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Jobs (9 Matches)
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1. HI-Oahu-Honolulu   (Fulltime)1 day ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: HI-Oahu-HonoluluLocation: true1402907Coordinates, monitors and ensures that appropriate and timely primary, acute and long-term care services are provided to members across the continuum of care with a focus on medically complex/medically fragile cases. Assists in coordinating services with federal and state programs, and other community services to the member. Promotes ...
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2. hi: honolulu   (Fulltime)2 days ago
Mitre - Nationwide - United States - Not rated - (view employer jobs)
JobTitleC3I Systems EngineerJob HighlightsProvide systems engineering skills and experience to multinational sharing programs, strategies, and their execution in support of USPACOM requirements. Provide systems engineering and integration support to USPACOM J6 and J8 as it relates to the Joint Information Environment Increment II fielding. This position is located at HQ ...
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3. HI-Oahu-Honolulu   (Fulltime)3 days ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: HI-Oahu-HonoluluLocation: true1401951Supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies that impact plan compliance to regulatory and accreditation standards. Drives key quality improvement projects requiring the ability to work effectively in a matrix environment in order to receive needed data that ...
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4. HI-Oahu-Honolulu   (Fulltime)3 days ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: HI-Oahu-HonoluluLocation: true1403044Supports the Provider Relations Field Representative to achieve department goals. Answer incoming telephone inquiries from providers and assist with problem resolution of issues. Coordinate submission of provider to internal departments via contract maintenance forms. Essential Functions:Supports the Provider Relations Field Reps to resolve claims and payment ...
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5. HI-Oahu-Honolulu   (Fulltime)6 days ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: HI-Oahu-HonoluluLocation: true1403154Coordinates, monitors and ensures that appropriate and timely primary, acute and long-term care services are provided to members across the continuum of care. Assists in coordinating services with federal and state programs, and other community services to the member. Promotes effective healthcare utilization, monitors health care resources and ...
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6. hi: honolulu   (Fulltime)7 days ago
Mitre - Nationwide - United States - Not rated - (view employer jobs)
JobTitleHQ USPACOM Advanced Capabilities Development Analyst/EngineerJob HighlightsProvide operations research, test and evaluation, and cyber analysis technical expertise for USPACOM's technology insertion and advanced capability deployment mission in support of joint innovation and experimentation. This position is located at HQ USPACOM at Camp Smith, HI.Why Should I Consider MITREWorking at MITREKey ...
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7. HI-Oahu-Honolulu   (Fulltime)8 days ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: HI-Oahu-HonoluluLocation: true1401678Evaluates the pre-service authorization request received for scheduled inpatient admissions, ambulatory surgeries, outpatient services and out of network providers. Reviews medical records, uses clinical expertise and compares information to established guidelines and the members benefit plan. Works closely with departmental management staff to impact the treatment ...
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8. HI-Oahu-Honolulu   (Fulltime)13 days ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: HI-Oahu-HonoluluLocation: true1401677Represents WellCare at assigned facilities to provide concurrent review, discharge planning and coordination and evaluates of members for Case Management needs during face-to-face interaction. Identifies members with high risk medical conditions that will require complicated medical treatments to refer for an individualized post-acute plan of care to reduce ...
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9. HI-Oahu-Honolulu   (Fulltime)13 days ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: HI-Oahu-HonoluluLocation: true1403490Provides education and consultation to providers’ and provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Serves as the market clinical subject matter, expert in the field, for HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation ...
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