. Conduct analysis to understand utilization trends. Document and present relative data and recommendations to management... and verbal communication skills. Project management skills. Knowledge of Project Management methods and utilization management...
Job Description: Coordinate and manage deliverables of aspects of utilization management programs by delegated.... Analyzes business issues, including but not limited to new services, contract deliverables, enhancements, etc. Troubleshoots...
best practices. Experience applying visualization best practices in a business environment. Ability to quickly learn new software... growth and development. Provides data collection, data management, data analysis and reporting, and decision management...
requirements and determine implementation needs for compliance. Review and assessment of utilization and drug spend to identity... requested. Work with the Pharmacy Benefit Manager (PBM) to implement the change. Analyzes business problems, including...
response to customer requirements and business needs Lead and implement internal controls; facilitate definition of data... reference and audit purposes. Interpret data and develop reports to communicate findings to senior management. Participate in project...
and utilization. Analyze data and identify trends, patterns, or other notable issues with an eye for cost reduction opportunities.... Monitor market trends to identify emerging opportunities or risks in business environments. Monitor websites...