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174146 jobs as of 12/15/2019
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Business Analyst II
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Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function - Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of...
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From Health Net Inc.
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Date
2019-12-13
Company
Health Net Inc.
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Location
Chesterfield, MO
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About the job:
Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function - Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems - Identify and analyze user requirements, procedures, and problems to improve existing processes - Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation - Identify ways to enhance performance management and operational reports related to new business implementation...
Location:
Chesterfield, MO
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Health Insurance Portability and Accountability Act - HIPPA
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Insurance Verification Coordinator I
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Hours: Monday - Friday (Noon - 9:00 p.m.) Position Purpose: Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits - Obtain and verify insurance eligibility for...
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From Health Net Inc.
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Date
2019-12-13
Company
Health Net Inc.
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Location
Orlando, FL
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About the job:
Hours: Monday - Friday (Noon - 9:00 p.m.) Position Purpose: Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits - Obtain and verify insurance eligibility for services provided and document complete information in system - Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies - Collect any clinical information such as lab values, diagnosis codes, etc. - Determine patient’s financial...
Location:
Orlando, FL
Job Type:
Full-Time
Permanent
Occupation:
Medical Secretaries
Salary:
Middle Income Jobs ($30K-$49K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
3
Graphic Literacy
4
Workplace Documents
5

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Care Manager I (RN)
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Care Manager I (RN) (1164990) Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care...
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From Health Net Inc.
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Date
2019-12-13
Company
Health Net Inc.
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Location
Columbia, SC
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About the job:
Care Manager I (RN) (1164990) Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Coordinate services between Primary Care Physician (PCP), specialists, medical providers,...
Location:
Columbia, SC
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
Upper Middle Income Jobs ($50K-$79K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Driver's License
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

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Business Analyst I
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Business Analyst I (1163077) Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function - Support business initiatives through data analysis, identification of implementation barriers...
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From Health Net Inc.
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Date
2019-12-12
Company
Health Net Inc.
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Location
Town and Country, MO
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About the job:
Business Analyst I (1163077) Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function - Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems - Identify and analyze user requirements, procedures, and problems to improve existing processes - Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation Qualifications Education/Experience: Bachelor's degree in related field or equivalent...
Location:
Town and Country, MO
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Pharmacy Technician
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Position Purpose: The Pharmacy Technician may perform duties in one or more of the following areas: Formulary Management, Pharmacy Audit and Recovery, Pharmacy Service Center or Prior Authorization, Medicare Part D Operations and State Health...
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From Health Net Inc.
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Date
2019-12-12
Company
Health Net Inc.
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Location
Rancho Cordova, CA
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About the job:
Position Purpose: The Pharmacy Technician may perform duties in one or more of the following areas: Formulary Management, Pharmacy Audit and Recovery, Pharmacy Service Center or Prior Authorization, Medicare Part D Operations and State Health Programs Pharmacy Operations. Formulary Management: Reviews and processes formulary change requests from Health Net plans Submits and maintains formulary change requests to Health Net’s pharmacy claims processor Generates, maintains and reviews Formulary Status Grids Uses reports to perform audits and quality checks on the current formulary status for...
Location:
Rancho Cordova, CA
Job Type:
Full-Time
Permanent
Occupation:
Pharmacy Technicians
Salary:
Middle Income Jobs ($30K-$49K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
Pharmacy Technician
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Care Manager I (RN)
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Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care Develop, assess and adjust, as...
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From Health Net Inc.
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Date
2019-12-12
Company
Health Net Inc.
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Location
Saint Louis, MO
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About the job:
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as...
Location:
Saint Louis, MO
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
Upper Middle Income Jobs ($50K-$79K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Driver's License
Neonatal Intensive Care Unit
Licensed Nurse Practitioner
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

