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Behavioral Health Care Manager','1804270','Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses exclusively on providing government-sponsored managed care services through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans..
Job Description: Responsible for the overall operations of the health plan, including strategic direction, administration of all existing programs and development of new programs to ensure goals and objectives are..
Job 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,..
Job Description: **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..
Job Description: The Regulatory Affairs Senior Manager provides strategic and tactical oversight and leadership to the managing of the regulatory needs of the Medicaid Product Line across multiple states and..
Education Associate's Degree High School Diploma or GED Skills Time Management Applicant Tracking System Experience Microsoft Word Visio Workday Provides support and assistance in the delivery of Human Resources Talent..
Education Bachelor's Degree Skills SharePoint Microsoft Word Instructional Design Employee Evaluation Design Experience Provides facilitation, assessment, instructional design, teaching and monitoring of educational programs. Essential Functions: Teaches, facilitates and assesses..
Skills RN Hospice Care Certified Home Health Aide - Patient center Hospice care service. - Responsible. - Strong communication. - Compliance with Policy and Procedure. Job Type: Part-time Experience: Hospice:..
Job Description: BECOME PART OF A GROWING TEAM Provides behavioral health care management services through prospective, concurrent and retrospective evaluation and review of treatment. Determines medical necessity, level of care..
Education Bachelor's Degree Skills Leadership Experience Excel Microsoft Word Negotiation Strategic Planning LOCATION: Can sit in Atlanta, Tampa or South Carolina Offices DEPARTMENT: Finance REPORTING TO: VP, Regional Finance Drives..
Education Bachelor's Degree Skills Time Management Excel Account Management Microsoft Word Negotiation Manages physician network by developing and maintaining relationships to drive business results within a specific geographic area. Provides..
Works 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 as clinical..
Education Bachelor's Degree Master's Degree Skills Accounting Microsoft Word Financial Analysis Excel CPA LOCATION: Atlanta, Tampa or possible Remote DEPARTMENT: Finance REPORTING TO: VP, Medicaid CFO Responsible for executive leadership..
Education Bachelor's Degree High School Diploma or GED Skills Excel Microsoft SQL Server Microsoft Word Microsoft Powerpoint Microsoft Access Identifies and recommends operational improvement opportunities through reporting, process and trend..
Education Bachelor's Degree Skills Time Management Microsoft Word Customer Service Microsoft Access Excel Benefits Health Insurance Develops, plans and implements the outreach (community and member) programs, and marketing strategy for..
Skills Excel Visual Design Microsoft Word Microsoft Powerpoint Microsoft Office The Corporate Strategy team leads the company's annual strategic planning process, monitors and tracks the company's multi-year strategic plan, conducts..
Education Bachelor's Degree Skills ICD-10 Microsoft Word Microsoft Office Excel NCQA Standards Works with members and providers to close care gaps, ensure barriers to care are removed, and improve the..
Education High School Diploma or GED Skills Time Management Call Center Customer Service Responds to member and provider inquiries (phone, written or walk in) regarding all aspects of WellCare business,..
Skills Microsoft Office The Treasury Department is based within the Corporate Finance Group. Treasury plays a central role in managing the day-to-day financial activities of various WellCare entities. There are..
Job Description Works 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..
Job Description: Provides administration and department support for care management and clinical teams. Coordinates services and performs administrative functions. Assists in completing activities related to various cross functional projects in..
Job Description: Provides behavioral health care management services through prospective, concurrent and retrospective evaluation and review of treatment. Determines medical necessity, level of care required and quality of care provided...