Managing IT - related contracts at Telent, ensuring successful delivery and customer satisfaction while controlling finances and risk management.
About the role
- Manager II Medical Management overseeing teams of clinicians at Elevance Health. Responsible for optimizing member outcomes and managing healthcare resources while ensuring adherence to policies and procedures.
Responsibilities
- manage a team of clinicians charged with promoting quality member outcomes
- optimize member benefits
- promote effective use of resources
- Ensure adherence to medical policy and member benefits in providing service
- Manages areas which may include authorizing inpatient admissions, outpatient services, focused surgical and diagnostic procedures
- Applies clinical knowledge to work with facilities and providers for care-coordination
- May also manage appeals for services denied
- Serves as mentor to lower leveled managers
- Develops and manages annual operating budget
- Hires, trains, coaches, counsels, and evaluates performance of direct reports
Requirements
- Requires a HS diploma or equivalent
- minimum of 5 years acute care clinical experience
- minimum of 2 years prior management experience
- Current, active, valid unrestricted RN license to practice as a health professional
- BS preferred
- MS Office Suite experience preferred
- Health plan experience preferred
- Management experience preferred
- Production environment experience preferred
- Clinical experience in an ER/trauma unit preferred
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- merit increases
- paid holidays
- Paid Time Off
- short and long term disability benefits
- life insurance
- wellness programs
- financial education resources
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Care Manager overseeing development and implementation of care plans for clients in their homes. Delivering compassionate support in community and home health environments while collaborating with various professionals.
District Manager overseeing 7 - 12 park locations ensuring operational execution and financial performance for Sky Zone. Leading, coaching, and developing leaders to enhance guest experiences and business results.
Care Manager developing and implementing comprehensive care plans for seniors aging at home. Collaborating with families and professionals to ensure quality care and support.
Associate Portfolio Manager managing analytics and ETF solutions at American Century Investments. Focused on portfolio management with systematic techniques across asset classes and vehicles.
Senior Product and Proposition Manager at Barclays shaping the future of banking through product and service development. Collaborating on customer experiences and improving account offerings.
Manager responsible for overseeing revenue integrity operations within INTEGRIS Health facilities. Ensures financial performance and compliance in healthcare billing and coding processes.
National Field Manager leading a team of sales representatives for KitchenAid appliances. Driving sales performance and managing merchandising programs across Canada with a hybrid workspace.
Food and Beverage Assistant Manager coordinating food service operations and ensuring guest satisfaction at Loews Hotels in Orlando. Leading staff training and maintaining high service standards in a dynamic hospitality environment.
Experienced Property Manager responsible for logistics properties across Poland. Join P3, a leading European warehouse provider focusing on sustainable development.