- Centene Corporation (Jackson, MS)
- …of care/ member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan ... for care/services of activities. **Education/Experience:** Requires a High School diploma or GED Requires 1 - 2 years of related experience Pay Range: $17.50 - $27.50 per hour Centene offers a comprehensive benefits package including: competitive pay, health… more
- Healthfirst (NY)
- …practices and chart documentation + Collaborates with other departments to maximize member outreach for preventive services and chronic disease management + ... Assists in writing member and/or provider articles on HEDIS, QARR, Medicare Advantage, and/or health promotions for the HF newsletter + Assists and supports… more
- Advocates (Marlborough, MA)
- …+ Provide referrals and linkage to appropriate supports and services. + Conduct member outreach as needed to engage members and families. **Qualifications** + ... that can assist in supporting the youth and parent/guardian/caregiver. + Provide member transportation as needed in connection with service delivery. + Assist in… more
- AmeriHealth Caritas (Philadelphia, PA)
- …nurses, case managers, and/or physicians.; + Work closely with PBM to ensure appropriate provider/ member outreach is made at the local level to improve overall ... participate on the plans' P&T Committee. + Generate necessary provider and member communications related to the pharmacy program. + Keep abreast of industry… more
- Massachusetts Municipal Wholesale Electric Company (Ludlow, MA)
- …4. Support database updates related to financial or compliance data. 5. Assist with Member outreach for data gathering or report sharing. 6. Help with cash ... reporting, data entry, and analysis to support the MMWEC organization and Member systems. Help maintain financial records, prepare reports, and support cash flow… more
- AmeriHealth Caritas (Baton Rouge, LA)
- …advisors and clinical quality committees as appropriate. + Conducts provider and member outreach and education relative to behavioral health initiatives. + ... and approvals. + Assumes the responsibility for reviewing sentinel events and member concerns reported for potential quality of care issues related to behavioral… more
- CenterLight Health System (NY)
- …perform the end-to-end process of Revenue Optimization and Entitlement operations, overseeing member and provider outreach for Dual conversion, ESRD, and Nursing ... The position oversees day-to-day operations with directly engages in outreach efforts to members and providers as critical part...with Dialysis providers to obtain 2728 forms and update member ESRD indicators with CMS MAPD Helpdesk. + Assist… more
- HCA Healthcare (Campbell, CA)
- …Financial Officer, analyzes and estimates risk adjustment accrual + Develops and coordinates member outreach programs to ensure members with chronic and acute ... medical conditions are properly managed and monitored by the SCCIPA network, and appropriate diagnosis are captured in the medical record + Uses Cozeva data to understand suspecting data, and ensures that information is shared w/the appropriate physician +… more
- The Cigna Group (Scottsdale, AZ)
- …position will provide support to the marketing team and business partners on member outreach , broker marketing and customer acquisition programs. The Lead ... Analyst will have experience in the development and execution of marketing campaigns, including experience writing briefs, providing creative direction to designers and copywriters, and partnering with legal and compliance teams. Traditional marketing… more
- Family Service Association - Fall River (Fall River, MA)
- …include time spent on documentation, care coordination, collateral contact and no show/ member outreach . Typical hours for this position are Monday through ... Friday 10:00 am - 6:00p.m with some flexibility. This schedule would change as needed based on client's clinical needs. Clinicians are fully remote once trained. Services are delivered in person in the greater Fall River and New Bedford communities.… more