Keywords: Type: Location: Industry:  
job title, keywords, or company for hire, for bid, or volunteer city, state or zip select a career focus  
Jobs (561 Matches)
Jobs By Email | Jobs By RSS
Page 1 of 29 | Next >


1. Apply   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: ApplyLocation: Re-applytrue1401933Provides 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 ...
View | Watch | Comment
2. Apply   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: ApplyLocation: Re-applytrue1401813 Provides 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 ...
View | Watch | Comment
3. Hawaii   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: HawaiiLocation: true1403599Manages 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 ...
View | Watch | Comment
4. Apply   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: ApplyLocation: Re-applytrue1403002Manages the activities of supervisory associates and their subordinate work group(s), and/or exempt individual contributors for assigned area of responsibility. Works with the Care Managers to assess, plan, implement, coordinate, monitor and evaluate services and outcomes to maximize the health of the member. Essential Functions: Manages and develops ...
View | Watch | Comment
5. Apply   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: ApplyLocation: Re-applytrue1402134Dept: Operations-Command Center Reports to: Supervisor, Pharmacy Location: Tampa, FL Hours: M-F 9:30-6:00 or M-F 10:00-7:00 The Pharmacy Resolution Specialist responds to escalated issues from both provider/physician’s offices and pharmacies received through transferred phone calls and customer service management and resolves those issues. Enters pharmacy overrides into the PBS/RXClaims system ...
View | Watch | Comment
6. Business Analyst   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: Business AnalystLocation: NY-Manhattantrue1403259Identifies and recommends operational improvement opportunities through reporting, process and trend analysis. Develops ad-hoc reports for data analysis to support initiatives. Interacts with Senior Management to recommend next-level operational strategies. Essential Functions: Develops ad-hoc reports to conduct data analysis and validation. Researches methodologies and conducts metric reporting. ...
View | Watch | Comment
7. HI-Oahu-Honolulu   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: HI-Oahu-HonoluluLocation: true1403154Coordinates, monitors and ensures that appropriate and timely primary, acute and long-term care services are provided to members across the continuum of care. Assists in coordinating services with federal and state programs, and other community services to the member. Promotes effective healthcare utilization, monitors health care resources and ...
View | Watch | Comment
8. Apply   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: ApplyLocation: Re-applytrue1400542Sterling 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 ...
View | Watch | Comment
9. Apply   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: ApplyLocation: Re-applytrue1403208Oversees the utilization management activities by evaluating 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: Reviews and collects medical information in order to determine ...
View | Watch | Comment
10. ID-Coeur D'Alene   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: ID-Coeur D'AleneLocation: true1305418Sterling 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 ...
View | Watch | Comment
11. Apply   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: ApplyLocation: Re-applytrue1400550Sterling 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 ...
View | Watch | Comment
12. TN-Brentwood   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: TN-BrentwoodLocation: true1403642Provides 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 ...
View | Watch | Comment
13. Quality Improvement Project Manager, Newark, NJ   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: Quality Improvement Project Manager, Newark, NJLocation: NJ-Newarktrue1402064Supports 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 ...
View | Watch | Comment
14. FL-Tampa-Rocky Point   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: FL-Tampa-Rocky PointLocation: true1402677DEPARTMENT 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 ...
View | Watch | Comment
15. Apply   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: ApplyLocation: Re-applytrue1403075Department: Health ServicesLocation: Tampa, FLReports to: Vice President, Advocacy & Community Based ProgramsAssists in completing activities related to various cross-functional projects in support of departmental goals. Essential Functions: Assists in all phases of project coordination, project planning, implementation and monitoring results. Assists in maintaining all project related materials (ex. ...
View | Watch | Comment
16. Apply   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: ApplyLocation: Re-applytrue1402437 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. Provides service and education to network physicians/providers. ...
View | Watch | Comment
17. Apply   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: ApplyLocation: Re-applytrue1402235Coordinates the socio economic needs and service of selected member populations across the continuum of illness. Interviews, coordinates and plans activities and behavioral routines to meet the social and medical needs of members and their families. May manages members with severe mental illness who have high ...
View | Watch | Comment
18. Apply   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: ApplyLocation: Re-applytrue1403257Leads 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 of multiple departments within the company. May provide project guidance and ...
View | Watch | Comment
19. FL-Tampa   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: FL-TampaLocation: true1401015Department: Operations Reports to: Claims Manager Performs quality audits at user level as well as on departmental processes within Operations area to assess compliance with WellCare’s contractual and regulatory requirements. Essential Functions: Conducts daily, weekly, monthly Quality audits at the user level as well as on department processes within the Operations ...
View | Watch | Comment
20. Apply   (Fulltime)7 hour(s) ago
WellCare - Nationwide - United States - Not rated
Title: ApplyLocation: Re-applytrue1402272Manages the relationship and all levels of operations support with network hospitals. Provides ongoing education to facilities regarding health plan operations. Identifies and implements process improvements and enhancements. Essential Duties: Establishes and maintains strong business relationships with hospitals in assigned area. Responds in a timely fashion to identified concerns. Plans ...
View | Watch | Comment



Jobs By Email | Jobs By RSS Page 1 of 29 | Next >