- CVS Health (Augusta, ME)
- …solutions that promote high-quality healthcare for members. **Position Summary** The Associate Manager is responsible for oversight of Utilization Management ... At CVS Health , we're building a world of health...teams. Works closely with functional area leadership team (department Associate Managers, Manager , and other key stakeholders… more
- CenterWell (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Associate Director of WFM Capacity Planning is responsible for leading and optimizing ... chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health ...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates ... resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Nurse 2 work assignments are varied and frequently require interpretation… more
- CenterWell (Augusta, ME)
- … Clinical Care Coordinator is expected to communicate with the CenterWell Home Health clinical team and help facilitate timely patient follow-up for patients ... week.** + **Required to work every other holiday.** The ** Clinical Care Coordinator** helps to ensure optimal continuity of...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for ... chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health ...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** Step into a leadership role with Humana where your clinical expertise and passion for ... accuracy will make a meaningful impact. As the Nurse Audit Manager , you will spearhead audit and validation processes to ensure medical documentation and coding are… more
- Spurwink Services (Lisbon, ME)
- …process new client admissions in collaboration with Program Director and Medication Room Manager . + Work collaboratively with the Associate Director in running ... Lisbon, ME, USA | Clinical | Salary | 65000-70000 per year |...join our dynamic, multidisciplinary team serving adults with mental health and substance use needs in a residential setting… more
- CenterWell (Augusta, ME)
- …- Lead medical strategy to reduce avoidable ED visits, including oversight of clinical protocols with vendor partners (eg, Dispatch Health ), ensuring appropriate ... Health care model integration - Develop and integrate clinical models to enhance coordination between primary care and...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** Humana is an $80 billion (Fortune 41) market leader in integrated healthcare with a clearly ... achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana...to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view… more
- CenterWell (Augusta, ME)
- …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... part of our caring community and help us put health first** **Become a part of our caring community...use data science and operations research methodologies to recommend clinical staffing needs by skill type, pay type, and… more
- Datavant (Augusta, ME)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...+ Review disagreements on APC/DRG changes with the appropriate manager . + Prepare the final reports for the coding… more
- CenterWell (Augusta, ME)
- …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... **Become a part of our caring community and help us put health first** **Become a part of our caring community and help us put health first** CenterWell Home … more
- Datavant (Augusta, ME)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues **What You Need to Succeed:**… more