OF POSITION The primary purpose of the Analyst is to produce various reports and analyses of claims data for all focused plans. The position includes producing reports, detailed analysis at varying levels of claims data, analyzing data for trends, as well as various reporting projects. Analysts are also responsible for creating/editing reports using the tools available, wo

OF POSITION The Director of Clinical Quality, Disease Management and Case Management reports to the Vice President of Quality and works closely within the Quality team and in collaboration with other operational and clinical teams in order to administer the organizations Quality program and workplan in order to meet all quality of care and quality of service goals of the o

Under the direction of the directors of surgical services, the surgical RN is responsible for the safety and planning of care of the patient while in the surgical department. The RN assists with surgical procedures in circulating and scrub duties. Assists in orientation, training and education of personnel. The RN takes call as assigned to meet department needs. PHYSICAL

Under the direction of the directors of surgical services, the surgical RN is responsible for the safety and planning of care of the patient while in the surgical department. The RN assists with surgical procedures in circulating and scrub duties. Assists in orientation, training and education of personnel. The RN takes call as assigned to meet department needs. PHYSICAL

OF POSITION The primary purpose of the Benefit Plan Technical Specialist is to maintain groups and plans in the claims payment system (QNXT). The Benefit Plan Technical Specialist will accomplish this goal by working with Retention and Underwriting departments to obtain approved plan benefit information. RESPONSIBILITIES & EXPECTATIONS Modifies or implements new configurat

The purpose of your position is to assist the department supervisor and with day to day operations within Networks, Credentialing and Contracting Departments. It is expected of the employee to develop, implement and maintain an accurate provider data base; analyze provider data, facilitate the preparation and follow up of the monthly activities of the Membership Services