JOB SUMMARY: This position works under the Marketing Department and serves as the primary strategic resource for the Individual & Family Plan line of business. This role is responsible for coordinating growth strategies, training initiati...
Job Summary: The Stars Manager is responsible for leading the design, implementation, and continuous improvement of strategies to achieve and maintain superior CMS Star Ratings. This role serves as the key driver of cross-functional initi...
JOB SUMMARY: The Medical Records Clerk Intern’s primary responsibility will be to submit records requests and retrieve medical records for risk adjustment and as needed for HEDIS projects. The records clerk monitors and documents record r...
Overview: Reporting to the Operations Manager, the Operations Coordinator provides high-level administrative and operational support to leadership teams across clinical sites. This role ensures smooth day-to-day administrative functions, ...
JOB SUMMARY: Responsible for performing planned financial, network and operational audits and/or special reviews. The audits will provide verification of compliance with established controls, policies, plans and procedures as well as adeq...
JOB SUMMARY: Perform quality review on claims, enrollment, and customer service personnel on select criteria determined by management. Audit personnel daily of randomly selected output and complete appropriate forms for manager/supervisor...
JOB SUMMARY: Responsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources. KEY RESPONSIBILITIES: Serves as a resource to t...
JOB SUMMARY: Responsible for developing, implementing, monitoring and evaluating on-going training programs and to establish a quality assurance program for Medical Management. Assist Medical Management Supervisor with training clinical s...
JOB SUMMARY: The Manager Information Technology Infrastructure will be a strategic leader responsible for overseeing the design, implementation, and management of our healthcare plan's technology infrastructure. This role requires a seaso...
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...