- Highmark Health (Hartford, CT)
- …Inc. **Job Description :** **JOB SUMMARY** This job is responsible for supervising member service call center and ensuring timely, professional, and courteous ... to other areas as necessary for resolution. Investigate escalated member inquiries. The incumbent may be required to make...routine medical approval decisions. **This role sits within the Medicaid Market - looking for someone who has Customer… more
- Fallon Health (Springfield, MA)
- …than you have in your current role + Our model is low-volume and very member and quality care focused **About Fallon Health** Founded in 1977, Fallon Health is a ... leading health care services organization that supports the diverse and changing needs...offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique… more
- Hartford HealthCare (Newington, CT)
- …across the system. *_Position Summary:_* Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR) or Claims Supervisor , assure timely ... the system as a whole, rather than a single member organization. With the creation of our new umbrella...overpayments via payer portal, payer chat or payer customer service , analyze claim adjustment reason codes, analyze remittance advice… more
- Fallon Health (Springfield, MA)
- …care and are continually rated among the nation's top health plans for member experience, service , and clinical quality. Fallon Health's Summit ElderCare(R) is ... Setting!** + Predictable Hours! + Safe and highly vaccinated work environment including the member population you care for + Our Health Aides and staff love the… more
- Hartford HealthCare (Newington, CT)
- …now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own ... identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.*__* *_Position… more
- The Cigna Group (Bloomfield, CT)
- …a focus in clinical strategy within client account management and as a core member of our HPD team. Learning opportunities include: understanding the PBM and health ... plan relationship, how we service our Health Plan clients, and ways we work...Medicare [focused] + Formulary Strategy III - HIX & Medicaid [focused] **Minimum Requirements:** + 4th year (Graduation year)… more
- Hartford HealthCare (Hartford, CT)
- …with Spanish being their primary language and have health coverage under Medicaid . APC provides opportunities for disease prevention and health promotion as well ... patients through the health system, including appropriate referrals for services to other health professionals. We are recognized as...Physician, the Medical Assistant performs delegated functions as a member of the patient care team to provide a… more