- Sharecare (Jackson, MS)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- Highmark Health (Jackson, MS)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- Highmark Health (Jackson, MS)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- Wolters Kluwer (Jackson, MS)
- …will live in the eastern time zone area._** The **Customer Success Manager , Lippincott Solutions** is responsible for driving the implementation of all Nursing ... the industry. **Additional Information** : Lippincott Solutions for Patient Care | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/lippincott-solutions) **Responsibilities:** * Maintains, extends,… more
- Prime Therapeutics (Jackson, MS)
- …our passion and drives every decision we make. **Job Posting Title** Employer Account Manager - Remote **Job Description** The Account Manager is responsible ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Prime Therapeutics (Jackson, MS)
- …our passion and drives every decision we make. **Job Posting Title** Pharmacist Account Manager - New York Remote **Job Description** + Leads the development of ... and operational framework. + Revenue Generation - Works jointly with Account Manager to ensure revenue goals, administrative expenses are managed. + Develops strong… more
- UMB Bank (Jackson, MS)
- …supporting each other to achieve this goal. As a **Senior Project Manager ** , you will lead multiple enterprise projects interacting with cross-functional teams ... Thu on-site) for candidates in the Kansas City area and open to qualified remote candidates outside of the Kansas City area but within the US.** **_How you'll… more
- Prime Therapeutics (Jackson, MS)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Account Manager - Remote **Job Description** Overall management of assigned book of ... or services that includes demonstrating the knowledge of the dynamics facing managed care in the current market. + Understands about the company's business and… more
- Highmark Health (Jackson, MS)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Molina Healthcare (Jackson, MS)
- **_ Remote and must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members, in...Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Prepares… more
- RELX INC (Jackson, MS)
- Project Manager II Are you a technical Project Manager looking to work with an industry leading organization? Are you wanting to expand your knowledge within the ... to enhance investigations. About the Role As a Project Manager , you will be responsible for driving and managing...Hospital Indemnity + Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits + Health Savings,… more
- Sharecare (Jackson, MS)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... . **Job Summary:** The Manager of Operations, Medical Record Retrieval has an overall...in a consistent, timely, and highly professional manner. The Manager of Operation ensures objectives, principals, values, mission and… more
- Molina Healthcare (Jackson, MS)
- …health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (Jackson, MS)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Sharecare (Jackson, MS)
- …and accurately explains the VBCM program and schedules appointments between member and Care Manager using shared calendar. + Utilizes email to communicate ... individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com… more
- CVS Health (Jackson, MS)
- …Dedicated virtual care providers must meet minimum requirements for remote care delivery, including: broadband connectivity, a quiet setting with ... **MinuteClinic Virtual Care Psychiatric Mental Health Nurse Practitioner** delivers patient care services through a remote technology platform. You will work… more
- CDM Smith (Jackson, MS)
- …best and brightest talent in our Technical Services Unit. This is a remote opportunity. This individual is responsible for developing and executing a sourcing ... prepare applicants for interviewing; ensure timely feedback to applicants and hiring manager throughout the process; extend offers of employment under direction of… more
- Merck (Jackson, MS)
- …to enhance data capabilities. (10%) **Impact:** Under the supervision of their manager , the Sr. GTOS identifies for the CSSM organization strategies and tactics ... in developing and implementing mitigation strategies when needed. Collaborates with manager to align the operational execution plan with divisional scorecard… more
- Prime Therapeutics (Jackson, MS)
- …and drives every decision we make. **Job Posting Title** Proposal Writer - Remote **Job Description** The Proposal Writer is responsible for responding to requests ... strategic positioning and messaging as directed by the sales lead, account manager , and/or client; identify and organize appropriate exhibits to effectively support… more
- Prime Therapeutics (Jackson, MS)
- …every decision we make. **Job Posting Title** Employer Account Executive - Remote **Job Description** The Employer Account Executive serves as the primary ... relationship manager for multiple employer/administrative services only (ASO) accounts. This...environment **Preferred Qualifications** + PBM, health plan, or health care experience **Minimum Physical Job Requirements** + Ability to… more