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Associate Executive Director Operations

Participates in directing, planning, controlling, and coordinating the operating activities of an organization toward the achievement of established objectives, including the operations strategies and objectives to ensure the achievement of the organization's goals and objectives. Assists in the design, operation, and improvement of the system that creates and delivers the organization's products or services. Assists with the development of organization's policies, practices, and attainment of operating goals, ensuring efficient and effective execution of policies and procedures.: Analyzes and appraises the effectiveness of organizational operations. Evaluates operating results throughout the organization to ensure that organization growth and objectives are being met. Contributes to the overall short-and long-range planning process and in the establishment and assessment of the organization's annual operating budget. Ensures attainment of efficient and economical performance in relation to profit and year-end goals. Assesses and assists in upgrading the management talent base within operations to achieve growth and meet market needs. Guides and leads other members of management.

Associate Product Manager

Provides product management and marketing support in accordance with the strategy developed by the Product Manager. Assists in managing the research and development staff and programs with improvement and cost reduction ideas and the introduction of products, processes, and services. Assists in the development of the marketing plan of the product, processes, and services. Recommends potential of new, or ways to improve existing, products, processes, and services.: Researches products, processes, and/or services of comparable competitors. Reviews and evaluates research results and makes appropriate recommendations to management. Tracks and evaluates product performance. Manages individual product-focused projects (prioritization of engineering work, product definitions, etc.) and inventory management and control in conjunction with operations. Develops and recommends specific marketing objectives and forecast for products or processes. Manages the execution of authorized marketing programs to achieve or exceed sales volume and profit margin requirements. Keeps up-to-date in new developments in the field. Analyzes and reports data patterns which affect the marketing of the products, processes, or services. Makes recommendations to enhance the functionality and profitability of the products, processes, or services. Keeps management informed of product updates and on progress of projects. Develops and monitors project budgets and schedules. Controls research expenditures within approved budget limitations. Reviews and evaluates research results. Prepares reports on progress and recommends the addition, expansion, or discontinuance of projects or programs. Develops and maintains relationships with management and sales representatives. May manage activities that are directly related to the product, including sales and customer support. May recruit, hire, and train department staff, evaluate staff performance, and develop goals and objectives for staff.7

Associate Medical Director

Supports the direction and coordination of medical affairs to include quality management, utilization management, case management, and preventive health services. Provides direct assistance to the Medical Director. Requires a medical degree from an accredited medical school and a license to practice. Experience in a managed health plan is typically desired.: Reviews and makes determinations on all questionable physician review decisions. Assists in the development of clinical practice guidelines or case management guidelines. Participates in the review and approval of inter-rater reliability monitoring. Provides medical input into the development of preventive health, quality improvement, and utilization management activities. Assists with the analysis of provider profiles to identify areas for improvement. Serves as an interface in professional or institutional matters between the plan and its providers. May conduct provider profile consultation visits.

Pharmacy Associate

Assists Pharmacists in filling orders, checking prices, and stocking shelves in a retail pharmacy establishment. Serves customers at a pharmacy counter and processes purchases. Typically requires on-the-job training.: Takes customer orders, delivers customer orders, computes charges, handles payment, and enters data in computer. Cleans equipment and sterilizes glassware according to prescribed methods. Types and files reports and completes forms as directed. Assists in receiving and storing supplies, stocking shelves, checking prices, and maintaining inventory.

Associate Case Manager

Plans, directs, implements, and evaluates appropriate healthcare services, under direct supervision, in conjunction with Physician's treatment plan to ensure that cost effective, quality care is provided. Typically requires licensure as a Registered Nurse or LPN with at least two year of relevant nursing experience. : Coordinates cases that normally include prospective and retrospective review and prior authorization, determining the appropriate level of care and utilization of services, concurrent review, retrospective review, developing discharge plans, and ensuring quality cost effectiveness. Develops a plan of care for patients from admission to discharge. Monitors patient progress toward desired outcomes through assessments and evaluations. Analyzes referred cases for potential case management interventions. Evaluates the effectiveness of alternate care services and ensures that cost effective, quality care is maintained to meet case management objectives. Determines if proposed medical treatment plans meet contract provisions. May arrange referrals, consultations, therapeutic services, and confer with other specialist on course of care and treatment.

