Care Coordinator II
The Care Coordinator II supports care management activities and ensures services are delivered by healthcare providers. They interact with members through outreach and coordinate care activities based on care plans.
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Associate Marketing Manager, Digital Marketing
The Associate Marketing Manager will execute the patient-facing digital marketing strategy for Dexcom's North America Digital Experience team. This includes leading website projects and supporting email/communications projects while collaborating with various internal and external teams.
Secure AI Architect
Lead customer workshops to assess AI readiness and define AI governance frameworks. Advise on secure adoption of generative AI tools and design data protection strategies.
Merchandiser
As a Merchandiser, you will creatively showcase brands through building displays and managing inventory at retail accounts. You will also build strong rapport with key account relationships and identify brand/category opportunities.
FR
Frontera Starter Fellowship 12 applicants
Fellows will spend approximately 20 hours per week building their independent ABA clinic, including training, mentoring, and business setup. They will engage in weekly group sessions and utilize the Frontera platform to integrate AI solutions into their workflows.
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Frontera Starter Fellowship
Fellows will spend approximately 20 hours per week building their independent ABA clinic, engaging in training sessions, mentoring calls, and business setup. They will utilize the Frontera platform and collaborate with other fellows to grow service access for children with autism.
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Frontera Starter Fellowship
Fellows will spend approximately 20 hours per week building their independent ABA clinic, engaging in training sessions, mentoring calls, and business setup. They will utilize the Frontera platform and collaborate with other fellows to grow service access to children with autism.
Sr. Platform Software Engineer, Prepared
Design, build, and maintain scalable, reliable, and secure infrastructure to support Prepared’s platform. Architect and implement core systems while contributing to the long-term strategy of the platform.
Medical Director - Spine
The Medical Director (Spine) will expand Aetna's medical management programs to address member needs across the continuum of care and support the Medical Management staff. They will lead utilization review and quality assurance, providing clinical expertise and business direction in support of medical management programs.
Medical Director - Medicaid Northeast
The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review.
Care Management Associate OhioRISE, must live in OHIO
The Care Management Associate manages enrollment for the Children’s Specialty program and supports comprehensive coordination of medical services. This role involves developing wellness plans, engaging community resources, and ensuring effective utilization of healthcare services.
Medical Director - Kentucky Medicaid
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and pre-certification as well as concurrent review.
Global Transfer Pricing Manager 19 applicants
The Global Transfer Pricing Manager will oversee the execution of operational transfer pricing processes and ensure compliance with international tax laws. They will also analyze financial data, prepare reports, and collaborate with cross-functional teams to align forecasts with business objectives.
Medical Director - Heartland
The Medical Director will oversee medical policy implementation and participate in the development and evaluation of clinical programs. They will focus on utilization review and quality assurance, ensuring effective execution of medical services programs.
Medical Director - Medicaid (IL)
The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review.
Medical Director - Medicare Appeals
The Medical Director will direct daily work on Part C appeals and provide support to appeal nurses. They will also monitor IRE and collaborate with Medicare Quality and Compliance.
Medical Director - West Virginia Medicaid
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and pre-certification as well as concurrent review.
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Medical Director-Medicaid (ABH TX)
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and concurrent review.
Medical Director-Medicaid (ABH TX)
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and precertification as well as concurrent review.
Client Solutions Manager - Major Accounts (Autotrader)
The Major Accounts Client Success Manager will manage relationships with high-profile automotive dealer clients, focusing on client retention and revenue growth. They will provide ongoing analytics, consultation, and support to maximize clients' return on investment from Cox Automotive products.
Sr. Software Dev Engineer - IBMi
Lead the design and development of solutions for complex technical projects while acting as a subject matter expert. Collaborate with various stakeholders to solve technical problems and ensure timely progress of system design and development tasks.
Provider Escalation & Education - Senior Manager
The senior manager will lead the development of a new team focused on managing group escalations and centralizing issue intake. They will engage directly with critical provider groups to build trust and resolve issues effectively while driving operational initiatives to improve performance.
Case Manager – Registered Nurse – Field – Southwest Michigan + Bonus Available 33 applicants
The Case Manager is responsible for assessing, planning, implementing, and coordinating case management activities to evaluate the medical needs of members. They develop proactive care plans and collaborate with various stakeholders to enhance member wellness and address health and social challenges.
SFE Training Manager - Chronic and Post Acute Wound Care
The SFE Training Manager will design and develop sales enablement training for the Advanced Wound Care US Business Unit, focusing on onboarding, advanced account selling skills, and new product launches. This role involves partnering with various stakeholders to enhance field effectiveness and ensure compliance with regulatory guidelines.
Lead Analytics Engineer - 10855
As a Lead Analytics Engineer, you'll architect the data foundation that powers strategic decisions across the organization. You'll transform raw data into trusted, reusable data products using DBT and modern data tools.
Staff Software Development Engineer
The Staff Software Development Engineer will design, build, and deploy infrastructure capabilities for database technologies in various cloud environments. They will collaborate with multiple teams to create automation and improve customer experiences.
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Manager - Strategic Financial Planning & Investments
The Manager will support key financial initiatives through financial modeling, capital planning, and business case development. This role involves collaboration across teams to drive data-informed decisions and operational efficiency.
DE
Remote Operation Center Generation Operator
The Remote Operations Center Generation Operator is responsible for maintaining daily logs of system events, monitoring real-time power output, and ensuring the safe and reliable operations of renewable energy assets. This role involves preparing daily power nominations and reports while coordinating load levels to maintain system integrity.
Senior Backend Engineer
As a Senior Backend Engineer, you'll design and develop scalable back-end systems and APIs for high-impact applications. You'll own the full software development lifecycle and resolve production issues with urgency.
Case Manager Registered Nurse- San Antonio, TX 37 applicants
The Case Manager RN is responsible for assessing, planning, implementing, and coordinating case management activities with members to evaluate their medical needs. This role involves developing proactive strategies to enhance members' overall wellness and facilitate smooth transitions to Aetna programs and plans.
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