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Jobs (261 Matches)
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1. Apply   (Fulltime)6 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1401935Provides administration and department support for clinical care management, case and disease management and field service coordination staff. Coordinates services and performs administrative functions. Assists in completing activities related to various cross functional projects in support of departmental goals. Essential Functions: Responds to phones as assigned or team ...
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2. Apply   (Fulltime)6 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1400788Represents WellCare at assigned facilities to provide concurrent review, discharge planning and coordination and evaluates of members for Case Management needs during face-to-face interaction. Identifies members with high risk medical conditions that will require complicated medical treatments to refer for an individualized post-acute plan of care to reduce ...
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3. Apply   (Fulltime)6 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403784 Location: Tampa, FL Department: Operations - Grievances Reports To: Manager, Appeals Schedule: Day Shift Responds to member and provider inquiries (phone, written or walk in) regarding all aspects of WellCare business, including claims, in a professional, timely, accurate and caring manner while consistently meeting all guidelines. Essential Functions: Responds to member, provider ...
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4. Apply   (Fulltime)6 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403420Coordinates, monitors and ensures that appropriate and timely primary, acute and long-term care services are provided to members across the continuum of care with a focus on medically complex/medically fragile cases. Assists in coordinating services with federal and state programs, and other community services to the member. Promotes ...
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5. Apply   (Fulltime)6 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1401219 DEPARTMENT: FL Medicaid HIRING MANAGER: Vice President, Sales Develops, plans and implements the outreach (community and member) programs, and marketing strategy for events, activities and out reach to interested candidates and members in compliance with CMS and ACHA regulations for Medicaid and according to the prescribed ...
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6. Apply   (Fulltime)6 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1402071Provides education and consultation to providers’ and provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Serves as the market clinical subject matter, expert in the field, for HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation ...
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7. Apply   (Fulltime)6 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1305271Supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies that impact plan compliance to regulatory and accreditation standards. Drives key quality improvement projects requiring the ability to work effectively in a matrix environment in order to receive needed data that ...
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8. Apply   (Fulltime)6 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403488Prospects for and enrolls eligible leads into the Medicare Advantage plans. Meets the minimum enrollment goal of new members using approved presentation materials and sales techniques. Essential Functions: Utilizes territorial model philosophy to maximize marketing efforts in attaining new enrollments. Generates referrals utilizing community resources, supplied company tools, ...
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9. Apply   (Fulltime)1 day ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1400811The Community Relations Manager is responsible for developing; planning and implementing the AHCA approved marketing strategy for events to interested candidates, according to prescribed rules and regulations of the Medicaid Contract. DEPARTMENT: Florida Sales - Medicaid REPORTS TO: Vice President, Sales Essential Functions: Markets Medicaid products to ...
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10. Apply   (Fulltime)1 day ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403584Department: Operations, Configuration Reports To: Director, Business Analytics Location: Tampa, 33634 Hours: M-F Day Shift Leads in the development of complex adhoc reports to enable process and trend analysis. Provides recommendations on the implementation of new/revised operational and/or reporting processes. Conducts special projects requiring a high degree of confidentiality and expert ...
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11. Apply   (Fulltime)1 day ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1305358Oversees the day to day operations for inpatient utilization, outpatient utilization and prior authorization management activities for multiple markets designed to achieve quality and service driven objectives. Essential Functions: Manages and optimizes workflows to achieve successful quality outcomes and benefit maximization within the scope of responsibilities. Serves as an instrumental ...
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12. Apply   (Fulltime)1 day ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1402453Recruit, train, monitor (to include counseling), and motivate a sales team to prospect for and enroll eligible in the Medicare Advantage. Supervision of all sales activities related to distribution of resources, production reports, commission payouts, and mentoring of sales representatives on team. Present and/or train individual representatives to ...
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13. Apply   (Fulltime)1 day ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1402605Department: Operations Reports to: Sr. Claims Manager Manage, lead, motivate and develop training team members. Develop, implement, test and support the curriculum for the claims training program for both internal and external claims associates. Work closely with claims management to ensure claims training programs and processes are functioning ...
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14. Apply   (Fulltime)1 day ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1402033Position based in St Petersburg, FL Supervises staff, ensures appropriate workload distribution and oversees day to day workflow processes. Ensures team is compliant with all model of care regulatory requirements, and produces optimal clinical, socio economic and resource outcomes. Ensures the case management process of ...
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15. Apply   (Fulltime)1 day ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403679Manages physician network by developing and maintaining relationships to drive business results within a specific geographic area. Provides service and education to network physicians/providers. Achieves company targets through implementation of Network Improvement plans. Essential Functions: Completes new provider orientation for all applicable product lines. Conducts site ...
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16. Apply   (Fulltime)1 day ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403822 Partners with business lines to assess recruiting needs and to identify key recruitment issues. Implements and utilizes effective recruitment strategies to attract highly qualified candidates. Conducts in-depth screening of perspective applicants. Establishes and maintains a strong recruiting presence and create an effective service image. DEPARTMENT: ...
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17. Apply   (Fulltime)1 day ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1305418Sterling Insurance was established in 1958 and is a growing company dedicated to innovation and teamwork. In 1999, Sterling contracted with its sister company, Olympic Health Management Systems, Inc. and has grown to over 1,000 talented and diversified people. Today, Sterling offers a variety of products and services ...
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18. Apply   (Fulltime)1 day ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403642Provides administration and department support for clinical care management, case and disease management and field service coordination staff. Coordinates services and performs administrative functions. Assists in completing activities related to various cross functional projects in support of departmental goals. Essential Functions: Responds to phones as assigned or team ...
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19. Apply   (Fulltime)1 day ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1402677DEPARTMENT NAME: FL DivisionHIRING MANAGER: Senior Director, State Regulatory AffairsLeads in the development of complex adhoc reports to enable process and trend analysis. Provides recommendations on the implementation of new/revised operational and/or reporting processes. Conducts special projects requiring a high degree of confidentiality and expert knowledge ...
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20. Apply   (Fulltime)2 days ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403606The VP, Field Network Management acts as a strategic contributor to the state plan senior leadership team. The incumbent delivers on the development of a high quality, high performance network, drives a collaborative relationship with and between internal clinical and quality stakeholders and external provider partners, and ...
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