Web Associate Editor

Assists Web Editors with developing, coordinating, editing, and maintaining assigned content on organization or client websites. Communicates web standards and guidelines, content processes, and strategic direction of the website to necessary staff. Ensures that content meets organization's or client's needs. : Confirms project specifications and troubleshoots encountered problems to ensure timely delivery of finished product. Monitors compliance with corporate guidelines. Reviews written submissions for formatting, layout, design, and specification requirements. Serves as backup for other Web Editors. Maintains familiarity with other web applications and new online technologies. Provides advice and counsel on communications, web writing, copy editing, and technical matters.

Credentialing Associate

Provides technical and clerical assistance to facilitate effective and efficient operation of the provider credentialing function.: Coordinates and performs enrollment of assigned providers and physicians in appropriate health plans to ensure satisfaction of the health plan requirement for acceptance. Reviews and processes provider applications and determines eligibility by applying NCQA, JCAHO and URAC standards as related to the network. Performs primary source verification for initial and re-credentialing of assigned providers utilizing NCQA and other federal and state regulatory requirements. Analyzes and resolves basic provider issues relative to credentialing, enrollment, billing and payers. Communicates with providers regarding credentialing status and information. Creates and maintains participating provider or practitioner credentialing files. Reviews and analyzes provider file changes. Creates practitioner profiles for re-credentialed practitioners. Prepares and sends application packets to participating providers and facility applicants, requesting the return of basic credentialing information. Reviews applications for completeness and assists the applicant in completing the application. Prepares routine credentialing reports. This position typically requires a experience sufficient to provide a working knowledge of NCQA and JCAHO.

Associate Financial Analyst

Assists in compiling, analyzing and interpreting financial information for management decision-making. Assists organization with financial functions, such as assessing, auditing, planning, budgeting, taxes, consolidation, cost control, and project control. Analyzes past and present financial data of organization and estimates future revenues and expenditures, applying principles of finance. Assists in the compilation of the annual plan capital budget, monthly forecast capital expenditures updates, and the long-range plan capital expenditure projections. Analyzes capital expenditures, depreciation, proposals, investment opportunities, rate of return, profit plans, operating records, financial statements, etc. Analyzes the financial projections for monthly income estimate forecasts, annual and long-range plans, and special studies using integrated financial software.: Generates the monthly income estimate and operating reports including written commentary and analysis of variances. Performs other ad-hoc financial studies such as lease versus purchase, internal rate of return, etc. Assists in accounting for all assigned financial transactions in an effective and efficient manner by gathering, analyzing, classifying, and recording financial data. Summarizes financial data through the preparation of reports, schedules, statements, invoices, and filings, including rate filings. Analyzes accounts and financial results by developing an understanding of assigned financial and related business transaction flows, including supporting electronic data processing systems. Maintains accurate financial and accounting records which are in compliance with applicable company policies.

Account Installation Specialist Associate

Administers the installation of assigned accounts under general direction including, but not limited to, structure and billing setup, eligibility collection, database loading, and preparation of plan materials, such as administrative documents and customer education materials.: Provides support to assigned accounts by responding to inquiries and resolving issues of concern. May provide guidance or expertise to less experienced representatives.

Associate Engineer

Coordinates and participates in design, evaluation, planning, integration, testing, and completion activities in engineering projects. Identifies, analyzes, and resolves program support deficiencies. Gathers and correlates engineering data. Performs various tests and documents results.: Provides technical direction and guidance to professional and/or sub-professional personnel. Directs and oversees any combination of design, planning, specification writing, plan review, or inspection activities necessary for the completion of projects. Assigns work, gives instructions, and resolves difficult engineering problems. Directs and supervises the activities of engineering personnel in analyzing field data and preparing plans, profiles, maps, and/or related drawings necessary for assigned projects. Provides technical information to officials of governmental jurisdictions, other engineers, and the public. Interacts with public utility companies as needed. Supervises the preparation and maintenance of records pertaining to job expenditures, budget programs, work order balances, requests for change orders, progress pay, and final estimates on contracts. May prepare specifications and related contract documents to be used in advertising projects for bids.

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