reports, ensuring regulatory compliance, and participating in staff meetings.
The Project Manager oversees multiple projects through the full lifecycle, including planning, scope definition, execution, and delivery. They collaborate with cross-functional teams and stakeholders to define objectives, monitor performance metrics, and manage project risks and changes.
The Enterprise Technology Architect develops and maintains architectural strategies, standards, and roadmaps to ensure technology solutions align with business objectives. They collaborate with cross-functional teams to drive innovation, evaluate emerging technologies, and integrate security and resiliency into enterprise systems.
