• Provider Network Contract Representative

    AmeriHealth Caritas (Harrisburg, PA)
    …of Network (OON) agreements, provider contracts, and Supplemental Medical Assistance Enrollment applications. This role ensures the timely and accurate processing of ... packets, maintains detailed records, and supports providers through complex enrollment and documentation processes. The Specialist liaises between providers and… more
    AmeriHealth Caritas (08/08/25)
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  • Quality Assurance Representative

    WTW (Raleigh, NC)
    …**Summary of Position** The Quality Assurance Representative monitors the sales and enrollment activities of our marketing staff for compliance with legal and ... systems to efficiently locate specific customer data including call recordings, enrollment applications and scorecards. .Search various approved websites to confirm… more
    WTW (07/29/25)
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  • Broker Channel Manager-Houston Texas-Bilingual…

    Molina Healthcare (Houston, TX)
    …channel management techniques to ensure brokers meet assigned objectives and enrollment targets. Assume accountability for the broker networks contribution to ... Molina's enrollment , profitability, and retention goals. Additionally, ensure brokers follow...ended * Work as liaison between Molina and/or National Medicare Broker/FMO, Exchange GA, sales agents and other departments… more
    Molina Healthcare (09/20/25)
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  • Sr. Program Manager Health Policy and Research

    Serco (VA)
    …health program policy and regulations (particularly the Health Insurance Marketplace, Medicare , Medicaid and CHIP), policy research and data analytics, and extensive ... initiatives that would optimize Marketplace eligibility processingand enhance consumer enrollment outcomes. + Manage cross-cutting projects and research studies +… more
    Serco (09/12/25)
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  • Director, Health Plan Operations - Remote…

    Molina Healthcare (GA)
    …the operations of the health plan for the Medicaid , CHIP, Marketplace, MMP and Medicare lines of business. * Works with staff and senior management to develop and ... including: Claims, Configuration Information Management, Provider Data Management, Credentialing, Enrollment , and Contact Center Operations. * Oversees Claims Operations… more
    Molina Healthcare (09/21/25)
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  • Senior TRICARE Community Liaison

    Humana (Jackson, MS)
    …complete action to correct multifaceted problems relating to eligibility, enrollment , billing, claims, referrals/authorizations, network operations, access to care, ... electronically, in hard copy or in person) regarding eligibility, enrollment , billing, claims, referrals/authorizations, appointment assistance, network operations, access… more
    Humana (09/18/25)
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  • Health Insur & Auth Rep IV

    University of Rochester (Rochester, NY)
    …assigned area, Financial Assistance, Social Work, Utilization Management, Medicaid Enrollment & Outreach, patients, families, third-party payers, and governmental ... Managed Care cases for appropriate follow-up and timely referral to Medicaid Enrollment & Outreach. _Quality Management_ + Develop a process to monitor caseload,… more
    University of Rochester (09/17/25)
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  • Facility Engagement Liaison

    BrightSpring Health Services (Louisville, KY)
    …long-term care and skilled nursing facilities by educating staff, supporting enrollment processes, planning events, and ensuring a consistent presence for current ... o Support satisfaction and retention initiatives throughout the member lifecycle. . Enrollment & Documentation o Support the timely submission and accuracy of … more
    BrightSpring Health Services (09/16/25)
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  • Community Events Coordinator, Bureau of Equitable…

    City of New York (New York, NY)
    …with Community Board Health Committees to promote health literacy, insurance enrollment and access to affordable healthcare. - Cultivate relationships with the ... to enhance the reach and impact of health education, enrollment , access to affordable healthcare and disease prevention efforts....sponsored programs such as SNAP benefits; SSI or Medicaid, Medicare , and the Medicare Savings Program (MSP)… more
    City of New York (09/10/25)
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  • Senior Care Advisor

    WelbeHealth (Los Angeles, CA)
    …helps guide seniors who may qualify for the PACE program through the enrollment process with WelbeHealth. The Senior Care Advisor will collaborate with market ... and others to get seniors all the way to enrollment , which may include assisting prospective participants with the...year of experience in tele sales, customer services sales, Medicare or PACE sales experience preferred + Experience using… more
    WelbeHealth (09/09/25)
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