2 policy analyst jobs found

Summary We are currently hiring for a part-time RN Managed Care Coordinator to join BlueCross BlueShield of South Carolina. In this role as a part-time RN Managed Care Coordinator I, you will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness. Utilizes available resources to promote quality, cost effective outcomes. Description Location: This position is part-time (30 hours/week) Monday-Friday from 8:30am-5:00pm EST and will be fully remote. The candidate will be required to report on-site for trainings, meetings, or other business...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Capital One. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Senior Associate, Learning and Development (Business Cards & Payments) - Remote Are you a self-starter, a go-getter, and a deal maker? Are you disciplined and autonomous? In Capital One’s Business Cards & Payments group, you will find a culture that expects and rewards excellence. We believe in unlocking the power of people and equipping them to do great things! We are looking for like-minded people who can share our passion for success and a high sense of urgency to...