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This is a full-time contingent position, starting at 40 hours. The LPN/LVN must have a full, active and unrestricted license as a Licensed Practical nurse. Ability to effectively prioritize work while exhibiting a high level of urgency with all calls and assignments. Follows all prior authorization procedures to ensure a timely and accurate process on each prior authorization. Answer phone lines promptly with priority within nurse phone queue, including escalated calls, serves as the final decision-maker on all Prior Authorization approvals and refers cases not meeting clinical criteria to secondary review for final decision
Location: REMOTE (Tallahassee, FL) The pharmacist will be responsible for medication therapy management (MTM) services, including outbound calls for comprehensive medication reviews (CMR) and delivering in-depth consultations on statin medication use per AHA guidelines. The pharmacist will transcribe patient-specific prescription information, diagnosis information, and recommendations into a third-party, web-based application. The data to be transcribed will be either hard-copy or available from application. The data entered by the pharmacist will be used to create a standardized document that will be mailed to individual patients. The pharmacist is a member of the MTM product team
Note: Kindly mention the best phone number and preferred time to connect for the phone screening. Looking for an expert Financial Systems Analyst, who is responsible for consolidating datasets, building dataflows, and running Python notebooks in Microsoft Fabric to generate new semantic models. This role requires a deep understanding of MS Fabric, data integration, and data modeling techniques to support the organization's data-driven decision-making processes.
We are seeking an IT Project coordinator who will be to support the Project Management Office (PMO) and assist project managers in the coordination of processes, administration, reporting, and project execution
A personal High Speed Broadband internet connection is required (100/25 mbps). Proof will be required prior to any confirmation of an offer and start date. To support telephony software, it must be Broadband and meet the minimum required mbps. You must be able to work with a direct connection using an ethernet cord. Wi-Fi is not permitted. Internet is non-reimbursable by the company unless state law mandates it. If a longer ethernet cord is required from what is provided, you would be responsible for providing the cord.
Coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members. Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration. Instructs programs and procedures in compliance with network management and clinical coverage policies.
Location: 100% Remote This position will drive financial systems solutions across the global ERP platform. It will require an individual who is focused on building strong partnerships and delivering the best possible outcomes to their stakeholders. They must be process oriented, with the ability to assess both technical and functional considerations and apply that accordingly. The ideal candidate should possess an accomplished track record combined with the tenacity, self-confidence and proven ability to continually grow and contribute to global business. She/he must feel comfortable working in, as well as embracing, an environment that is both changing and challenging. The ideal candidate will be a self-motivated team player who will bring instant credibility with demonstrated ability to communicate across all levels of the organization. She/he must be technically astute with the ability to troubleshoot complex applications with multiple integrations. She/he must be a “quick read” in regard to new concepts and technologies.
Manages the day-to-day activities of one complex project or multiple business-sponsored IT projects to deliver tasks on time, within budget, and within scope. Responsible for the success of the project. Responsible for managing, directing and planning one complex or multiple less complex projects-Develops and manages all key project governance documents, such as the Project Charter, Workplan, Communications Plan, and Risk Mitigation Strategy-Manages to the project budget, and reports project cost information in an accurate and timely manner-Proactively evaluates project activities, builds contingency plans, executes corrective action, and monitors issue resolution to mitigate risks such as scope and/or budget variances-Monitors and reports tangible and intangible benefits, and conducts team and individual end-of-project performance reviews