- TEKsystems (Sunrise, FL)
- …and provider issues. 13. Prepares documentation and reports for review by the Member Services Director and Supervisor. 14. Maintains confidentiality per HIPAA ... physicians and patients regarding plan benefits and eligibility. This position emphasizes member education, customer service and front line problem solving.… more
- Elevance Health (Pembroke Pines, FL)
- **LTSS Service Coordinator ** _Location:_ This is primarily a field based position. Candidate would work from home and meet face to face with patients and ... to worksite and other locations as necessary. The **LTSS Service Coordinator ** is responsible for conducting ... and supports. + At the direction of the member , documents their short and long-term service … more
- TEKsystems (Sunrise, FL)
- …and provider issues. + Prepares documentation and reports for review by the Member Services Director and Supervisor. + Maintains confidentiality per HIPAA ... Job Description: Bilingual in English and Spanish preferred! Responsible for...patients regarding plan benefits and eligibility. This position emphasizes member education, customer service and front line… more
- US Foods (Miami, FL)
- …and profitability of those relationships. Coordinates and leads efforts of the Customer Service Representative and Account Coordinator as a unified sales team to ... formal Business Reviews. Ultimately responsible for results of sales team (Account Coordinator and Customer Service Representatives) actions relative to assigned… more
- IQVIA (Cooper City, FL)
- …visit scheduling and reminders. Focus will be on recruitment and community outreach. Bilingual Spanish/English preferred. As a pivotal member of the site team, ... coordinator , nurse, medical assistant, other medical profession + Bilingual Spanish/English preferred. + Basic knowledge of clinical trials, combined with… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Medicare Advantage Plan serving Miami-Dade and Broward Counties. The HEDIS Coordinator supports the Healthcare Effectiveness Data and Information Set (HEDIS) annual ... and provide necessary information and support to close these gaps. + Conduct member outreach to educate and assist in completing identified preventive care measures.… more
- Humana (Hollywood, FL)
- …caring community and help us put health first** The Care Coach evaluates member 's needs and requirements to achieve and/or maintain optimal wellness state by guiding ... connecting with our members to ensure they receive the services they need. The Care Coach 1 role involves...settings - 75-90% local travel + Assesses and evaluates member 's needs and requirements in order to establish a… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- The Main function of a COB Coordinator is to coordinate benefits between Doctors Healthcare Plans, Inc. and other insurance carriers that may be liable for the ... services provided to our members. Responsibilities : + Analyze,...and local regulations. + Participates in meetings, training and in- service education, as required. + Performs other duties as… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Responsibilities: + Point of contact for providers regarding medical/behavioral/clinical services or benefits. Including (e-g notification, authorization). + Extract ... and review fax requests for medical or clinical services requests. + Receive calls requesting medical/clinical services or benefits information, respond to and… more
- MyFlorida (Miami, FL)
- …Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with ... E-Verify Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 837227 Agency: Financial Services Working Title: CRIME INTELLIGENCE ANALYST I (PENDING RECLASSIFICATION)… more
- Bank of America (Miami, FL)
- …leading provider of comprehensive wealth management and investment products and services for individuals, companies, and institutions. Merrill Wealth Management is ... Description:** This job is responsible for leading the overall service delivery model to include the bank's digital offerings...Management Market Executive (ME). The MCRM functions as a member of the market leadership team and manages the… more
- Insight Global (Miami, FL)
- …ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic ... direction of the team manager. May act as the coordinator and communicator of volunteer interventions on the plan...genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status… more
- MyFlorida (Fort Lauderdale, FL)
- …Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with ... Working Title: INVESTIGATION SPECIALIST II - 79000764 Pay Plan: Career Service Position Number: 79000764 Salary: $42,748.16 Annually (CAD Included) Posting Closing… more
- Elevance Health (Miami, FL)
- …Primary duties may include but are not limited to: + Coordinates with the Service Coordinator and nursing facility to develop a transition plan. + Provides ... strategy with local stakeholders. Advocate on behalf of the member , and help resolve case or broader systems issues....and help resolve case or broader systems issues. Support service coordination teams and connect members with those who… more