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...
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: The Senior Health Data Analyst provides the analytical support for Executives and all departments including analysis, pricing, capitation, network, and provider specific reporting. Analytical support includes programming cust...
JOB SUMMARY: The Supervisor Customer Service will build a strong team of Customer Service Representatives and shape staff behaviors to accomplish desired results to meet the expectations and needs of our members, providers and internal cu...
Responsible for designing, developing and maintaining cloud infrastructure and data platforms;delivering target-state core platform architecture;leading cloud and infrastructure security initiatives;establishing infrastructure as code an...
Overview: Responsible for being a support person and/or first point of contact for patients, staff, and guests presenting at the clinic, and performing all the administrative tasks associated with patient check in as well as administrativ...
JOB SUMMARY: This non-clinical position supports the department by performing a broad range of clerical duties. KEY RESPONSIBILITIES: Prepares correspondence to members, providers, and facilities. Provides follow up with providers an...
Overview: Responsible for being the first point of contact for patients, staff, and guests presenting at the clinic, and performing all the administrative tasks associated with patient check in. Responsibilities: DUTIES AND RESPONSIBIL...
JOB SUMMARY: Responsible for completing out-bound calls and other member outreach opportunities to select members and documenting efforts. This role spends 100% of time on quality program activities. May require extended, or multiple, pho...
JOB SUMMARY: The Provider Relations Representative is the external-facing liaison between the health plan and its contracted providers. This role is responsible for onboarding new providers and delivering education on health plan policies...