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Centene Corporation
Centene Corporation
DraudimasKonsultavimasSveikatos priežiūra
„Centene Corporation“ yra sveikatos priežiūros ir draudimo bendrovė, daugiausia dėmesio skirianti valstybės remiamam draudimui ir bendruomenių sveikatai. Jos paslaugos apima „Medicaid“, „Medicare“, „Health Insurance Marketplace“ planus ir TRICARE paramą kariuomenės bendruomenėms. „Centene“ derina vietos lygmeniu teikiamą priežiūrą su partneryste su ne pelno organizacijomis, kad patenkintų aptarnaujamų narių poreikius. Vykdydama veiklą ir remdama bendruomenes, bendrovė taip pat atsižvelgia į aplinkosaugą ir etišką valdymą.
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Darbai įmonėje

Provider Engagement Account Manager – Florida

Build and support Centene’s contracted provider network in Florida. Help providers improve quality, cost, utilization, claims resolution, and network performance.

USJungtinės ValstijosFLFlorida
56 200 $ – 101 000 $ / metai
HibridinisVisas etatasJaunesnysis specialistasVidutinis lygisPrivaloma Kalba: anglųKlientų vadybininkasPardavimai

Aprašymas

  • Maintain relationships between the health plan and contracted provider networks
  • Build client relationships that support high-quality care for members
  • Work with providers to identify network performance opportunities and solutions
  • Manage accounts consultatively and take responsibility for resolving issues
  • Improve contract incentive results, quality, cost, and utilization
  • Act as providers’ main contact and connect them with the health plan
  • Route provider issues to the appropriate internal teams
  • Address issues raised by external providers
  • Investigate and resolve provider claim issues, and communicate related changes
  • Update provider demographic information
  • Guide providers on referrals, claims submission, website use, EDI solicitation, and related topics
  • Lead provider orientations and ongoing education, and create or update orientation materials
  • Oversee network performance in an assigned territory through consultative account management
  • Assess provider performance and create targeted improvement plans
  • Support provider improvement in Risk/P4Q, HBR, HEDIS and quality, cost, and utilization
  • Complete special projects and other assigned work
  • Follow applicable policies and standards

Reikalavimai

  • Applicants must live in one of these Florida counties: Indian River, Martin, Okeechobee, Palm Beach, or St. Lucie
  • Bachelor’s degree in a related field or equivalent experience
  • Two years of experience in managed care, a medical group, provider relations, quality improvement, claims, contracting, utilization management, or clinical operations
  • Project management experience in a medical group, IPA, or health plan setting
  • Proficiency in HEDIS and quality measures, cost, and utilization
  • Ability to travel locally four days per week

Privalumai

  • Competitive pay
  • Health insurance
  • 401(k)
  • Stock purchase plans
  • Tuition reimbursement
  • Paid time off and holidays
  • Flexible remote, hybrid, field, or office work schedules
  • Additional incentives may be included in total compensation

Susiję darbai

The Nursing and Midwifery Council

Head of Legal Services Transformation

The Nursing and Midwifery Council
501 – 1 000 Darbuotojai
Ne pelno organizacijosSveikatos draudimasSveikatos priežiūra
GBJungtinė Karalystė
81 924 £ – 97 879 £ / metai
HibridinisVisas etatasVadovasPrivaloma Kalba: anglųVyriausiasis teisės patarėjas

Lead the Nursing and Midwifery Council’s legal services transformation, shaping its future operating model and strengthening legal capability. Partner with senior leaders to guide governance, organisational change and lasting adoption.

Atidaryti
Severn Trent

Commercial Legal Counsel – Severn Trent, Coventry (Hybrid)

Severn Trent
5 001 – 10 000 Darbuotojai
H1B vizos rėmėjasKonsultavimasStatybaSveikatos priežiūra
GBJungtinė KaralystėHibridinisVisas etatasJaunesnysis specialistasVidutinis lygisPrivaloma Kalba: anglųVyriausiasis teisės patarėjas

Advise Severn Trent Water on commercial contracts, procurement, technology and intellectual property. Support strategic projects, negotiations and legal risk management in a hybrid role based in Coventry.

Atidaryti
Priceline

Senior Legal Counsel, Global Compliance & Ethics

Priceline
1 001 – 5 000 Darbuotojai
H1B vizos rėmėjasKelionėsLogistikaRinkodara
USJungtinės ValstijosCTKonektikutasNYNiujorkas
185 400 $ – 226 600 $ / metai
HibridinisVisas etatasVyresnysis specialistasPrivaloma Kalba: anglųVyriausiasis teisės patarėjas

Lead compliance risk reviews, policy development, and ethics programs for Booking Holdings’ global travel brands. Advise teams on regulatory exposure and business integrity.

Atidaryti
Stitch Fix

Head of Technology Portfolio and Program Management

Stitch Fix
5 001 – 10 000 Darbuotojai
H1B vizos rėmėjasKonsultavimasLogistikaRinkodara
USJungtinės Valstijos
198 000 $ – 330 000 $ / metai
NuotolinisVisas etatasVadovasPrivaloma Kalba: anglųTechnologijų direktorius

Lead technology portfolio planning and program management at Stitch Fix, connecting product, engineering, and business investments to measurable outcomes. The role supports the company’s personalized retail model through data science and AI.

Atidaryti
Stitch Fix

Distinguished Architect, Enterprise Technology

Stitch Fix
5 001 – 10 000 Darbuotojai
H1B vizos rėmėjasKonsultavimasLogistikaRinkodara
USJungtinės Valstijos
204 800 $ – 341 000 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųArchitektas
DebesijaPaskirstytosios sistemos

Set the architectural direction for Stitch Fix’s personalized retail technology, guiding modernization across cloud, data, and AI. Advise executives on resilient platforms and long-term engineering investments.

Atidaryti
Trowers & Hamlins

Senior Associate or Legal Director, Leasehold Enfranchisement – Birmingham (Hybrid)

Trowers & Hamlins
1 001 – 5 000 Darbuotojai
Nekilnojamasis turtasStatybaTeisė
GBJungtinė KaralystėHibridinisVisas etatasVyresnysis specialistasPrivaloma Kalba: anglųVyriausiasis teisės patarėjas

Advise landlords, investors, developers and tenants on lease extensions, collective enfranchisement and Right to Manage claims. The role also covers tenants’ rights of first refusal, enfranchisement reform and related property disputes.

Atidaryti