Senior Project Manager - Highstreet 25% Milestone Travel Required Overview: As a Senior Project Manager at Highstreet, you'll serve as a pivotal figure in our client engagements, embodying professionalism, accountability, and expertise. In addition to driving successful project delivery, you'll cultivate and maintain strong client relationships, navigate change management challenges, and apply problem-solving skills to ensure project success. This role offers an opportunity to lead and influence
Supervisor, Behavioral Health (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Supervisor, Behavioral Health (Utilization Management) to join our team. The Supervisor Behavioral Health (Utilization Management) will be responsible for the daily operation of Behavioral Health Integration (BHI) Utilization Management (UM) functions. The incumbent will oversee the benefit's prior authorization, concurrent review processes and transition of care. The in
Supervisor, Behavioral Health (Utilization Management) CalOptima Health is seeking a highly motivated an experienced Supervisor, Behavioral Health (Utilization Management) to join our team. The Supervisor Behavioral Health (Utilization Management) will be responsible for the daily operation of Behavioral Health Integration (BHI) Utilization Management (UM) functions. The incumbent will oversee the benefit s prior authorization, concurrent review processes and transition of care. The incumbent w
Clinical Auditor, Sr. CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor, Sr. to join our team. The Clinical Auditor Sr will serve as the auditor for clinical and quality areas within the Case Management department. The incumbent will ensure regulatory (Medicare and Medi-Cal including Whole Child) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, monitoring
Data Analyst, Sr. (HEDIS) CalOptima CalOptima Health is seeking a highly motivated an experienced Data Analyst Sr to join our team. The Data Analyst Sr (HEDIS) will provide expertise in business requirements for the organization's Healthcare Effectiveness Data and Information Set (HEDIS) data reporting and analysis in the Quality Analytics department. The incumbent will be responsible for conducting quality assurance on data collection, data processing, data analysis and reporting. In addition,
Our direct client is looking for a Senior Project Manager for a Primarily Remote Long term Contract position for client in Mechanicsburg, PA. Job description: - This position is responsible for maintaining existing large, complex applications and leading new software development projects that cross multiple platforms, organizations, and commonwealths business partners as part of a team at Client. - As part of this team, this position is responsible for maintaining existing large, complex applic
Job Description The Data Engineer Senior Consultant plays a critical role in the implementation of Enterprise Data Management (EDM) Solutions for Datasource Consulting/EXL Clients. They are responsible for setting the development standards and best practices, and may be required to assist with requirements gathering/analysis, development, testing, documentation, and deployment tasks. This is a business-facing role in which the consultant will work independently and collaboratively with internal
Our Oracle Enterprise Solutions (OES) practice provides services from ERP and Cloud Strategy, through Business Transformation and Applications Implementation, to Operate and Cloud Release Management. We modernize our client's business and core environments to leverage technology innovations around Cloud, Digital, Mobility and Social Collaboration. We help our clients address digital transformation by designing modern applications and industry specific solutions to deliver outcomes that improve f