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Senior Financial Planning Analyst
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Senior Financial Planning Analyst (1169870) Position Purpose: Coordinate, consolidate, analyze, explain and report financial information utilized in budgeting and planning projections across the corporation's business units and corporate...
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From Health Net Inc.
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Date
2019-12-12
Company
Health Net Inc.
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Location
Clayton, MO
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About the job:
Senior Financial Planning Analyst (1169870) Position Purpose: Coordinate, consolidate, analyze, explain and report financial information utilized in budgeting and planning projections across the corporation's business units and corporate departments - Support corporate departments in the development and analysis of staffing, spending plans, and variances to budget - Coordinate with the business unit finance staff to ensure that forecasts and financial projections are practical and prepared in a timely manner - Ensure significant assumptions and variances are identified, explained, and ensure...
Location:
Clayton, MO
Job Type:
Full-Time
Permanent
Occupation:
Financial Analysts
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Accounting
Certified Public Accountant
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

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Care Manager II (RN) - Houston
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Care Manager II (RN) - Houston (1169633) Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost...
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From Health Net Inc.
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Date
2019-12-12
Company
Health Net Inc.
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Location
Houston, TX
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About the job:
Care Manager II (RN) - Houston (1169633) Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. - Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options - Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed...
Location:
Houston, TX
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Driver's License
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

Display

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WorkKeys®

Business Analyst II
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Business Analyst II (1168058) Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function - Support business initiatives through data analysis, identification of implementation barriers...
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From Health Net Inc.
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Date
2019-12-12
Company
Health Net Inc.
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Location
Clayton, MO
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About the job:
Business Analyst II (1168058) Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function - Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems - Identify and analyze user requirements, procedures, and problems to improve existing processes - Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation - Identify ways to enhance performance management and operational reports related to new...
Location:
Clayton, MO
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Pharmacy Technician I
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Position Purpose: Work with the Pharmacists to accurately prepare prescription orders in a timely manner - Interact with various departments to provide accurately dispensed prescriptions on a timely basis - Work under direct supervision of a...
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From Health Net Inc.
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Date
2019-12-12
Company
Health Net Inc.
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Location
Troy, MI
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About the job:
Position Purpose: Work with the Pharmacists to accurately prepare prescription orders in a timely manner - Interact with various departments to provide accurately dispensed prescriptions on a timely basis - Work under direct supervision of a pharmacist - Perform prescription data entry functions (preQA) by viewing images and inputting prescription information directly into the system - Prepare and submit request for prescription refills - Initiate clarification requests - Receive verbal instructions from prescribers as allowed by pharmacy regulation - Complete reorder processing for the...
Location:
Troy, MI
Job Type:
Full-Time
Permanent
Occupation:
Pharmacy Technicians
Salary:
Middle Income Jobs ($30K-$49K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
Pharmacy Technician
Pharmacy Technician Certification Board
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Project Manager II
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Project Manager II (1168792) Position Purpose: Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. - Manage the full project life cycle including...
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From Health Net Inc.
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Date
2019-12-11
Company
Health Net Inc.
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Location
Woodland Hills, CA
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About the job:
Project Manager II (1168792) Position Purpose: Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. - Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment, and closure. - Utilize corporate and industry standard project management tools and techniques to effectively manage projects. - Assist with establishment and maintenance of corporate...
Location:
Woodland Hills, CA
Job Type:
Full-Time
Permanent
Occupation:
Information Technology Project Managers
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Project Management Professional
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
5
Workplace Documents
5

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Medicare Sales Rep- Erie County
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Medicare Sales Rep- Erie County (1170120) Position Purpose: Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies...
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From Health Net Inc.
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Date
2019-12-11
Company
Health Net Inc.
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Location
Getzville, NY
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About the job:
Medicare Sales Rep- Erie County (1170120) Position Purpose: Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance, and offer assistance with recertification. - Identify prospective...
Location:
Getzville, NY
Job Type:
Full-Time
Permanent
Occupation:
Insurance Sales Agents
Salary:
Upper Middle Income Jobs ($50K-$79K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
Driver's License
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
5
Workplace Documents
5

