Overview: Provide advisory and technical services to all of the health-plan’s contact center organizations (Member... Services, Health Services, Claims, PR, and Admin) in the areas of operations, system enhancement & configuration, report...
to HealthPlan members referred to the Care Coordination Department for Case Management services and programs. The Health Care Guide... member needs and/or barriers. Conducts targeted assessments to identify care coordination needs. Researches appropriate...
analytic solutions that support activities related to health services utilization management, care coordination, quality... improvement and population health. Through analyzing patient claims, member enrollment, and other data, the Senior Healthcare...
, configuration and maintenance. Build and monitor services on production servers. System level support for Oracle application... maintenance, and application maintenance. Install, configure, and maintain services such as Apache and Tomcat. Implement...