| 1. FL-Tampa (Fulltime) | 16 hour(s) ago | WellCare - Nationwide - United States -  | | Title: FL-TampaLocation: true1301958Provides functional knowledge and technical support to the design, implementation and customization of departmental applications, systems and databases to meet the customer's requirements and system needs. Debugs and troubleshoots issues utilizing a strong understanding of the business processes and technical aspects of applications. Leads in the ... | | View | Watch | Comment |
| 2. Apply (Fulltime) | 16 hour(s) ago | | WellCare - Nationwide - United States - | | Title: ApplyLocation: Re-applytrue1300794Provides functional knowledge and technical support to the design, implementation and customization of departmental applications, systems and databases to meet the customer's requirements and system needs. Debugs and troubleshoots systemic issues utilizing a strong understanding of the business processes and technical aspects of applications. Prepares adhoc ... | | View | Watch | Comment |
| 3. FL-Tampa (Fulltime) | 16 hour(s) ago | | WellCare - Nationwide - United States - | | Title: FL-TampaLocation: true1302271Responsible for statutory-basis accounting & reporting, capital analysis for the HMO and insurance subsidiaries. Additionally responsible for coordination of the Company's responses to DOI examinations. Essential Functions:
Ensures accurate and timely delivery of statutory accounting & reporting to meet external requirements (at least quarterly and annually).
Delivers statutory ... | | View | Watch | Comment |
| 4. Apply (Fulltime) | 16 hour(s) ago | | WellCare - Nationwide - United States - | | Title: ApplyLocation: Re-applytrue1302263Oversees 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 ... | | View | Watch | Comment |
| 5. Senior Manager, Provider Relations - Louisville, KY (Fulltime) | 16 hour(s) ago | | WellCare - Nationwide - United States - | | Title: Senior Manager, Provider Relations - Louisville, KYLocation: KY-Louisvilletrue1301223Plans and directs activities in network development, provider contracting/negotiation and provider service functions. Produces revenue for the corporation through the effective coaching and developing of Representatives to build relationships and manage the accounts of their Providers.
Essential Functions:
Leads and ... | | View | Watch | Comment |
| 6. Apply (Fulltime) | 16 hour(s) ago | | WellCare - Nationwide - United States - | | Title: ApplyLocation: Re-applytrue1302515Facilitates all administrative support to the sales team, and is charged with key responsibility of ensuring that all work instructions and processes as outlined in the Model Office document are followed.
Essential Functions:
Answers incoming telephone calls to assist callers, troubleshoots issues or direct to appropriate person
Prints and ... | | View | Watch | Comment |
| 7. Apply (Fulltime) | 16 hour(s) ago | | WellCare - Nationwide - United States - | | Title: ApplyLocation: Re-applytrue1300461
The Quality Improvement RN supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies impacting plan compliance to regulatory and accreditation standards. The incumbent interfaces with a diverse range of clinical and administrative professionals, resolves complex issues, and performs data analytic ... | | View | Watch | Comment |
| 8. Apply (Fulltime) | 16 hour(s) ago | | WellCare - Nationwide - United States - | | Title: ApplyLocation: Re-applytrue1301486Provides 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 InterQual criteria, clinical ... | | View | Watch | Comment |
| 9. FL-Tampa (Fulltime) | 16 hour(s) ago | | WellCare - Nationwide - United States - | | Title: FL-TampaLocation: true1302443Department: MarketingThe Production Artist utilizes graphic design technology and computer software packages to produce, edit and prepare advertisements, newsletters, brochures, presentations, and other corporate communication materials for output. Follows established processes including, but not limited to, digital file organziation (art files and stock photography), job movement and collecting ... | | View | Watch | Comment |
| 10. Apply (Fulltime) | 16 hour(s) ago | | WellCare - Nationwide - United States - | | Title: ApplyLocation: Re-applytrue1204238DEPARTMENT NAME: Provider RelationsHIRING MANAGER: Sr. Mgr, Network Mgmt
Manages physician contracting, network development and provider relations functions for developing, executing and maintaining a provider network strategy. Works in concert with medical management and sales developing actions to meet market growth and medical cost targets. ... | | View | Watch | Comment |
