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Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for using medical cost analytics to provide fact based strategic insights into emerging medical cost trends. Using large sets of data, the ide...
Job Description: Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patie...
Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex...
Become a part of our caring community and help us put health first CenterWell, a Humana company, creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one o...
Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to conn...
JOB DESCRIPTION Job Summary Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance standards. KNOWLEDGE/SKILLS/ABILITIES The Clinical Appeals Nurse (R...
Responsibilities ? CHI Health is seeking to add a Neonatal Nurse Practitioner to the experienced group at CHI St. Elizabeth in Lincoln, Nebraska. The Neonatal Nurse Practitioner (NNP) is responsible for providing direct...
Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: Full Time Job ID: R-1370 Description Why Norstella? At Norstella, we are on a mission to help our clients bring...
Company : Highmark Inc. Job Description : JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical sta...
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is power...

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