THE LARGEST COLLECTION OF JOBS ON EARTH
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
Develops, plans and implements the outreach (community and member) programs, and marketing strategy for events, activities and out reach to interested candidates and members in compliance with CMS, state, federal..
Senior Director, Quality Improvement: Located in Atlanta, GA. Plans, develops and directs Quality Improvement functions and activities. Provides leadership necessary to achieve national best practice performance levels in quality improvement..
Description The Senior Software Engineer is accountable for the implementation of, or complex changes to, information systems. Review user specifications/requirements in order to complete the technical design, technical documentation, programming,..
Under minimal supervision , maintains administers and installs client workstations, services applications, and printers in accordance with standard Information Technology policies, processes and procedures.nnResponds to Service Desk requests and performs..
The Workforce Management Analyst works to improve workforce management effectiveness by scheduling, budgeting and forecasting in the Customer Service Department. Successful candidates will also implement and optimize the usage of..
**Current, Active New Jersey Medicare Sales Licensure Required**Oversees and manages activities associated with the broker channel, to include compliance oversight, selling, member retention and marketing of PDP/CCP lines of business...
Skillsnn- SQLn- Oraclen- Business Analysisn- SASnnJob DescriptionnnEssential Functions:nDevelops ad-hoc reports to conduct data analysis and validation.nConfers with area/department to analyze current operational procedures and trends and identify problems.nConducts business analysis..
Primary contact for assigned market for all Sales Support functions from onboarding and certifications through to commissions. Thrives in a fast paced environment, while striving toward Quality resolutions for our..
Job Description: RN - Field Care Manager - Case Management - Pediatric experience Tallahassee Works with Care Coordination MVP Team members to assess, plan, implement, coordinate, monitor, and evaluate services..
Reports to: Sr. Dir, State Operations, NCDepartment: NC-ExecPosition Location: Greensboro, NCProvides general office, project-related and administrative support for a designated field office location(s). Performs a wide variety of administrative tasks..
Education - High School Diploma or GED - Associates Degree Skills - Time Management - Excel - Microsoft Project - Microsoft Word - Customer Service Reports to: Sr. Dir, State..
Location: Nashville, TN or Brentwood, TN Department: Health Services - RAPS Reports to: Sr. Manager, Risk Adjustment Programs Manages and coordinates the completion of enterprise, functional and/or departmental projects and..
Location: Tampa, FL (Henderson Rd.) Department: HS-Quality & AnalyticsReports to: Sr Dir, Strategic Initiatives Supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies..
Provides onsite management of 3rd party program relationship with various vendor partners for customer service performance management standards, financial responsibility and proactively implements appropriate business solutions as required. Acts as..
Responsible for ensuring the successful development, coordination, and execution of IT Programs in order to achieve the goals and strategic objectives of the IT organization. This includes direct and proactive..
Conducts comprehensive member psychosocial assessments through root cause analysis and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity..
Job Description: Works with Care Coordination MVP Team members to assess, plan, implement, coordinate, monitor, and evaluate services and outcomes to maximize the health of the Member. Coordinates, monitors and..
Serves as a department SME for a wide range of tasks and special functions to include vendor support, training, quality reviews, new business implementations, reporting analytics, process improvement, etc. Location:..
The incumbent will be responsible for supporting business people in our local WellCare markets in negotiating contracts with hospitals, physician groups and other providers to participate in our provider network,..
This position is contingent upon the bid award in the state of Texas to WellCare Health Plans, Inc Oversees clinical direction of medical services and quality improvement functions at the..
Job Description: Leads the requirement gathering for required/planned communication request or campaigns. Collaborates and strategizes with product owners to optimize the best solution of member and provider materials (i.e., letters,..