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US - US
December 7, 2024
Summary: • The Healthcare Analyst I position is responsible for the analysis and interpretation of healthcare data to support organization-wide decision-making. The analyst coordinates and prioritizes analysis requests and assists in the identification of healthcare system opportunities for...
US - US
December 12, 2024
Purpose Contributes to the overall success of the Utilization Management department by performing clinical reviews for outpatient, including determining the member's overall health, reviewing the type of care being delivered, and evaluating medical necessity, in compliance with governing...
US - MA - Springfield
December 21, 2024
SUMMARY: • The Case Manager - CM is responsible for delivering case management (CM) and disease management (DM) services to members in compliance with current accreditation requirements and quality standards, and within the scope of the members' benefit package and per HNE policies. • This position...
US - US
December 31, 2024
SUMMARY: • The Member Services Representative provides superior customer service to members, providers, and employer groups. • ESSENTIAL FUNCTIONS: • Responds to inquiries from members, providers, and employer groups, providing superior product and benefit information for multiple HNE...
US - MA - Springfield
December 20, 2024
SUMMARY: • The Care Specialist oversees daily workload of the Care Coordinators within the Care Management Department. The incumbent will possess effective technical and decision making skills and will offer guidance to the Care Coordinators using a team-based approach. Practices in accordance...
US - MA - Springfield
December 4, 2024
Summary: • The Healthcare Analyst I position is responsible for the analysis and interpretation of healthcare data to support organization-wide decision-making. The analyst coordinates and prioritizes analysis requests and assists in the identification of healthcare system opportunities for...