Position Purpose:
Perform day to day functions to maintain database of the contract database and create reports to monitor network compliance with State..
Position Purpose:
Direct and oversee marketing and communications programs that effectively describe and promote the organization, while maintaining material..
Position Purpose:
Responsible for the Health Support system uptime, data integrity monitoring, create/track key performance indicators (KPI's) and daily data..
Position Purpose:
Review requests for prior authorization of services within a centralized call center
Knowledge/Experience:
At least two years clinical..
Position Purpose:
To assist the plan in credentialing and re-credentialing providers
Knowledge/Experience:
Associates degree or equivalent experience..
Position Purpose:
Supervise the day-to-day operations of the utilization and case management areas
Knowledge/Experience:
High School education or equivalent..
Position Purpose:
Manage and oversee the system configuration and operations of multiple markets to ensure proper implementation of all provider contracts..
