Job Title Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy
Inbound Customer Service Agent-Bodewell Remote At GE Appliances, a Haier company, we come together to make good things, for life. As the fastest-growing appliance company in the U.S., were powered by creators, thinkers and makers who
Bilingual Spanish Inbound Customer Service Agent - Consumer Relations (Remote) At GE Appliances, a Haier company, we come together to make good things, for life. As the fastest-growing appliance company in the U.S., were powered by
Career Opportunities At Option Care Health With the nations largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion
Insurance Sales Representative At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years, our innovative drive has kept us a step
Job Description Leads and manages team responsible for health plan provider engagement activities. Collaborates with senior leadership and the health plan network team to drive value-based care strategies, and operational direction for risk adjustment and quality
Job Description Provides senior level support for clinical quality member intervention activities. Responsible for the developing and implementing new and existing member intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid, etc.). Executes health plan
Warehouse Solutions Design Manager (Remote) The Manager Solutions Design is responsible to support the growth of our Supply Chain Solutions & Dedicated Transportation Solution offerings by developing, designing and winning new business through: Designing solutions that
Job Description Provides support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes. Uses a consultative approach, emphasizing physician engagement and behavior change through actionable data and
Join a National Top Workplace Named a Top Workplace in the USA, and Top Remote Workplace, Kobie is where the best minds in loyalty come together, driven by passion and innovation. Were always looking for talented
Job Description Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes. Uses a consultative approach emphasizing physician engagement and behavior change through actionable
Claims Analyst - REMOTE The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryders self-administered liability program. This position investigates and adjusts claims, as well as directs defense counsel, independent adjusters,
Essential Duties and Responsibilities: - Facilitate the development of cross-line-of-business solutions by combining knowledge of business capabilities, value streams, and business processes. Consult with technical subject matter experts to develop technical solutions and advise on options,
Essential Duties and Responsibilities: - Lead the development and implementation of advanced sourcing and category management strategies through the RFx process. - Oversee the negotiation and development of contracts with new suppliers and/or renegotiate existing contracts
CareHarmony’s Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least
Essential Duties and Responsibilities: - Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position - Function as a Subject Matter Expert in
Essential Duties and Responsibilities: - Answer general inbound calls and place outbound calls with the goal of increasing business, customer satisfaction, and customer retention. - Follow basic procedures and scripts, using fundamental knowledge of company and
Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are predominantly routine, but may require deviation
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
CLF Consultants LLC (CLFC Healthcare & Communications) is building its nationwide Video Remote Interpreting (VRI) pool of pre-certified ASL interpreters to support sign language interpreter services for the New York State Education Department, Office of Adult Career