- Fallon Health (Worcester, MA)
- …Twitter, and LinkedIn. **About NaviCare** : Fallon Health is a leader in providing senior care solutions such as NaviCare, a Medicare Advantage Special Needs ... Plan and Senior Care Options program. Navicare integrates ...the best possible outcomes. **Brief Summary of Purpose:** The Enrollee Service Representative is responsible: + To… more
- Commonwealth Care Alliance (Boston, MA)
- …related social needs (HRSN) and social determinants of health (SDOH) for enrollees in One Care (ICO) and Senior Care Options (SCO) plans. Community Health ... **Why This Role is Important to Us:** Commonwealth Care Alliance's Community Health Services (CHS)...IIs support creation of comprehensive and holistic plans of care and contribute to enrollee Care… more
- Fallon Health (Berkshire, MA)
- …face to face relationships with the member/caregiver(s) to better ensure ongoing service provision and care coordination, consistent with the member specific ... care team as applicable + Demonstrates positive customer service actions and takes responsibility to ensure member and...and Oversight** + Completes Program Assessments, Notes, Screenings, and Care Plans in the Centralized Enrollee Record… more
- Staffing Solutions Organization (Albany, NY)
- … Care Organization (MCO) business process data to prevent/ensure appropriate health care services and benefits are provided as defined under NYS regulations ... Senior Healthcare Program Specialist 1 Commerce Plaza, Albany,...delighting clients with world-class managed staffing and talent consulting services . SSO is committed to a diverse workforce, which… more
- Deloitte (Pittsburgh, PA)
- …health plan/insurance company experience + 1 years' experience with Medicaid managed care capitation rate development and/or fee-for- service rate development + ... offers you the opportunity to advise Government and Public Services (GPS) clients through critical and complex issues, while...Work you'll do As a Government Health Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance… more
- Greater Lynn Senior Services (Lynn, MA)
- …Health Spending Account + Flexible Spending Accounts (FSA) - Healthcare reimbursement & dependent care assistance + 12 paid holidays each year + 15 sick days per ... starting year 1 and increasing with your years of service + 403b Retirement Savings Plan with an Agency...to 64, that are participating in the Commonwealth's Long-Term Services and Supports Community Partnership program. You will also… more
- VNS Health (Manhattan, NY)
- OverviewInitiates the referral and enrollment process for VNS health plan services to achieve desired enrollment goals. Performs outreach to assess eligibility and ... programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying degrees + Opportunities for… more
- VNS Health (Manhattan, NY)
- OverviewInitiates the referral and enrollment process for VNS health plan services to achieve desired enrollment goals. Performs outreach to assess eligibility and ... inquiries regarding pre-enrollment issues, eligibility and program information to ensure service satisfaction. Works with our internal and external customers to… more
- CVS Health (Atlanta, GA)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... sends a personal message that how we deliver our services is just as important as what we deliver....ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** The… more