Homeoffice

  • As a Sr Product Owner, you are charged with leading one or multiple scrum teams to deliver critical, complex and strategic outcomes. The Sr Product Owner will work closely with Product Manager and other Product Owners to enable the success of the Program and HF by helping develop achievable well thought out product roadmaps for your team(s).

  • The Pharmacy Technician position is a dynamic position responsible for the intake and review of prior authorization requests for medications requested under the medical benefit. The Pharmacy Technician is responsible for approval decisions/denial recommendations based on predetermined clinical criteria, updates to units requested, decision notification for members and providers, establishing good rapport with Provider offices, strong communication and customer service skills. The Pharmacy Technician position is part of multidisciplinary team and will work closely with Providers, Pharmacists, and Medical Directors. The Pharmacy Technician will report to the Clinical Pharmacist.

  • The Care Manager plans and manages behavioral and/or physical care with members and their beneficiaries and works with clinicians and health care team members. The Care Manager facilitates care and medical attention and addresses identified member needs across the continuum of care. The Care Manager is responsible for applying care management principles when engaging members and addressing coordination of the member’s health care services. The Care Manager is assigned to a specific product line such as FIDA, CompleteCare, SNP, Medicaid/Medicare, PHSP, HARP, etc. Depending on one’s residence and line of business, the Care Manager may be expected to make home, nursing home, and other related sites visits around downstate New York.

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