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Pharmacy Technician I
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Pharmacy Technician I (1169960) Position Purpose: Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients Under the direction of Pharmacy Technician, track and triage coverage determination...
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From Health Net Inc.
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Date
2019-12-11
Company
Health Net Inc.
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Location
Orlando, FL
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About the job:
Pharmacy Technician I (1169960) Position Purpose: Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients Under the direction of Pharmacy Technician, track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required. Enter and document coverage determination request decision into the PBM system and notify providers and/or members. Respond to client inquiries regarding authorization approvals and PBM on-line applications. Refer coverage determination requests for specialty drugs to...
Location:
Orlando, FL
Job Type:
Full-Time
Permanent
Occupation:
Pharmacy Technicians
Salary:
Entry Level Jobs (less than $30K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
Pharmacy Technician
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Member Advocate I
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Position Purpose: Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care. Establish a community presence, promote Member education, identify and resolve any systemic...
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From Health Net Inc.
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Date
2019-12-11
Company
Health Net Inc.
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Location
Sunrise, FL
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About the job:
Position Purpose: Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care. Establish a community presence, promote Member education, identify and resolve any systemic barriers that limit Members access to appropriate care. - Receive and respond to Member complaints and formal grievances and identify potential access barriers and resolve as indicated in the grievance procedure. - Investigate and resolve access and cultural sensitivity issues identified by Member Services staff, State staff, providers, advocacy...
Location:
Sunrise, FL
Job Type:
Full-Time
Permanent
Occupation:
Social and Human Service Assistants
Salary:
Entry Level Jobs (less than $30K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Business Analyst III
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Business Analyst III (1169782) Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. - Support business initiatives through data analysis, identification of implementation...
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From Health Net Inc.
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Date
2019-12-11
Company
Health Net Inc.
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Location
Saint Louis, MO
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About the job:
Business Analyst III (1169782) Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. - Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems - Identify and analyze user requirements, procedures, and problems to improve existing processes - Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations - Identify ways to enhance performance management and operational reports...
Location:
Saint Louis, MO
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

Display

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WorkKeys®

Business Analyst III
Quick view
Business Analyst III (1169011) Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. - Support business initiatives through data analysis, identification of implementation...
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From Health Net Inc.
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Date
2019-12-11
Company
Health Net Inc.
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Location
Town and Country, MO
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About the job:
Business Analyst III (1169011) Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. - Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems - Identify and analyze user requirements, procedures, and problems to improve existing processes - Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations - Identify ways to enhance performance management and operational reports...
Location:
Town and Country, MO
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

Display

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Care Manager II (RN)
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Care Manager II (RN) (1169632) Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. -...
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From Health Net Inc.
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Date
2019-12-11
Company
Health Net Inc.
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Location
Rego Park, NY
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About the job:
Care Manager II (RN) (1169632) Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. - Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options - Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet...
Location:
Rego Park, NY
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Certified Registered Nurse
Driver's License
Licensed Nurse Practitioner
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

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Retention Representative - Bilingual Spanish (NYC/Queens)
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Position Purpose: The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention...
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From Health Net Inc.
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Date
2019-12-10
Company
Health Net Inc.
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Location
Rego Park, NY
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About the job:
Position Purpose: The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Fidelis Care products. It is the responsibility of the Retention Field Representative to ensure compliance...
Location:
Rego Park, NY
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Salary:
Middle Income Jobs ($30K-$49K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
Driver's License
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Senior Customer Service Representative
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Senior Customer Service Representative (1169716) Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner. Using current reference materials, answer inquiries from members and/or...
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From Health Net Inc.
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Date
2019-12-10
Company
Health Net Inc.
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Location
Columbus, OH
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About the job:
Senior Customer Service Representative (1169716) Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner. Using current reference materials, answer inquiries from members and/or providers regarding claims, eligibility, covered benefits, authorizations and pharmacy related matters Provide assistance to members and/or providers regarding website registration and navigation Educate members and/or providers on health plan initiatives during telephone conversations Provide first call resolution; working with appropriate...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Salary:
Middle Income Jobs ($30K-$49K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

