The representative manages direct communication between the health plan and its members, providers, and brokers to resolve inquiries and complaints. They are responsible for accurately documenting calls, verifying eligibility, and maintaining comprehensive knowledge of plan benefits and policies.
The IAM Epic Security Analyst II provides guidance on IAM and Epic security strategies while maintaining systems to ensure authorized access. They are responsible for responding to security incidents, managing audit compliance, and coordinating with IT teams to enhance Epic access structures.
Supervise the implementation and operational planning of Ambulatory Case Management programs to ensure compliance with regulatory standards. Manage staff performance, coordinate with medical directors, and analyze operational data to improve program outcomes and service delivery.
The pharmacist will perform clinical reviews of medication orders, monitor drug therapy, and ensure compliance with hospital formulary and safety protocols. They will also provide patient education, oversee pharmacy operations, and collaborate with the interdisciplinary team to optimize patient outcomes.
Provide strategic thought leadership and architectural designs for enterprise software and web applications to achieve business objectives. Lead the evaluation of new technologies and mentor staff to ensure systems are robust, scalable, and secure.
The Sr. Data Architect is responsible for implementing an enterprise HDFS environment and developing the strategic architecture for the Data Analytics platform. This includes designing logical and physical data models, overseeing ETL processes, and providing technical leadership to architects and developers.
The IAM System Developer II is responsible for designing, engineering, and optimizing enterprise IAM solutions, leading complex integrations, and ensuring security and scalability. This role involves collaborating with architecture and security teams to align with zero-trust principles.
The RN CM I assesses, develops, implements, coordinates, and monitors a comprehensive plan of care for each patient/family in collaboration with the interdisciplinary team. This position requires balancing clinical needs with efficient resource utilization to promote quality outcomes.
