CGC Group is a healthcare organization focused on improving medical management and utilization results through effective clinical leadership and operational oversight. The company emphasizes quality medical care delivery, regulatory compliance, and the development of innovative policies and programs. With a commitment to enhancing communication among senior management, staff, and external partners, CGC Group aims to ensure high levels of customer satisfaction while fostering a collaborative environment. The organization values diversity and is an equal opportunity employer, dedicated to creating an inclusive workplace.
The VP of Grievance & Appeals leads multi-state operations to ensure compliance and effective management of grievances and appeals.
The Pharmacy Account Manager oversees client relations and operational support for pharmacy benefits, ensuring effective communication and compliance with contractual obligations.
The Pharmacy UM/QA Leader manages pharmacy delegates, ensuring quality assurance and compliance in Utilization Management.
The Pharmacy Operations Manager oversees pharmacy benefits management and serves as a key liaison between health plans and pharmacy benefit managers.
The Grievance & Appeals Specialist evaluates medical necessity and manages grievances and appeals to ensure compliance in healthcare.
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