Display

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WorkKeys®

Business Analyst II
Quick view
Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function - Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of...
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From Health Net Inc.
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Date
2019-12-10
Company
Health Net Inc.
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Location
Tacoma, WA
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About the job:
Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function - Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems - Identify and analyze user requirements, procedures, and problems to improve existing processes - Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation - Identify ways to enhance performance management and operational reports related to new business implementation...
Location:
Tacoma, WA
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Health Insurance Portability and Accountability Act - HIPPA
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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PATIENT CARE COORDINATOR I
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Patient Care Coordinator I (1169410) Hours: Monday - Friday, 12:30 p.m. - 9:00 p.m. (Some Saturdays) Position Purpose: Handle inbound and outbound calls, including the processing and upkeep of pharmacy orders and handling of order inquiries and...
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From Health Net Inc.
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Date
2019-12-10
Company
Health Net Inc.
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Location
Orlando, FL
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About the job:
Patient Care Coordinator I (1169410) Hours: Monday - Friday, 12:30 p.m. - 9:00 p.m. (Some Saturdays) Position Purpose: Handle inbound and outbound calls, including the processing and upkeep of pharmacy orders and handling of order inquiries and issues - Reach out to all new patients and introduce them to services and products via telephone - Respond to incoming calls and answer any related questions - Maintain patient census and reach out to patients prior to them needing their medications - Ascertain from the patient all of their supply needs and review medication inventory - Offer any...
Location:
Orlando, FL
Job Type:
Part-Time
Full-Time
Permanent
Occupation:
Medical Assistants
Salary:
Entry Level Jobs (less than $30K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
Pharmacy Technician
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
5

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Grievance & Appeals Coordinator I
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Grievance & Appeals Coordinator I (1168116) Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and...
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From Health Net Inc.
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Date
2019-12-10
Company
Health Net Inc.
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Location
Woodland Hills, CA
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About the job:
Grievance & Appeals Coordinator I (1168116) Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints, grievances and appeals Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-performance programs, including data entry, tracking, organizing, and researching...
Location:
Woodland Hills, CA
Job Type:
Full-Time
Permanent
Occupation:
Human Resources Specialists
Salary:
Middle Income Jobs ($30K-$49K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Provider Relations Specialist II
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Position Purpose: Serve as a liaison between providers, the health plan and Corporate to investigate and resolve provider claims - Conduct on-site provider orientations, including writing and updating orientation materials and assisting providers...
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From Health Net Inc.
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Date
2019-12-10
Company
Health Net Inc.
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Location
East Syracuse, NY
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About the job:
Position Purpose: Serve as a liaison between providers, the health plan and Corporate to investigate and resolve provider claims - Conduct on-site provider orientations, including writing and updating orientation materials and assisting providers acclimated to plan website - Monitor financial performance of contracts - Investigate and document provider changes and correspondence - Coordinate with credentialing to ensure all appropriate documentation is received - Serve as a lead for key special projects - Recommend changes in pricing subsystems - Coordinate printing of provider directories...
Location:
East Syracuse, NY
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
Driver's License
Preferred WorkKeys®
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

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Senior Accountant
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Senior Accountant (1169412) Position Purpose: Develop, analyze, and execute accounting and finance functions. Prepare managerial reports, financial reports, and general ledger. - Prepare and analyze journal entries, income statement, balance sheet,...
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From Health Net Inc.
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Date
2019-12-10
Company
Health Net Inc.
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Location
Clayton, MO
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About the job:
Senior Accountant (1169412) Position Purpose: Develop, analyze, and execute accounting and finance functions. Prepare managerial reports, financial reports, and general ledger. - Prepare and analyze journal entries, income statement, balance sheet, profit and loss statement, and other financial reports on a regular basis - Report and advise on organization's financial status - Develop analytical financial tools for critical at risk balance sheet accounts - Develop, implement, modify, and document accounting systems - Adapt accounting and recordkeeping functions to current computerized...
Location:
Clayton, MO
Job Type:
Full-Time
Permanent
Occupation:
Accountants
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Accounting
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
5
Workplace Documents
4

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RN Care Manager II
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Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. - Assess the member's current...
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From Health Net Inc.
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Date
2019-12-09
Company
Health Net Inc.
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Location
Latham, NY
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About the job:
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. - Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options - Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote...
Location:
Latham, NY
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Certified Registered Nurse
Driver's License
Licensed Nurse Practitioner
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

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