- Molina Healthcare (Mesa, AZ)
- …issues or questions. + Log all contacts in a database. + Participate in Member engagement work groups as needed to ensure Medicare member needs are being ... **Job Description** **Job Summary** Responsible for continuous quality improvements regarding member engagement and member retention. Represents Member … more
- Magellan Health Services (Albuquerque, NM)
- …Presents the program and offerings in group settings. Consistently achieves member engagement strategies while meeting quality performance standards. + ... with individuals with adverse childhood experiences. General Job Information Title CISC Member , Caregiver and Stakeholder Engagement Manager Grade 23 Work… more
- Elara Caring (Grand Rapids, MI)
- …at the Right Time, in the Right Place. **Job Description:** **Engage Clinical Care Specialist ** The Engage Clinical Care Specialist is part of the ElaraConnect ... suite of patient engagement programs that aims to improve patient outcomes on-service....to improve patient outcomes on-service. The Engage Clinical Care Specialist supports the PCS Engage and PCS Branches, acting… more
- CVS Health (Baton Rouge, LA)
- …to meet performance and productivity metrics, including call volume, successful member engagement , and state/federal regulatory requirements. + **Professional ... every day. **Job Purpose and Summary** As an essential member of our Special Needs Plan (SNP) care team,...Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports (LTSS) team is responsible for ... appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities including project management… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12721 ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of… more
- LA Care Health Plan (Los Angeles, CA)
- Community Relations Specialist II (Temporary- 3 months) Job Category: Administrative, HR, Business Professionals Department: Communications Location: Los Angeles, ... net required to achieve that purpose. Job Summary As a key creative member of a cross-functional Communications team, the Community Relations Specialist II… more
- Tidelands Health (Myrtle Beach, SC)
- …people live better lives through better health!** **Supervisor Provider Coding Specialist ** Are you passionate about quality and committed to excellence? Consider ... mission to life each day. **A Brief Overview** The Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager, is responsible for… more
- Novo Nordisk (Buffalo, NY)
- …exciting new therapies to market to improve patient outcomes. As a team member , you will connect therapies to new specialties, build cardiometabolic advocates, and ... impact + Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- BJC HealthCare (St. Louis, MO)
- …in a variety of situations. + The ability to promote teamwork and employee engagement is everyone's responsibility. This team member will work to create an ... Information About the Role** BJC is looking to hire a Authorization Specialist ! **Additional Preferred Requirements** + Remote Role Monday - Friday 8:00-4:30 Pm… more
- Novant Health (Salisbury, NC)
- …+ Our team members are part of an environment that fosters team work, team member engagement and community involvement. + The successful team member has ... cost of Medicare and Medicaid). In 2022, Novant Health community engagement contributed more than $1.9 million in charitable contributions to community partners… more
- Waystar (Louisville, KY)
- …Specialist who is passionate, curious, and radiates optimism. The Enterprise Technical Research Specialist will serve as a versatile team member , acting as a ... and concise updates to the support team. + Client Engagement and Documentation: Support "Client of the Week" initiatives...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Elevance Health (Washington, DC)
- **Medical Management Specialist I** **Location:** Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and ... to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and… more
- Virginia Mason Franciscan Health (Poulsbo, WA)
- …Mason Franciscan Health, is currently seeking a full-time Behavioral Health Specialist for the Franciscan Psychiatric and Behavorial Health Clinic in Silverdale, ... outside the clinic. An incumbent functions as a core member of a Collaborative Care team that is made...with patients who are in remission. + Facilitates patient engagement and follow-up in care. **Identifies and implements strategies… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive outreach and ... pillar of this community for more than 130 years. As a proud member of Trinity Health (https://www.trinity-health.org/) , one of the nation's largest Catholic… more
- Community Health Systems (Franklin, TN)
- …and value-based quality programs. This includes but is not limited to Medicare Traditional and Advantage, Commercial, governmental, ACO, BPCI, CJR, and other ... goals. + Support annual regulatory reporting submission requirements related to Medicare Quality programs (CQM, eCQM, MIPS, etc.) through coordination of data… more
- MetroLink (Los Angeles, CA)
- …various social media outlets. The position will also support various customer engagement programs, including refunds, group travel, the Quality Service Pledge (QSP), ... other various systems on a regular basis. + Support various customer engagement programs, including refunds, group travel, QSPs, and comments. + Record daily… more
- LA Care Health Plan (Palmdale, CA)
- …Implements continuous process improvements to workflows, processes, and customer-centric support and member engagement are well as propose solutions for the ... analyzes data to inform an integrated approach to outreach activities and targeted member engagement . Makes recommendations for bridging members of the community… more
- State of Colorado (Pueblo, CO)
- …is rendered according to the State Board of Nursing (SBON), Centers for Medicare Services (CMS), The Joint Commission (TJC), Colorado Department of Public Health and ... nursing directives using effective communication. Collaborates with the Clinical Safety Specialist (CSS) supervisor in the event of safety and security needs,… more
- Grifols Shared Services North America, Inc (New York, NY)
- …and regions. The Immunology/Neurology SSR will focus on sales performance and engagement with the account and targets. Current immunology call points are: ... at a rapid pace using digital resources for customer engagement . The SSR will be tasked at using technology...territory including major accounts and large players (ie, Commercial, Medicare , and Medicaid) + Ability to understand and navigate… more
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