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Change Manager

NY Req ID: R019440 Hybrid
Duties & Responsibilities:Manages assigned initiatives, including workplan development, stakeholder management, change management, implementation, success measurement, and communication of project status to business stakeholders.Partners with IT and Delivery teams in the delivery of technical...

Mgr Medical Pharmacy Policy

NY Req ID: R021657 Hybrid
 Duties & Responsibilities:Develops, reviews, and updates medical policies and clinical guidelines to ensure they are evidence-based and aligned with best practicesResponsible for clinical criteria updates, configuration and validation on prior authorization platform, perform testing and peer...

Support Coordinator

NY Req ID: R021669 Remote
Duties and Responsibilities: Provides excellent quality customer service to our members and/or providers relating to authorization updates, questions/issues such as coordinating care, DME outreach, scheduling appointments, and screen assessments to identify risk factors which need closer...

Manager, Total Cost of Care

NY Req ID: R021526 Hybrid
This role requires working onsite at 100 Church Street, New York, NY 10007 on Tuesdays, Wednesdays and Thursdays.Scope of Responsibilities:Monitor medical cost and utilization trends, provide concise actionable insight into the root cause drivers, and develop potential remediation opportunities....
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