| 11. Apply (Fulltime) | 16 hour(s) ago | | WellCare - Nationwide - United States - | | Title: ApplyLocation: Re-applytrue1302018Responsible for managing and improving the Medicare encounter process. The role will coordinate all activities of Medicare Encounter reporting for WellCare. Supported business areas may include core processing (claims, enrollment, and provider and member data management); health services (care and disease management); enterprise data management (data warehouse, reporting, ... | | View | Watch | Comment |
| 12. LTC Enrollment Specialist (RN Required) NYC (Fulltime) | 16 hour(s) ago | | WellCare - Nationwide - United States - | | Title: LTC Enrollment Specialist (RN Required) NYCLocation: NY-Manhattantrue1302371Assess applicants in the community for eligibility and enrollment in our Managed Long Term Care program. Provides overview of program benefits to applicant, family member(s), and care giver(s). Completes medical and clinical assessments of applicant and develops personalized plans of care. ... | | View | Watch | Comment |
| 13. Inpatient Care Nurse - Field RN - Pensacola, FL (Fulltime) | 16 hour(s) ago | | WellCare - Nationwide - United States - | | Title: Inpatient Care Nurse - Field RN - Pensacola, FLLocation: FL-Tampatrue1302393Field RN Sacred Heart Hospital, Pensacola, FL Oversees 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 ... | | View | Watch | Comment |
| 14. CA-Long Beach (Fulltime) | 16 hour(s) ago | | WellCare - Nationwide - United States - | | Title: CA-Long BeachLocation: true1301885DEPARTMENT 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 ... | | View | Watch | Comment |
| 15. CA-Long Beach (Fulltime) | 1 day ago | | WellCare - Nationwide - United States - | | Title: CA-Long BeachLocation: true1302370
DEPARTMENT NAME: Health ServicesHIRING MANAGER: State Medical DirectorSupervises a team of non-clinical staff in the day-to-day workflow processes of the Provider and/or Member Appeal functions.
Essential Functions:
Monitors associate performance for timely and accurate processing of appeals, attendance, schedules, and other job related behavior. Ensures the ... | | View | Watch | Comment |
| 16. Apply (Fulltime) | 1 day ago | | WellCare - Nationwide - United States - | | Title: ApplyLocation: Re-applytrue1302369Provides functional knowledge and technical support to the design, implementation and customization of departmental applications, systems and databases to meet the customer's requirements and system needs. Debugs and troubleshoots issues utilizing a strong understanding of the business processes and technical aspects of applications. Leads in the ... | | View | Watch | Comment |
| 17. FL-Tampa (Fulltime) | 1 day ago | | WellCare - Nationwide - United States - | | Title: FL-TampaLocation: true1301812The Senior Software Engineer leads a team of developers to provide business and technical expertise in requirements solicitation, system analysis, technical design, programming and documentation of information systems.
Essential Functions:
Acts as principle contributor to technical feasibility studies, business cases, proposals, and 3rd party assessment
Prepares detailed functional specifications, ... | | View | Watch | Comment |
| 18. FL-Tampa (Fulltime) | 1 day ago | | WellCare - Nationwide - United States - | | Title: FL-TampaLocation: true1302249Provide leadership and technical expertise in requirements
solicitation, system analysis, technical design, programming and
documentation of information systems.
Essential Functions:
Analysis,
design of current and new system componentsCoding,
testing and production implementation.Integration
activities (application setups, configurations, coordination ... | | View | Watch | Comment |
| 19. Apply (Fulltime) | 1 day ago | | WellCare - Nationwide - United States - | | Title: ApplyLocation: Re-applytrue1203870DEPARTMENT NAME: Florida DivisionHIRING MANAGER: Director of FinancePosition is responsible for complex financial analysis work including evaluating multifaceted financial information, preparing reports indicating trends, providing recommendations to management and responding to inquiries for professional counsel related to financial information. Position is more focused on the analysis ... | | View | Watch | Comment |
| 20. Apply (Fulltime) | 1 day ago | | WellCare - Nationwide - United States - | | Title: ApplyLocation: Re-applytrue1301809
The Quality Improvement Analyst coordinates complex assignments involving cross functional teams in the fulfillment of contract deliverables, regulatory and accreditation requirements with focus on data analytics and performance improvement. The incumbent models and promotes the core values of the Collaborative and WellCare. In addition, provides data ... | | View | Watch | Comment |
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