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Reposted 10 Hours AgoSaved
Remote
CA
Senior level
Senior level
Healthtech
The Supervisor of Appeals & Grievances oversees the Grievance and Appeals team, handling member complaints and ensuring compliance with regulations. Responsibilities include hiring, training, auditing work, and coordinating complex grievance issues, while maintaining operational efficiency and preparing reports for audits.
Reposted 10 Hours AgoSaved
Remote
CA
Mid level
Mid level
Healthtech
Supervise the clinical review team managingPrior Authorization and Concurrent Review activities, ensuring compliance, performance, and quality in utilization management processes.
Top Skills: Healthcare RegulationsNursing LicensureUtilization Management Principles
Reposted 18 Hours AgoSaved
Remote
3 Locations
Mid level
Mid level
Healthtech
As a Remote Psychologist Reviewer, you will authorize and monitor care for behavioral health, conduct peer reviews, and interact with practitioners to improve care for youths with Autism.
Reposted 18 Hours AgoSaved
Remote
3 Locations
Senior level
Senior level
Healthtech
Develop and implement privacy and information security training programs. Evaluate effectiveness and support leadership initiatives, while educating workforce on cybersecurity risks.
Top Skills: CybersecurityInformation SecurityInstructional DesignPrivacy
Reposted 18 Hours AgoSaved
Remote
6 Locations
Mid level
Mid level
Healthtech
As a Psychologist Reviewer, you will review outpatient and psych/neuropsych testing, manage appeals, consult peers, and support Medicaid quality care.
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Reposted 18 Hours AgoSaved
Remote
CA
Junior
Junior
Healthtech
The Pharmacy Operations Coordinator I ensures accurate pharmacy program administration, supports operational tasks, conducts claims analysis, and complies with regulations.
Top Skills: Data AnalysisExcelPharmacy Benefit Management
Reposted 18 Hours AgoSaved
Remote
3 Locations
Senior level
Senior level
Healthtech
The role leads technology solutions for clinical operations, overseeing system integration and improvements, project management, and collaboration with stakeholders to enhance clinical systems performance.
Top Skills: Integration TechnologiesProgramming LanguagesSystem Architecture
YesterdaySaved
Remote
5 Locations
Senior level
Senior level
Healthtech
This role develops and implements Privacy and Information Security training programs, educating employees on risks and secure practices, while driving behavior change. It includes creating online learning experiences, evaluating effectiveness, and mentoring team members.
Top Skills: CybersecurityInstructional DesignRisk Assessment Tools
YesterdaySaved
Remote
9 Locations
Junior
Junior
Healthtech
Serve as customer support for client accounts, collaborating with the Account Management team to ensure customer satisfaction and issue resolution.
YesterdaySaved
Remote
4 Locations
Senior level
Senior level
Healthtech
Oversees vendor management and financial performance, ensuring budget accuracy, vendor outcomes, and compliance while managing budget cycles and financial analyses.
Top Skills: CognosHyperion
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