Care Manager, LTSS - Dayton, OH

Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. · ...

The Manager LTSS Program Operations assists the Duals team with open projects and progress towards completion program enhancements development and execution activities related to implementation ongoing design standardization for the Dual eligible LTSS model. · High School or GED ...

The LTSS and Dual Eligible Program Manager is responsible for managing large-scale portfolio programs aligned to strategic objectives that include multiple projects. · Responsible for successful delivery of LTSS and Dual Eligible programs · Understand the LTSS and Dual Eligible p ...

The LTSS & Dual Eligible Report Engineer will play a crucial role in utilizing data analytics to drive informed decision-making and optimize business processes within the healthcare environment. · ...

The LTSS Service Coordinator-Clinician works under the direction/supervision of an RN with overall responsibility for a member's case.This includes assisting responsible RN in identifying members at risk complications and obtaining clinical data directed by responsible RN. · ...

The Enterprise Accreditation Specialist III supports the organization in obtaining and maintaining appropriate accreditations. This person serves as subject matter expert for various accreditations including NCQA Health Plan Accreditation. · Serve as subject matter expert in accr ...

The NetworX Consultant will work with Facets and NetworX to support the implementation, enhancement, maintenance and resolution of issues. · Lead and manage the implementation and configuration of NetworX pricing agreements. · Serve as a subject matter expert providing guidance o ...

The NetworX Consultant will work with Facets and NetworX (both Pricer and Modeler) to support the implementation, enhancement, maintenance, and resolution of issues. · This role requires extensive communication, technical configuration, system testing, and collaboration with tech ...

The NetworX Consultant will work with Facets and NetworX (both Pricer and Modeler) to support the implementation enhancement maintenance and resolution of issues This role requires extensive communication technical configuration system testing collaboration with technical busines ...

+Job summary · The NetworX Consultant will work with Facets and NetworX (both Pricer and Modeler) to support the implementation, enhancement, · maintenance, and resolution of issues.+The ideal candidate combines technical expertise with strong problem-solving, documentation, · an ...

The NetworX Consultant will work with Facets and NetworX (both Pricer and Modeler) to support the implementation, enhancement, maintenance, and resolution of issues. This role requires extensive communication, technical configuration, system testing, · and collaboration with tech ...

Job summaryAbout this role · The NetworX Consultant will work with Facets and NetworX (both Pricer and Modeler) to support the implementation enhancement maintenance resolution of issues This role requires communication technical configuration system testing collaboration with te ...

This role is responsible for Value-Based Program activities supporting both Indiana and Ohio markets. The position may be based in either state with the expectation of cross-market collaboration and support. · Partner with the state other LTSS contractors stakeholders to support ...

Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. · ...

Job summaryThis role requires associates to be in-office · 3 · days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. · ...

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. · Completes comprehensive assessments of members per regulated timelines and determines who may qua ...