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Jobs (269 Matches)
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1. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403776Sr. Software Engineer, Comprehensive Health Management Inc. aka Wellcare, Tampa FL. Leads a team of developers to provide business and technical expertise in requirements solicitation, system analysis, technical design, programming and documentation of information systems. Acts as principle contributor to technical feasibility studies, business cases, proposals, and 3rd ...
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2. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403773The Receptionist position is responsible for taking incoming telephone calls, receiving visitors and appropriately directing visitors. Essential Functions: Receives incoming calls in a timely and professional manner Greets visitors and provides prompt courteous service Provides general information and assistance to visitors and customers Answers inquiries for the general ...
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3. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1401527 Provides behavioral health care management services through prospective, concurrent and retrospective evaluation and review of treatment. Determines medical necessity, level of care required and quality of care provided. Coordinates and manages behavioral health services rendered by network and non-network providers to health plan members using ...
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4. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1401346 Provides behavioral health care management services through prospective, concurrent and retrospective evaluation and review of treatment. Determines medical necessity, level of care required and quality of care provided. Coordinates and manages behavioral health services rendered by network and non-network providers to health plan members using ...
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5. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403329Department:Operations, Customer Service Operations Reports To: Sr. Manager, Customer Service Operations Location: Tampa, 33634 Hours: M-F Day Shift Support WellCare business and IT partners by effective administration of assigned applications in specified environments. Designs, documents, implements, configure, monitors, and supports the application, systems, and services to meet the business requirements ...
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6. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1402006Provides 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)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403022The Senior Director, Configuration plans, provides resources, and directs activities for the business of the function (or multiple functions) within Provider Operations, Configuration. The incumbent’s assignments are broad in nature, usually requiring considerable creativity, originality and ingenuity. Reports to: VP, Provider Operations Position Location: Tampa, FL 33634 Essential ...
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8. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403322 Acts as the main gatekeeper between the pharmaceutical industry and constituents within WellCare. Ensures appropriate levels of rebates for brand drugs for which are included in our formulary because of clinical appropriateness. Interacts with our PBM to make sure our pharmacy network meets government standards for ...
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9. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1401226Manages 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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10. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1400760 Job Summary: Works under the direction of the Director of State Government Affairs to track and submit accurate and complete lobbyist registration and disclosure reports with state agencies, as well as, overseeing the lobbyist/consultant contracting process; develops complex PowerPoint presentations; collaborates with markets and lobbyists where charged; compiles and monitors pending legislation; and supports ...
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11. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403950Work with or lead a team of analysts to provide timely, accurate, actionable data and analysis supporting the department, area, and corporate key initiatives. Participate as a key strategic member of the Actuarial team. Provide pro-active analysis and recommendations to management on both a tactical and ...
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12. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1401687Implements and administers compensation programs including market pricing jobs, updating/creating job descriptions, survey submissions and the annual focal point review process. Serves as subject-matter expert on compensation related issues and projects and provides consultative support to management, recruiters and HR Business Partners on increase recommendations, ranges and market ...
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13. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1403202Prospects 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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14. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1402202Oversees utilization management activities by assessing the necessity and efficiency of services through systematic monitoring of medical necessity and quality, while maximizing the appropriate level of care that correlates to the member's benefit plan. Essential Functions: Telephonically reviews medical information in order to determine the medical necessity of ...
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15. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1402678Oversees utilization management activities by assessing the necessity and efficiency of services through systematic monitoring of medical necessity and quality, while maximizing the appropriate level of care that correlates to the member's benefit plan. Essential Functions: Telephonically reviews medical information in order to determine the medical necessity of ...
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16. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1401746DEPARTMENT NAME: Health ServicesHIRING MANAGER: State Medical DirectorProvides 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 ...
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17. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1304252Provides 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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18. Apply   (Fulltime)20 hour(s) ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1400872Targeted Hire Date: 04/01/2014Position Located in Tampa, FL. *LI-MA1Works with Care Coordination MVP Team members to assess, plan, implement, coordinate, monitor, and evaluate services and outcomes to maximize the health of the Member. Coordinates, monitors and ensures that appropriate and timely primary, acute and long-term care services are ...
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19. Herbicide Application / Vegetation Management   (Fulltime)1 day ago
ChemPro Services, Inc. - United States, AL, Daphne - Not rated - (view employer jobs)
Categories: Skilled Labor - Trades, General Labor, ConstructionJob DescriptionCHEMPRO SERVICES INC POSITION: Herbicide Application Technician Location: Daphne, AL Pay Rate: STARTING PAY: ...
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20. Apply   (Fulltime)1 day ago
WellCare - Nationwide - United States - Not rated - (view employer jobs)
Title: ApplyLocation: Re-applytrue1401794Provide support and project coordination for the quality improvement functional area . *LI-CW1Essential Functions: Provides support for the quality improvement functional area. Completes special projects or assignments as needed to meet initiatives and/or objectives of department. Assists and coordinates QI projects as needed. Maintains all department files in ...
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