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The Regional Provider Engagement Manager will enhance provider performance and engagement through strategic initiatives, data analysis, and collaborative relationships within the region, driving quality and efficiency improvements.

The role involves creating architecture guidelines and integrating software solutions to meet business requirements while collaborating on integration-related initiatives and maintaining reference architecture documentation.

The Senior Compliance Analyst manages compliance and regulatory affairs for Duals Program, coordinating audits, communication with agencies, and policy development.

Leads the design and implementation of instructional programs, manages a team, collaborates with stakeholders, and assesses program effectiveness.

Coordinate and negotiate service agreements, manage financial settlements, evaluate provider performance, and ensure contract compliance in a healthcare setting.

Lead the collaboration between business and technology teams, gather and analyze requirements, manage UAT, and enhance requirement gathering processes.

Maintain databases and reports for network compliance, oversee provider changes, manage terminations, and support administrative tasks.

Oversee quality improvement functions, manage HEDIS reporting, ensure compliance with requirements, evaluate procedures, and prepare management reports.

The Sales Assistant III provides support to achieve sales retention, growth, and profitability, assists with sales strategies, and maintains relationships with clients and agents.

Manage multiple projects to enhance program efficiency and service levels, ensuring regulatory compliance through strategic planning and resource alignment.