FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The Care Navigator is the first point of contact for all member and provider inquiries. The Care Navigator is a professional who displays confidence, a passion for health and wellness, and practices empathetic listen...
FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The Network Reimbursement Specialist-Associate will ensure that all policies and processes that support physician, provider and ancillary agreements are adhered to and applied with a high degree of accuracy in workfl...
FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The Director, Risk Adjustment is responsible for the oversight, planning, implementation, and evaluation of a comprehensive process aimed at ensuring accurate medical record documentation and clinical coding standard...
FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The Web Architect will be responsible for providing technical solutions to a variety of enterprise wide business problems that impact the web and mobile technologies. They are expected to maintain expertise in web in...
FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The Integration Architect will provide technical solutions to support enterprise-wide business operations and implement strategic projects along with providing technical expertise. Using industry best practices, this...
FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The Director, Risk Adjustment is responsible for the oversight, planning, implementation, and evaluation of a comprehensive process aimed at ensuring accurate medical record documentation and clinical coding standard...
FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The Web Architect will be responsible for providing technical solutions to a variety of enterprise wide business problems that impact the web and mobile technologies. They are expected to maintain expertise in web in...
FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The Integration Architect will provide technical solutions to support enterprise-wide business operations and implement strategic projects along with providing technical expertise. Using industry best practices, this...
FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The UMA provides administrative support to the Utilization Management, departments. The UMA is the first line of review in the UM prior authorization process, reviewing for eligibility and benefit. The UMA is respons...
FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The Utilization Review Nurse (URN) performs clinical review to determine the medical necessity of requested services. The URN obtains clinical information and utilizes Independent Health policy and/or applicable clin...
FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The Utilization Review Nurse (URN) performs clinical review to determine the medical necessity of requested services. The URN obtains clinical information and utilizes Independent Health policy and/or applicable clin...
FIND YOUR FUTURE. We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview. The Solution Architect will be responsible for providing technical solutions to a variety of business problems. The Solution Architect will be accountable for analyzing and designing solutions to meet business requir...