- 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
- Boston Health Care for the Homeless Program (Boston, MA)
- …and serve as a vital link connecting senior homeless individuals with primary care as well as services that address social determinants of health needs. The ... + Assist nurse care manager and other team members with arranging enrollee appointments for services needed. + Accompany enrollees to appointments including… 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 ... is focused on delighting clients with world-class managed staffing and talent consulting services . SSO is committed to a diverse workforce, which is a reflection of… more
- Deloitte (New York, NY)
- …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
- 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
- University of Rochester (Rochester, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** Provides professional comprehensive care management services to patients of the Strong ... the most complex, high utilizing patients that need comprehensive care management services . Health Home core ...to: care coordination, heath promotion, comprehensive transitional care , enrollee and family support, referral to… more
- Healthfirst (NY)
- …pre-enrollment screening: Meets with individuals who may qualify for enrollment in Senior Health Partners or Montefiore MSO throughout the 5 boroughs, Westchester ... and their families. Assists with orientation of new Enrollment Specialists at Senior Health Partners so they understand the model, support enrollment growth and… more