1.Brindar soporte en terminos de conocimientos en salud para la elaboracion de fichas de negociacion de la red de instituciones prestadoras de servicios de salud. 2.Realizar los analisis de tarifas correspondientes de la red de instituciones adscritas. 3.Dar soporte al proceso de elaboracion de las fichas de negociacion con las instituciones prestadoras de servicios de sa

Requerimientos del cargo 1. Apoyar en la elaboracion y/o revision oportuna de los contratos y demas acuerdos comerciales de la institucion. 2. Analizar la informacion suministrada por quien solicito la elaboracion o revision del contrato. 3. Asistir a reuniones con los responsables de la contratacion para definir los terminos de la contratacion. 4. Formular la propuesta d

$4,500 SIGN-ON BONUS

Reports to the Manager of Pharmacy Operations Participate in disease state management programs targeting chronic conditions such as diabetes, heart failure, COPD, and other diseases through collaborative practice agreements (dependent on state specific regulations) Appropriately manage, assess and/or recommend evidence based medication therapy based upon the patient's cli

Manage performance target setting, performance reporting and associated financial models relative to provider network contracting Guide development of geographically competitive, broad access, stable networks that achieve objectives Evaluate, understand, and negotiate provider contracts in compliance with company templates, reimbursement structure standards and other key

The Quality Engineer is responsible for reviewing and updating the existing Automation framework for data driven testing approach as well as enhancing for supporting cross browser (specifically mobile) testing Experience in Selenium/TestNG/Appium/Java/Cucumber/Git hub/Maven/Jenkins Relevant automation experience to understand the existing framework and scale up quickly to

Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow up with the member Review and research incoming healthcare claims from members and providers (doctors, clinics,

Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capil

Inspire change Define product operating model Align funding model with product structure Modify roles and expectations, with a focus on mindset over process Promote loosely coupled architectures and advance technical practices Descale the organizational design Reduce handoffs, decision latency, and waste Solve for constraints Focus enterprise on outcomes over output Impro

Assess the health status of members as within the scope of licensure and with the frequency established in the model of care Establish goals to meet identified health care needs Plan, implement and evaluate responses to the plan of care Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to

Provides direct care to patients by conducting patient histories and assessments, including symptoms, performance status score, and clinical changes from the previous visit, and formulates a care plan for patients and families Administers blood products, medications, antineoplastic agents, analgesics, and hematopoietic growth factors to patients with cancer, adhering to a

Perform complex financial modeling, data analysis, and business planning in support of the OptumRx Off Benefits forecast, budget, and long range plan Collaborate with key business partners across the organization to support forecast assumptions, share insights and scenario sensitivities Delivers weekly projections and variance analytics on business performance while colla

Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer Under direction and supervision of physician, administers medications, administers immunizations, EKGs, ear washes, and other patient services. Assists in simple office a

Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer Under direction and supervision of physician, administers medications, administers immunizations, EKGs, ear washes, and other patient services. Assists in simple office a

Ensures all documents are prepared for e filing into EHRs Accurately file medical records into EHR Monitors quality of images, adjusts, contrasts and selects scanner intensity as needed Corrects errors and re files documents as needed Formats reports according to established guidelines Troubleshoots computer problems and reports and follows up with the IT Department or Su