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Univera Jobs

19 Jobs Found

Responsible for delivering projects and programs with quality, to plan, and within budget. Essential Responsibilities/Accountabilities • Plans, directs, and coordinates a matrixed team(s) activities to manage and implement interrelated projects from......
The Specialty Claims Examiner is responsible for reviewing complex events pre-and post-payment that require specialized skills including but not limited to: advanced research, identification of gaps and discrepancies, thorough knowledge of corporate......
Under the supervision of Manager of Member Care Management Programs, this position supports the establishment and maintenance of population preventative care management interventions. This position coordinates all mailing campaigns and Interactive V......
Under the direction of the Director of Member Care Management Programs and in accordance with the objectives and policies of the corporation, serves as the expert and leader for case management activities and overall coordination within the Care Man......
The Medicare Star Population Education Coordinator assesses, educates, supports, coaches, plans, implements, coordinates, monitors and evaluates services or resources while working collaboratively with Health Plan members and their families to educa......
Under the supervision of the local Manager, Sales/Regional Sales Director, and having attained an extensive and thorough knowledge of all contracts, enrollment regulations and membership and billing procedures, will be responsible for sales and lead......
The Chief Technology Officer (CTO) has strategic accountability for establishing the current and long-range vision of the Lifetime Healthcare Companies, Inc. IT infrastructure, systems security, and IT strategy aimed at keeping the organization on t......
The Supervisor is responsible for providing leadership to the clinical team in the Quality Measurement Department by overseeing the clinical quality activities, including but not limited to HEDIS / QARR / QRS process, clinical quality concerns, NCQA......
Under the general direction of Assigned Management this position is the primary representative for Physician, Ancillary and Facility reimbursement analysis. This includes, but is not limited to, analysis of contracting strategies; calculation and te......
The BI (Business Intelligence) Report Developer is responsible for analytical solutions across the Health Plan organization. The BI Developer will design, develop, implement and maintain Health Plan Business Intelligence solutions. The Developer wor......
The Manager of HEDIS Programs is an integral part of the team serving as the primary contact to internal and external stakeholders in all matters related to reporting of HEDIS/QARR/QRS data. The Manager of HEDIS Program provides leadership and direc......
The Storage Engineer works to provide a stable, 24/7/365, storage network for business applications and offers technical leadership to facilitate the practical and economical use of available technology. The incumbent will also perform activities re......