Job Description Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Star ratings. Responsible for
Job Title Provides lead level support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy
About Pair Team At Pair Team, were an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social -
Job Title Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members
Remote Sales Opportunity with Unlimited Potential — Sales Customer Representative at Joseph and Young Joseph and Young is currently looking for motivated individuals to join our growing remote team. As a Sales Customer Representative, you’ll have
Job Title Leads and directs team responsible for configuration activities including accurate and timely implementation and maintenance of critical information on claims databases, validation of data stored on databases, and adherence to health plan business and system
Job Title Leads and directs team responsible for government contracts activities. Job Description Leads and directs team responsible for development and administration of contracts with state and/or federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide
Start immediately from anywhere and take control of your income with a proven system designed to help you reach six-figure earnings. Stratford Davis Staffing is actively seeking motivated individuals for a Remote Sales Representative position. This
Work from anywhere. Build a six-figure income. Start immediately with full training. At Beacon National Agency, we are hiring for the position of Customer Sales Representative, offering a fully remote opportunity designed for individuals who want
Work Remotely. Earn Without Limits. Launch Your Career with Expert Training. Looking for a career that offers flexibility, unlimited earning potential, and the freedom to work from anywhere? Beacon National Agency is seeking motivated individuals to