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Centene Corporation
Centene Corporation
KonsaltingSog‘liqni saqlashSug‘urta
Centene Corporation davlat tomonidan qo‘llab-quvvatlanadigan tibbiy sug‘urta va jamoat salomatligiga e’tibor qaratadigan sog‘liqni saqlash va sug‘urta kompaniyasidir. Uning xizmatlari Medicaid, Medicare, Tibbiy sug‘urta bozori rejalari hamda harbiy jamoalar uchun TRICARE ko‘magini o‘z ichiga oladi. Centene o‘zi xizmat ko‘rsatadigan a’zolarning ehtiyojlarini qondirish uchun mahalliy tibbiy yordam ko‘rsatishni notijorat tashkilotlar bilan hamkorlik bilan uyg‘unlashtiradi. Kompaniya, shuningdek, faoliyat yuritish va jamoalarni qo‘llab-quvvatlash yondashuviga ekologik mas’uliyat hamda axloqiy boshqaruvni kiritadi.
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Kompaniyadagi ish o‘rinlari

Provider Engagement Account Manager - Kansas Remote

Manage Centene’s provider partnerships across Kansas while improving network quality, cost utilization, claims resolution, and performance outcomes.

USAmerika Qo‘shma ShtatlariKSKanzas
56 200 $ – 101 000 $ / yil
MasofaviyTo‘liq stavkaJuniorO‘rta darajaTalab Qilinadigan Til: inglizchaMijozlar bilan ishlash menejeriSotuv

Tavsif

  • Manage relationships between the health plan and contracted provider networks
  • Develop client relationships that support high-quality member care
  • Work with providers to identify network performance opportunities and solutions
  • Deliver consultative account management and oversee issue resolution
  • Improve contract incentive performance, quality, and cost utilization
  • Act as the primary provider contact and health-plan liaison
  • Route provider concerns to internal teams for resolution
  • Address issues raised by external providers
  • Investigate, resolve, and communicate provider claim issues and updates
  • Record changes to provider demographic information
  • Educate providers about referrals, claims submission, website functions, EDI solicitation, and related processes
  • Lead provider orientations and continuing education
  • Create and maintain orientation materials
  • Oversee network performance within the assigned territory
  • Assess provider performance and create strategic improvement plans
  • Advance Risk/P4Q, Health Benefit Ratio, HEDIS/quality, cost, and utilization results
  • Complete special projects and other assigned responsibilities
  • Follow applicable policies and standards

Talablar

  • Bachelor’s degree in a related field or equivalent experience
  • Two years of experience in managed care or medical groups, provider relations, quality improvement, claims, contracting utilization management, or clinical operations
  • Project management experience in a medical group, IPA, or health-plan environment
  • Proficiency with HEDIS and quality measures, cost, and utilization
  • Preferred knowledge of Kansas HCBS and LTSS waiver programs, including eligibility, service delivery, and regulatory requirements
  • Residence in Kansas City, Kansas is required
  • Willingness to travel locally four days per week

Imtiyozlar

  • Competitive compensation
  • Health insurance
  • 401(k) plan
  • Employee stock purchase plans
  • Tuition reimbursement
  • Paid time off and holidays
  • Flexible remote, hybrid, field, or office work arrangements
  • Additional incentives may form part of total compensation
  • Equal opportunity and diversity commitment

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Nivoda

Senior AI/ML Engineer, Remote in the United States

Nivoda
201 – 500 Xodimlar
Chakana savdoElektron tijoratMarketpleys
USAmerika Qo‘shma ShtatlariMAMassachusetsNYNyu-YorkMasofaviyTo‘liq stavkaSeniorTalab Qilinadigan Til: inglizchaMashinaviy o‘qitish muhandisi
Elasticsearch

Develop ranking, recommendation, and multimodal search systems for Nivoda’s global jewellery marketplace and jeweller storefronts. Build production machine learning capabilities across search, product discovery, and image matching.

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CET Logistics

Business Engagement Specialist – CET Logistics

CET Logistics
201 – 500 Xodimlar
KonsaltingLogistikaSog‘liqni saqlash
USAmerika Qo‘shma ShtatlariMAMassachusetsNHNyu-HempshirRIRod-Aylend
54 600 $ – 59 500 $ / yil
MasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaUmumiy

Connect businesses and institutions with CET’s waste reduction and energy efficiency programs. Build referral networks, qualify leads, coordinate handoffs, and support carbon reduction efforts.

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FHI 360

Associate Director of Procurement, Administration and Logistics

FHI 360
1 001 – 5 000 Xodimlar
H1B vizasi homiysiKonsaltingOziq-ovqat va ichimliklarSog‘liqni saqlash
CDKongo – Kinshasa
120 000 $ – 143 000 $ / yil
OfisdaTo‘liq stavkaSeniorTalab Qilinadigan Til: inglizchaTalab Qilinadigan Til: fransuzchaXaridlar

Leads procurement, administration, logistics, and operations for FHI 360’s country office in the Democratic Republic of the Congo. Supervises functional leads and maintains compliance with donor, government, and supply chain requirements.

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