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 - MA - Springfield
January 7, 2025
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...
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...