The role is responsible for evolving and maintaining the Disaster Recovery framework, plans, and standards to ensure organizational resilience. This includes coordinating DR testing, tracking remediation of gaps, and reporting readiness maturity to leadership.
Point32Health
7 Remote Job Openings at Point32Health
The Sr Consultant manages the delivery of complex, technology-intensive cross-functional projects and ensures operational readiness for new capabilities. This includes overseeing project lifecycles, managing budgets, and coordinating between business units and executive leadership.
Manage cross-functional programs and vendor operations to ensure effective workflows and timely processes. Lead project planning, perform impact analyses, and make data-driven recommendations for policy and process improvements.
The UM Specialist manages non-clinical reviews and coordinates coverage determinations, specifically writing and editing medical necessity denial letters. They also conduct staff audits, assist in training new employees, and resolve claims discrepancies with partner departments.
The Manager of Program Management serves as the single point of accountability for SCO Care Management regulatory integrity, audit response, and program performance. They lead cross-functional initiatives to ensure compliance with Model of Care requirements and oversee the quality team's improvement projects.
The Care Coordinator supports the general case management process by managing member outreach, triaging needs, and coordinating healthcare services. They act as a key contact for internal and external stakeholders while performing essential clerical and data entry tasks.
Care Manager - Bilingual preferred (Mandarin/Cantonese, Spanish a plus)
Point32Health
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Full Time
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a month ago
Point32Health
The Care Manager ensures members receive timely care management, including transitions of care, complex case management, and chronic condition interventions. They collaborate with members, caregivers, and providers to develop and implement member-specific plans of care to improve health outcomes.
