- Molina Healthcare (Long Beach, CA)
- …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
- PruittHealth (Athens, GA)
- …experience required, with strong preference for candidates with previous experience in Medicare or healthcare sales and engagement . Previous experience in case ... MACON or ATHENS** **JOB PURPOSE:** The purpose of the Outreach and Enrollment Specialist role for PruittHealth Premier to serve as a licensed insurance agent to… more
- Molina Healthcare (AZ)
- …will require occasional travel to provider offices. **Knowledge/Skills/Abilities** The Senior Specialist , Provider Engagement contributes to one or more of ... data collection, reporting and monitoring for key performance measurement activities. Provider Engagement experience in a health plan setting is key to this… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- **Why This Role is Important to Us:** The Specialist , Quality -- Provider Engagement -- ACO/PO monitors Quality Measures within Accountable Care Organization ... Group Practice Reporting Options (GPRO). Conducts onsite reviews and audits for Medicare compliance. This position partners with providers to support in office… more
- St. Luke's University Health Network (Easton, PA)
- …regardless of a patient's ability to pay for health care. The Volunteer Engagement Specialist is responsible for developing and managing a quality volunteer ... Requires ability to work independently and as a team member on multiple projects. Adept at computers. Experience in...the only Lehigh Valley-based health care system to earn Medicare 's five-star ratings (the highest) for quality, efficiency and… more
- LA Care Health Plan (Los Angeles, CA)
- …data to inform management with an integrated approach to outreach activities and targeted member engagement . Plan, develop, analyze and implement member and ... Community Resource Center Specialist III Job Category: Customer Service Department: Community...instructors. The role leads community and provider outreach and engagement initiatives to increase member traffic at… more
- Humana (Columbus, OH)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...the opportunity to become acquainted with each of our member hospitals. In addition to these rotations, the Fellow… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN38542B **Job Title** Financial Analyst **Working Title** Financial Specialist , Accounting & Finance **Job Grade** E **FLSA Code** Administrative ... Date** **Open Until Filled** Yes **Job Summary** The Financial Specialist at Huntsman Cancer Institute ( HCI ) is...Huntsman Cancer Institute ( HCI ) is an integral member of the HCI Finance team. Reporting to the… 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: 10345 ... 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
- St. Luke's University Health Network (Lehighton, PA)
- …regardless of a patient's ability to pay for health care. The Certified Peer Specialist (CPS) has the lived experience of a mental health or co-occurring diagnosis ... to facilitate their recovery and community integration through utilization of the Specialist 's personal life experience and first-hand recovery knowledge. The CPS is… more
- CVS Health (Nashville, TN)
- …deploy multi-faceted integrated design, to include database, sales operations, digital, and member engagement management teams. + Independently works on small ... individual to support a core internal Telesales team as a sales operations specialist . The position will join a high performing, experienced team that manages… more
- Lumeris (MO)
- …information. Thank you for your interest in Lumeris. **Position:** Correspondence Specialist **Position Summary:** Responsible for daily review and routing of all ... inbound member and provider correspondence received via the postal service....the appropriate metadata. + Utilizes knowledge of Centers for Medicare and Medicaid Services requirements of processing times by… more
- CVS Health (Jackson, MS)
- …healthcare needs.* Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve ... impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social… more
- CVS Health (Atlanta, GA)
- …needs. * Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum ... impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social… more
- Virginia Mason Franciscan Health (Gig Harbor, WA)
- …Virginia Mason Franciscan Health, is currently seeking a full time Behavioral Health Specialist for our Franciscan Behavioral Health in Gig Harbor, WA. Come join our ... 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
- Molina Healthcare (Owensboro, KY)
- …**Passport by Molina Healthcare** is hiring for an **In-Office, Front Desk Community Engagement Specialist ** to serve in the Owensboro, Kentucky office. This ... promote the Plan. + Explaining and encouraging members to sign up for the Member Portal, text, and email opt-ins. + Participates in local, regional and or statewide… more
- CVS Health (Blue Bell, PA)
- …impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... markets across the country. Position Summary The Health Survey Specialist plays a critical role within the DSNP team....The HRA is the first step in creating the member 's Individualized Care Plan and sets the foundation for… more
- LA Care Health Plan (Los Angeles, 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
- RWJBarnabas Health (Hamilton, NJ)
- …the patient in selecting a PCP and making the initial appointment + Ensure any specialist appointments are scheduled as needed + Engagement with CJR patients: + ... in an acute care setting and after discharge. For Medicare patients enrolled in Comprehensive Joint Replacement (CJR) lives,...level and name of the facility, if applicable + Engagement with the Care Management Director and Physician Advisors… more
- CVS Health (Carson City, NV)
- …health care more personal, convenient and affordable. Position Summary: The Health Survey Specialist plays a critical role within the DSNP team. The Health Survey ... Specialist outreaches DSNP members via phone to introduce the...The HRA is the first step in creating the member 's Individualized Care Plan and sets the foundation for… more