5 care analyst jobs found in Independence, OH

Behavioral Health - Care Manager II Location: Virtual: This role enables associate to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Behavioral Health - Care Manager II is responsible for managing psychiatric or autism facility-based and outpatient professional treatment health benefits through telephonic or written review. How you will make an impact: Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral...

Actuarial Analyst II Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Actuarial Analyst II completes projects and performs complex actuarial studies. How You Will Make an Impact: Primary duties may include, but are not limited to: Performs key actuarial functions related to cost of care, understanding impact of provider and govt regulation changes and...

Pharmacy Benefit Manager Process Expert Senior Hybrid: This role requires associates to be in-office 1 - 2 days per week , fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Schedule: Monday - Friday, 8:00am - 5:00pm Eastern Time The Pharmacy Benefit Manager Process Expert Senior supports multiple operations departments by participating in project and process work. How you will make an impact: Researches operations workflow...

Cranial Technologies is the only company in the world completely dedicated to researching, diagnosing, and treating plagiocephaly (commonly called flat head syndrome). With over 300,000 babies successfully treated, we are the plagiocephaly experts and the leader in pediatric cranial shaping orthoses. Cranial Technologies also provides treatment with EarWell ® to correct infant ear shapes without surgery. With over 600,000+ successful outcomes, EarWell ® is a proven, non-invasive treatment option for families. About the Role: As a Clinical Sales Representative, you'll be the face of Cranial Technologies within your territory, building strong relationships with pediatric practices and advocating for the life-changing benefits of the DOC Band® for treating plagiocephaly and EarWell® for correcting infant ear shapes This role is perfect for sales professionals who are passionate about healthcare, excel at relationship-building, and thrive in a...

Customer Care Representative I Location : Virtual; This role enables associates to work virtually full-tine, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Hours : Monday - Friday, an 8 hour shift between 8:30 - 6 pm EST. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Customer Care Representative is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. How will you make an impact: Responds to internal and external customer questions via telephone and...