# # # To learn more about our website privacy policy, click on this .* Directs day-to-day, high-touch member management to include implementation of program goals, coordination of treatment plans and benefit coordination for high-risk patient populations and/or those with complex conditions.* Coordinates clinical services with external sources to include: providers, vendors, facilities, social workers/case managers and/or community services.* Participates in team training and continuing medical education.* Prepares for external audits and quality assurance efforts.* Working knowledge of word processing software* Knowledge of quality improvement processes and demonstrated ability with these activities* Knowledge of contract language and application* Ability to work independently, prioritize effectively, and make sound decisions* Demonstrated customer service, organizational, and presentation skills* Demonstrated proficiency in spelling, punctuation, and grammar skills* Demonstrated oral and written communication skills* Ability to persuade, negotiate, or influence others* Analytical or creative thinking skills* Ability to handle confidential or sensitive information with discretion* Strong communication and customer services skills* Excellent analytical skills to problem solve and remedy issues immediately* Ability to work in an autonomous environment or leadership capacity* Subsidized health plans, dental and vision coverage* 401k retirement savings plan with company match* Life Insurance* Paid Time Off (PTO)* On-site cafeterias and fitness centers in major locations* Education Assistance* Service Recognition* National discounts to movies, theaters, zoos, theme parks and more
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