We are seeking a self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. Our organization promotes autonomy through a Monday-Friday working schedule 8am-5pm and flexibility as you coordinate the care of your members. The Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Case Management Coordinator will effectively manage a caseload that includes supportive and complex members

Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

All Nurse Practitioner should have 01+ year of professional experience as a Family Nurse Practitioner. Application for DEA is required at the time of offer Hours: Clinic hours, which require work every other weekend

Assists in the provision and analysis of product and customer data under the direction of more senior category analysts and managers. Typically requires strong numerical and analytical skills, along with commercial awareness. Assists in the analysis of financial trends involving sales, wastage, profit margins, pricing, and promotion trends. Assists in the analysis of customer trends such as customer segmentation, destination departments, demographics, and market share. Assists in the analysis of product and market trends.

We are looking for a Bilingual Community Health Worker who has good expertise Community Health side will be responsible for helping members to navigate and access medical care, community services/resources and develop healthy behaviors • Remote to start but candidate must be located around Pittsburgh • Field Travel Needed over 50% of the time (Travel will be reimbursable)

Collaborates with business owners/stakeholder to understand business needs, processes project specifications, business case development, cost sheet analysis and data sources. Translates business needs into clearly defined and documented detailed, high-quality requirements, functional designs, and system supplemental specifications for new applications or analyzes change requests/enhancements in existing applications. Analyzes data to determine business problem, trends, or opportunities for process improvements. Responsible for testing and provides root cause analysis and corrective action plan. Responsible for verification that the delivered application requirements meet the customer needs based on the specifications, ensuring minimal defects in both UAT and production. Accountable for identification, documentation, and escalation of risks, defects and issues throughout the project lifecycle. Responsible for assisting in the resolution of risks, defects and issues. For smaller projects or initiatives may be accountable for project schedule and resource allocation up to and including matrix staff. Preferences : • Healthcare experience preferred • Dental experience preferred