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Job Description: Responds to member and provider inquiries (phone, written or walk in) regarding all aspects of WellCare business, including claims, in a professional, timely, accurate and caring manner while..
Job Description: 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..
Job Description: Department: Network Reports to: Market VP Location: 2355 E. Cammelback Road, Phoenix AZ 85016 Directs a team in managing physician contracting, network development, provider relations and provider operations...
Job Description: Position supports the Company's highly specialized tax function in the Finance Department including income tax accounting, preparing/reviewing all tax-related filings (income, property, premium and sales taxes). Researches tax-related..
n Supervises a team of Provider Operations Coordinators in support of the Field Provider Relations and/or Network Management team as it relates to troubleshooting, coordination and administration duties.nn Reports to:..
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...
State President, New Hampshire','1803494','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 medical..
Market VP - Medicaid LOB','1800918','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..
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..
Provide guidance in support of the implementation, maintenance, administration and support of third-party applications used in conjunction with business and IT systems. Provides subject matter expertise in the third-party applications,..
Works with members and providers to close care gaps, ensure barriers to care are removed, and improve the overall member and provider experience through outreach and face-to-face interaction with members..
Job Description: Directs the organization with the critical information needed to make fact-based decisions, including building a strong business alignment with internal and external customers and providing key internal and..
Job Description: Provides the clinical leadership for behavioral health in the assigned market. Helps provide direction and management of behavioral health staff located in assigned markets which may include Behavioral..
Director, State Behavioral Health - Medicaid LOB','1800916','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..
Job Description: Provides daily and weekly scheduling and real time monitoring support for Customer Service. Tracks and analyzes data to support executive management staffing decisions. Responsibilities include daily monitoring of..
Job Description: LOCATION: Henderson Road, Tampa, FL DEPARTMENT: Finance REPORTING TO: VP, FP&A Partners with the Chief Medical Officer (CMO) and with leaders across the Population Health Services Organization (PHS)..
Job Description: Primary point of contact for interface between data users and IS teams. Formulates and defines systems’ scope and objectives through research and fact-finding, combined with a basic understanding..
Education High School Diploma or GED Associate's Degree Skills Time Management Microsoft Word Visio Microsoft Powerpoint Microsoft Office Provides administrative support to Senior Vice Presidents and his/her director reports. Performs..
Job Description: Department: ACO - Operations Reports to: VP ACO Operations Location: 550 Broad Street, Newark NJ 07102 Note: This position can also be based on of New York or..
Job Description: Oversees the day to day operations for inpatient, outpatient and prior authorization management activities to achieve quality and service driven objectives. Essential Functions: Supervises a staff of nurses..
Job Description: Department: Health Services - Quality Admin Reports to: Sr. Manager, Business Analysis Location: Tampa, FL 33634 Job Type: Salaried/ Exempt Manages multiple cross-functional teams in the delivery of..