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... responsibility for utilization management oversight and clinical decision-making as outlined in ... (ACD) defined in the TRICARE Operations Manual Chapter 18, section 4. ... section 4. Responsibilities The UM..
Quality & Analytics Manager, Home & Community Based Services ... its Office of Long-Term Services and Supports (OLTSS), provides a robust ... them to live with independence and dignity in..
PURPOSE AND SCOPE: Manages the provision of ... program while maintaining cost-effective clinical operations in accordance with all legal, ... accordance with all legal, compliance, and regulatory requirements and programs...
... closely with Care Management leaders and Subject Matter Experts in the ... of Case Management, Utilization Management and Care Management Support as well ... other key partners in leading..
Project Leader/Principal, Health Care (MedTech Operations) Who We Are Boston Consulting ... partners with leaders in business and society to tackle their most ... tackle their most important challenges and..
... the Alliance as a PMO Project Manager II in the Operational Excellence ... are recruiting for one position and it can be filled in ... Reporting to the PMO..
The Business Process Analyst provides support by analyzing existing ... identifying gaps, identifying areas for improvement, and developing the appropriate reporting for ... operational improvements across the finance and accounting..