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Corporate Counsel Regulatory - Medicaid Duties Advises on a range of regulatory issues which may include Medicare Medicaid state CHIP programs DOI regulation Mental Health parity ACA procurement and or..
Corporate Counsel Regulatory - Medicare Duties Advises on a range of regulatory issues which may include Medicare Medicaid state CHIP programs DOI regulation Mental Health parity ACA procurement and or..
Provider Operations Coordinator 1901580 Headquartered in Tampa Fla WellCare Health Plans Inc NYSE WCG focuses primarily on providing government-sponsored managed care services to families children seniors and individuals with complex..
u003Cpu003Eu003Cfont face=Arial size=3\u003EThe Network Performance Advisor (NPA) serves as a key point of contact and liaison between assigned strategic providers and various departments within WellCare, including Quality, Operations, Finance, Health..
Primary point of contact for interface between the business users and IT teams. Formulates and defines systems' scope and objectives through research and fact-finding, combined with a basic understanding of..
u003Cpu003Eu003Cfont face=Arial size=3\u003Eu003C/fontu003Eu003C/pu003Eu003Cfont face=Arial size=3\u003Eu003Cpu003Eu003Cfont face=Arial size=3\u003Eu003C/fontu003Eu003C/pu003Enu003Cpu003Eu003Cfont face=Arial size=3\u003Eu003Cspanu003ELocation: 8715 Henderson Road, Tampa, FL 33634u003C/spanu003Eu003C/fontu003Eu003C/pu003Enu003Cpu003Eu003Cfont face=Arial size=3\u003Eu003Cfont face=Arial size=3\u003Eu003Cspanu003EReports to: Supervisor, Appealsu003C/spanu003Eu003C/fontu003Eu003C/fontu003Eu003C/pu003Enu003Cpu003Eu003Cfont face=Arial size=3\u003Eu003Cspanu003EDepartment: PHS- Appealsu003C/spanu003Eu003C/fontu003Eu003C/pu003Enu003Cpu003Eu003Cfont face=Arial size=3\u003Eu003Cspanu003EJob Type: Non-exempt..
u003Cpu003Eu003Cfont face=Arial size=3\u003EAs a Telecom Engineer, Senior you will be responsible for leading telecommunication initiatives. A senior will have a high degree of proficiency with Cisco UC and Collaboration technologies..
u003Cpu003EPerforms coding audits of the medical coding team using a prescriptive audit tool to verify the completeness, accuracy and adherence to departmental procedures and documentation guidelines of randomly selected claims...
u003Cp class=MsoNormal\u003Eu003Cbu003Eu003Cspanu003Eu003Cfont face='arial, sans-serif'u003Eu003Cfontu003E**Current, Active Georgia Medicare Sales Licensure Required**u003C?xml:namespace prefix = o ns = urn:schemas-microsoft-com:office:office /u003Eu003Cpu003Eu003C/pu003Eu003C/fontu003Eu003C/fontu003Eu003C/spanu003Eu003C/bu003Eu003C/pu003Eu003Cpu003EProspects for and enrolls eligible leads into the Medicare Advantage plans. Meets the minimum..
**Current, Active Florida 2-15 or 2-40 Health Licensure Required** Prospects for and enrolls eligible leads into the Medicare Advantage plans. Meets the minimum enrollment goal of new members using approved..
u003Cpu003Eu003Cfont face=Arial size=3\u003EResponsible for ensuring all aspects of management and delivery process of assessing, planning, implementing, coordinating, monitoring, and evaluating services and outcomes is pursued to achieve deal specific value..
u003Cpu003Eu003Cfont face=Arial size=3\u003EUnder general supervision, the Associate Software Engineer reviews business requirements and information requests, existing programs, and file structures to complete the specified changes. As part of completing the..
u003Cpu003Eu003Cfont face=Arial size=3\u003EPartners with hiring managers to identify and qualify viable candidates. Conducts comprehensive screening of perspective applicants and referrals. Effectively manages internal applications and provides exceptional customer service to..
u003Cpu003Eu003Cfont face=Arial size=3\u003EServes as initial point of contact for all inbound inquiries related to Human Resources. Provides assistance for all Tier 1 questions and issues, using a knowledgebase of information..
u003Cpu003Eu003Cfont face=Arial size=3\u003EWorks collaboratively with supervisors, providers, community resources, and facilities to establish and implement processes to support delivery of effective utilization management. Coordinates assignments to manage daily census. Acts..
u003Cp u003Eu003Cfont face=Arial size=3\u003Eu003Cuu003ESUMMER INTERNSHIP PROGRAM DETAILS:u003C/uu003Eu003C/fontu003Eu003C/pu003Eu003Cfont face=Arial\u003Eu003C/fontu003Eu003Cp u003Eu003Cfont face=Arial size=3\u003E12 Weeks from May 20- August 9u003C/fontu003Eu003C/pu003Eu003Cfont face=Arial\u003Eu003C/fontu003Eu003Cp u003Eu003Cfont face=Arial size=3\u003EPaid Internship with Career Development, Experiential Learning, Social Activity and..
