Duties:    The primary purpose of the job is to:Providing general support to Director of Marketing and the Director Community Relations the Coordinator will provide administrative functions to ensure the smooth and efficient operations of the Public Affairs and Marketing Departments&b...
Location: 220 Continental Dr #300, Newark, DE 19713, USA, Delaware, USA
Duties:    The primary purpose of the job is to:• Tracking and monitoring pharmacy credentials to ensure compliance with plan standards, accreditation agencies and state and federal regulatory guidelines.  Issuing notification to pharmacies when there are lapses in complianc...
Location: 200 Stevens Dr, Philadelphia, PA 19113, USA, Pennsylvania, USA
Duties:    •    The primary purpose of the job is to:•    The Personal Care Connector (PCC) is a high-touch, extremely effective service specialist, responsible for supporting the daily operations of Medicare Member Services (Personal Service Pr...
Location: 200 Stevens DrPhiladelphia, PA 19113, USA, Pennsylvania, USA
Duties:    • The primary purpose of the job is to:• The IT Sourcing Consultant is responsible for developing category sourcing and negotiation strategies for acquiring complex goods and services (i.e. IT hardware, software, and services), reducing costs, and achieving organi...
Location: 200 Stevens Drive, Philadelphia, PA 19113, Pennsylvania, USA
Duties:    • The primary purpose of the job is to:• As an individual contributor, the Behavioral Health Care Manager is responsible for the daily functions of the clinical department including triage of calls, care coordination and utilization management. • The Care Man...
Location: 300 Horizon Dr, Trenton, NJ 08691, New Jersey, USA
Duties:    • The primary purpose of the job is to:• The Investigative Data Analyst will provide data analysis support to the SIU.  • Conduct data mining efforts to identify outliers and trends based on relevant fraud, waste, and abuse topics and media, state, and f...
Location: 200 Stevens Drive, Philadelphia, PA 19113, Pennsylvania, USA
Care Manager II Oct-05-2018
Duties:    The primary purpose of the job is to:• Under the Supervision of the Manager of Care Management, the Care Manager is responsible for the overall accountability for the identification of members appropriate for care management services.  • Completes a comprehen...
Location: 1250 Maryland Avenue Southwest, Suite 500, Washington, DC 20024, District of Columbia, USA
Project Analyst Oct-11-2018
Duties:    The primary purpose of the job is to: • To support major existing client projects and new business implementations through coordinating and completing detailed documentation ensuring timely, accurate, and efficient requirements and deliverables for on-time execution. S...
Location: 200 Stevens Drive, Philadelphia, PA 19113, Pennsylvania, USA
Duties:    The primary purpose of the job is to: Under the general supervision of the Supervisor of Pharmacy Prior Authorization Technicians, the Pharmacy Services Technician I assists in the prior authorization process. • Responsible for reviewing and approving physician or memb...
Location: 200 Stevens Drive, Philadelphia, PA 19113, Pennsylvania, USA
Grievance Associate Oct-24-2018
Duties:    • The primary purpose of the job is to: Working with the Operations Supervisor or Grievance Coordinator, the Grievance Associate is responsible for ensuring all problems, complaints and grievances, presented by Plan members or their representatives are resolved in acco...
Location: 200 Stevens Dr, Philadelphia, PA 19113, Pennsylvania, USA