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Professional Management Enterprises Jobs

Professional Management Enterprises

Business Services | INDIANAPOLIS, IN | 260 followers

Professional Management Enterprises Overview

WEBSITE pme-indy.com
HEADQUARTERS INDIANAPOLIS, IN
SIZE 200 - 500
FOUNDED 2005
CEO HASKELL PORTEE
REVENUE $10M - $50M
INDUSTRY Business Services
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About Professional Management Enterprises

PME is a Minority and Service Disabled Veteran Owned Business founded in 2006, that is a highly valued teaming partner in multiple states to large corporations such as Humana, KPMG, Ernst and Young, Anthem, and HP to name a few. Additionally, we provide services in the areas of healthcare, IT, and professional services to Department of Defense and other Federal Government clients. We also are highly engaged in state work in our home state of Indiana, as well as multiple other states nationwide. We successfully leverage our abilities in Healthcare, Managed Care, IT, and Human Capital Services w...ith our flexibility and robust performance. More
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Sr. Provider Data Analyst - Health Plan (55783) at Professional Management Enterprises

Indianapolis, IN | Full Time
$90k-118k (estimate)
Just Posted
Seeking a. Sr. Provider Data Analyst. is to analyze complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Fully remote. Work scheduled is M-F, 8a-5p EST. Summary. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for ...

Data entry at Professional Management Enterprises

Marion, IN | Full Time
$45k-63k (estimate)
3 Days Ago
Pay Rate. $14.50hr (Weekly Pay). Hours. Monday thru Friday 9am-6pm. Duties and Responsibilities. The responsibilities are outlined as follows and no intended to be all inclusive. Enters alphabetic, numeric, or symbolic data from electronic images utilizing the Captiva Input Accel software application to capture the appropriate data including repairing any rejected characters as a result of the OCR function. Routes electronic data to next work flo...

Database Administrator II at Professional Management Enterprises

Indianapolis, IN | Full Time
$93k-117k (estimate)
6 Days Ago
Provides ongoing support of business, including ongoing data analysis, data quality testing, enhancement of metadata, etc. Reviews SQL code and provides turning suggestions. Provides DBMS technical configuration and troubleshooting. Provides user management and DBMS security support. 24x7 production and non-production DBA on-call support. Requires BA/BS in Computer Science or Information Systems or related field. 3 or more years of information sy...

Crisis Intervention Specialist at Professional Management Enterprises

Indianapolis, IN | Full Time
$34k-43k (estimate)
1 Week Ago
Job Description. Responsible for providing immediate assistance and support to individuals experiencing emotional, psychological, or behavioral crises. Duties involve assessing clients' needs, de-escalating tense situations, offering counseling and guidance, coordinating referrals to appropriate resources or services, and documenting interactions. Job Details. Engage callers to assess and de-escalate crises in the least restrictive manner to ensu...

Utilization Management Rep - Remote to Indiana at Professional Management Enterprises

Indianapolis, IN | Full Time
$77k-96k (estimate)
1 Week Ago
Description. We are looking for a utilization management representative to join our team. This position is a remote role but you must live in Indiana to be eligible. This role is Monday - Friday 8am- 5pm EST and the pay for this role is $18.00/hr. Responsible for coordinating cases for precertification and prior authorization review. Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility. Provid...

Grievance and Appeal Coordinator I (117738) at Professional Management Enterprises

Indiana, PA | Full Time
$43k-53k (estimate)
1 Week Ago
Seeking a. Grievance and. Appeals Coordinator. to enter appeals into the tracking system within contractual time limits. Responsible for reviewing and resolving member and provider complaints. The position is fully remote but MUST reside in INDIANA. The scheduled is Monday to Friday 8:00am-4:30pm. Summary. Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members...

Community Outreach Coordinator at Professional Management Enterprises

Indianapolis, IN | Full Time
$69k-89k (estimate)
1 Week Ago
Essential duties. Coordinates the IDOH planning and outreach activities to support the requirements of the Overdose Data to Action federal grant. Coordinates a calendar of outreach activities, including community events, workshops, appearances and other communication opportunities. Schedules outreach presentations and exhibitions in the community and communicates with DOP team regarding coverage and responsibilities. Oversees external subgrantees...

Partner Navigators at Professional Management Enterprises

Lafayette, IN | Full Time
$58k-74k (estimate)
2 Weeks Ago
Objectives. Increase the number of individuals with disabilities served across partner programs and leveraging. supports and resources to serve those individuals. Streamline access to services across partner programs, reducing or eliminating gaps or barriers in. accessing needed services, identifying a shared service delivery approach. Implementing successful practices to support participant navigation through workforce services including transit...

Managed Care Coordinator II (31995382) at Professional Management Enterprises

Columbia, SC | Full Time
$51k-72k (estimate)
3 Weeks Ago
Seeking an. RN. with. Managed Care and Utilization Management. experience to review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria. This position is remote, but requires the candidate to reside in the state of S.C. The scheduled is M-F 8:30am-5:00pm. Essential Duties. Review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrativ...

Managed Care Coordinator I (31609005) at Professional Management Enterprises

Columbia, SC | Full Time
$46k-76k (estimate)
3 Weeks Ago
Seeking an. RN. with. Managed Care and Utilization Management. experience to review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria. This position is remote, but requires the candidate to reside in the state of S.C. The scheduled is M-F 8:30am-5:00pm. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/...

Case Manager I (54810-1) at Professional Management Enterprises

Staunton, IL | Full Time
$83k-100k (estimate)
3 Weeks Ago
PME. is looking for a. RN. Case Manager I. experienced in Case Management working with complex medical and mental illness cases. The position requires face to face member visits. Schedule M-F 8:30am-5:00pmCST. The Candidates MUST reside within. Macoupin. County. Summary. Responsible for health care management and coordination of healthcare members. Works with members to create and implement an integrated collaborative plan of care. Conducts asses...

Healthcare - Case Manager II (54612) at Professional Management Enterprises

Virginia, VA | Full Time
$78k-93k (estimate)
3 Weeks Ago
Seeking RN, LPN, LMSW or MSW to be responsible for health care management and coordination of members to achieve optimal clinical, financial and quality of life outcomes. MUST reside in the state of VIRGINIA. Schedule M-F 8:00am-5:00pm. Day to Day Responsibilities. Will be responsible for performing case management activities according to the contractual requirements and in alignment with NCQA requirements. This will include potential home visits...
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