u003Cpu003Eu003Cfont face=Arial size=3\u003Eu003C/fontu003Eu003C/pu003Eu003Cpu003Eu003Cfont face=Arial size=3\u003Eu003Cfont face=Times New Roman\u003Eu003C/fontu003Eu003C/fontu003Eu003C/pu003Eu003Cfont face=Arial size=3\u003Eu003Cbu003Eu003Cspanu003Eu003Cfont face='arial,sans-serif'u003Eu003Cfont size=3\u003E**Current, Active Georgia Medicare Sales Licensure Required**u003C/fontu003Eu003C/fontu003Eu003C/spanu003Eu003C/bu003Eu003Cpu003Eu003Cfont face=Times New Roman\u003Eu003C/fontu003Eu003C/pu003Eu003C/fontu003Eu003Cpu003Eu003Cfont face=Arial size=3\u003Eu003C/fontu003Eu003C/pu003Eu003Cpu003Eu003Cfont face=Arial size=3\u003Eu003C/fontu003Eu003C/pu003Eu003Cpu003Eu003Cfont face=Arial size=3\u003ERecruit, train, monitor (to..
u003Cp class=MsoNormal align=left\u003Eu003Cfont face=Calibri\u003Eu003Cfont face=Times New Roman\u003Eu003Cfont face='calibri, sans-serif'u003EThe mission of Internal Audit is to provide independent, objective assurance designed to add value and improve WellCare's operations by bringing a..
Prospects for and enrolls eligible leads into the Medicare Advantage plans. Meets the minimum enrollment goal of new members using approved presentation materials and sales techniques. Essential Functions: Utilizes territorial..
Oversees the utilization management activities by evaluating the necessity and efficiency of services through systematic monitoring of medical necessity and quality, while maximizing the appropriate level of care that correlates..
u003Cfont face=Arial size=3\u003Eu003Cfont face=Times New Roman\u003Eu003C/fontu003Eu003Cpu003Eu003Cuu003Eu003Cspan style='mso-fareast-font-family: Calibri; mso-bidi-font-family: Times New Roman; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri;'u003Eu003Cfont face=Calibri\u003ESUMMERnINTERNSHIP PROGRAM DETAILS:u003C/fontu003Eu003C/spanu003Eu003C/uu003Eu003C/pu003Enu003Cfont face=Times New Roman\u003Eu003C/fontu003Eu003Cpu003Eu003Cspan style='mso-fareast-font-family: Calibri; mso-bidi-font-family: Times New Roman; mso-ascii-font-family: Calibri;..
u003Cpu003Eu003Cfont face=Arial size=3\u003Eu003C/fontu003Eu003C/pu003Eu003Cfont face=Arial size=3\u003Eu003Cpu003Eu003Cfont face=Arial size=3\u003EManages third party program relationships with high volume ancillary vendor partners for performance management standards, financial responsibility and proactively implements appropriate business solutions as..
u003Cfont face=Arial\u003Eu003Cfont face=Times New Roman\u003Eu003C/fontu003Eu003Cpu003Eu003Cuu003Eu003Cfont face=Arial\u003ESUMMER INTERNSHIP PROGRAM DETAILS:u003C/fontu003Eu003C/uu003Eu003C/pu003Enu003Cfont face=Arial\u003Eu003C/fontu003Eu003Cpu003Eu003Cfont face=Arial\u003E12 Weeks from May 20- August 9u003C/fontu003Eu003C/pu003Enu003Cfont face=Arial\u003Eu003C/fontu003Eu003Cpu003Eu003Cfont face=Arial\u003EPaid Internship with Career Development, Experiential Learning, Social Activity and Exposure to..
u003Cpu003Eu003Cfont face=Arial size=3\u003Eu003Cfont face=Times New Roman\u003Eu003Cfont face='arial,sans-serif'u003Eu003Cbu003ELOCATION: St. Louis, MOu003C/bu003Eu003C/fontu003Eu003C/fontu003Eu003C/fontu003Eu003C/pu003Eu003Cpu003Eu003Cfont face=Arial size=3\u003Eu003Cfont face=Times New Roman\u003Eu003Cfont face='arial,sans-serif'u003Eu003Cfont face=Arial size=3\u003Eu003Cfont face=Times New Roman\u003Eu003Cfont face='arial,sans-serif'u003Eu003Cfont face=Arial size=3\u003Eu003Cfont face=Times New Roman\u003Eu003Cfont face='arial,sans-serif'u003Eu003Cbu003EDEPARTMENT: Financeu003C/bu003Eu003C/fontu003Eu003C/fontu003Eu003C/fontu003Eu003C/fontu003Eu003C/fontu003Eu003C/fontu003Eu003C/fontu003Eu003C/fontu003Eu003C/fontu003Eu003C/pu003Eu003Cpu003Eu003Cfont face=Arial..
u003Cp class=MsoNormal\u003Eu003Cbu003Eu003Cspanu003Eu003Cfont face='arial, sans-serif'u003Eu003Cfontu003E**Current, Active Georgia Medicare Sales Licensure Required**u003C?xml:namespace prefix = o ns = urn:schemas-microsoft-com:office:office /u003Eu003Cpu003Eu003C/pu003Eu003C/fontu003Eu003C/fontu003Eu003C/spanu003Eu003C/bu003Eu003C/pu003Eu003Cpu003Eu003C/pu003Eu003Cpu003EProspects for and enrolls eligible leads into the Medicare Advantage plans. Meets the minimum..
u003Cpu003Eu003Cfont face=Arial size=3\u003EThe Software Engineer assists in the programming of changes to information systems. Review user specifications/requirements in order to complete the technical design, technical documentation, programming, and testing of..