Member Engagement Programs Specialist Regular Exempt GENERAL DESCRIPTION: Responsible for coordinating the activities of Club Te Paga at service centers and events, including managing resources, maintaining participant records, conduc...
, coordinating services, and maintaining compliance with established protocols. Serves as a vital link between members, healthcare... as a point of contact for representatives from healthcare facilities, ensuring effective communication and resolution of issues...
Clinical Service Technician Regular Non-Exempt GENERAL DESCRIPTION: Responsible for receiving, registering, and forwarding requests for organizational determination and/or any associated clinical documentation or documentation for t...
, coordinating services, and maintaining compliance with established protocols. Serves as a vital link between members, healthcare... as a point of contact for representatives from healthcare facilities, ensuring effective communication and resolution of issues...
criteria as required by the HEDIS (Healthcare Effectiveness Data and Information Set) measures TRC (Transitions of Care) & FMC...
IT Service Desk Analyst Level I Regular Non-Exempt GENERAL DESCRIPTION: Provides first-level technical support to internal and external customers by responding to service requests, answering inquiries, resolving or escalating technolo...
IT Service Desk Analyst Level I Regular Non-Exempt GENERAL DESCRIPTION: Provides first-level technical support to internal and external customers by responding to service requests, answering inquiries, resolving or escalating techno...
Stars Call Center Representative Regular Non-Exempt GENERAL DESCRIPTION: Responsible for receiving and initiating phone calls regularly in alignment with the strategies and special projects of the Medicare Stars Program. Ensures the...
Classicare Enrollment & Eligibility Analyst - Temporary Temporary - AEP Non-Exempt GENERAL DESCRIPTION: Responsible for the accurate and timely administration of enrollment, disenrollment, eligibility, and benefit maintenance processe...
Pharmacy Technician/STARS Regular Non-Exempt GENERAL DESCRIPTION: Oversees interventions and/or calls to clients (beneficiaries, providers, pharmacies) to promote the correct use of medications and follow the prescription to increase ...