Leads business development efforts and help maintain client relationships in area of responsibility. Responsible for managing schedules, staffing, and budgets for multiple clients/projects. Participates in business planning for region. Participates in applicable professional organizations and events. Works collaboratively with marketing staff to develop winning proposals.

Your Role The Federal Employee Program team completes benefit and medical necessity reviews for members enrolled in the FEP PPO benefit plans. The Board Certified Behavioral Analyst (BCBA) will report to the Utilization Review Clinical Manager. In this role you will be responsible for prior authorization, case management and post service medical necessity reviews for the

Your Role The Clinical Quality Analytics and Informatics team delivers best in class clinical quality analytics and informatics to enable high quality and affordable member centered care. Our data, intelligence, and actionable insights help drive quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst Senior will report to the Cli

The Business Data Analyst supports a business team's ability to leverage data in support of business monitoring and decision management. Applies a range of analytics and data management techniques to generate accurate data and relevant insights, including the creation of visualizations and dashboards to optimize business decisions and outcomes. Engage with business teams t

Structures, maintains, and governs the enterprise business architecture models, business process, business organizational structure, and business information and understands how they support the organization's strategic goals and objectives. Leads and facilitates resolution of complex enterprise problems or opportunities that assists with bridging any gaps between planning

Provide workforce management expertise to Call Center business partners. Work closely with WFM Analyst team to analyze alternatives and implement changes to current systems and processes. Provide knowledge and expertise of the utilization and function of the current WFM systems and processes to support business needs, projects, and issue research and resolution Work with p

Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians . The Registered Nurse Case Manager will report to the FEP Department M

Your Role TheDigital Member Experienceteamis driving better access to healthcare for our members by reimagining our digital customer experience. The Principal Product Manager will report to the Sr. Manager, Product Management Digital Member Experience. In this role you willleverage your expertise in product management and consumer experiences to help drive member satisfac

Experienced Water Resources Engineer or Scientist Primary Location US CA Fresno ID 2024 2392 Category Water Resources Position Type Regular Full Time Remote No Additional Location US CA Rancho Cordova Overview If you're looking for a place to grow your career, where you can contribute to a dynamic innovative firm, tackle challenging project work, and collaborate with indu

Owns the design construction, development, testing, implementation, and technology delivery for business needs throughout VSP Vision. Sr. Software Engineer is responsible for technical aspects of the entire process of agile development for large complex projects. Sr. Software Engineer may supervise or coordinate activities of other personnel as necessary within Agile devel

Position Details Mortgage Home Loan Advisor (Commission Only) Do you hate sitting in an office all day? This position actually requires that you spend more than 80% of your time outside of your office. Like meeting new people and helping people to finance a new home? Read further to check out this opportunity. What You Will Be Doing Sourcing leads for mortgage home loans

Your Role The Digital Member Experience team is reimagining our digital customer experience and leading the transformation of the healthcare industry. The Product Manager, Consultant will report to the Sr. Manager, Product Management Digital Member Experience. In this role you will leverage your expertise in Product Management and consumer experiences to help us define th

Drives the recruitment, evaluation, motivation, development and performance of team members Develops policies, procedures, and standards in compliance with industry best practices and optimizes operational activities to drive efficiency and achieve continuous improvement while supporting customer service agreements Monitors and oversees initiatives and deliverables includ

Collect, maintain, and analyze data for business, product and market development. Provide recommendations based on insights gathered from analysis. Roles include but are not limited to, market research, competitive analysis, and marketing analytics. Consult with business partners to develop objectives and suggest appropriate research designs in meeting their business needs

Support various project tasks including regulatory requirements/review estimates, research, procurement support, etc. Perform data entry, data management, data evaluation, and data presentation Support the preparation of reports, plans and specifications for client May work on field assignments as needed Will be supported by leaders, mentors and teammates Perform other re