JOB SUMMARY: Responsible for being the first point of contact for all membership related questions, requests and concerns and for providing outstanding service to our customers. You will answer queries regarding customer benefits, eligibi...
JOB SUMMARY: The Clinical Pharmacist in the Quality Improvement Department plays a pivotal role in advancing the health plan’s performance in CMS Star Ratings (Part D) and Population Health initiatives. This position is responsible for de...
JOB SUMMARY: The UI/UX Developer is responsible for the development of front-end portals using the Angular framework. The UI/UX Developer will be responsible for collaborating with the User Experience team to ensure cohesive branding acro...
JOB SUMMARY: Responsible for selling Medicare products and Individual Health Plan products via telemarketing calls and person-to-person meetings, including seminars. KEY RESPONSIBILITIES: Discuss products and benefits with eligible be...
JOB SUMMARY: The Clinical Quality Program RN (STARS) plays a critical role in promoting, protecting, and improving the health of the health plan's members. This role involves developing and implementing initiatives to manage chronic condi...
Overview: This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. ...
JOB SUMMARY: The Provider Performance Specialist plays a key role in strengthening relationships between the health plan and its provider network by offering education, support, and guidance on performance improvement initiatives. This po...
Overview: In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments is responsible for performing selected clinical duties including administrative/clerical duties, basic patient...
JOB SUMMARY: The Controller, reporting to the CFO, leads all accounting functions and guides financial decisions by establishing, monitoring, and enforcing policies and procedures regarding Accounts Payable, Accounts Receivable, journal e...
JOB SUMMARY: Responsible for auditing and monitoring company processes. Meets with stakeholders to review corrective action and obtain resolution. Conducts follow-up audits to ensure corrective actions have addressed the root cause to pre...