- LIFEPlan CCO NY (Ithaca, NY)
- …requested by the member and/or representative . + Coordinate and provide access to high quality healthcare services , inclusive of medical, behavioral ... with intellectual and developmental disabilities. The Care Manager works with the member , their family and/or representative , and providers to develop,… more
- Molina Healthcare (Milwaukee, WI)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 3 - 5 years customer service , provider service , or claims experience in a managed care ... services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an...* 3+ years experience in managed healthcare administration and/or Provider Services . * Working familiarity with various… more
- Molina Healthcare (Dallas, TX)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in a managed care ... services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an...* 3+ years experience in managed healthcare administration and/or Provider Services . To all current Molina employees:… more
- Eastern Bank (Wakefield, MA)
- … + Call Center Representative + Customer Care Center Specialist + Member Services Representative **Key Terms** + Problem Solver + Multitasker ... fast-growing environment **Previous success hiring people with similar job titles to these:** + Customer Service Representative + Inbound Call Representative… more
- Fallon Health (Barnstable, MA)
- …Demonstrates positive customer service actions and takes responsibility to ensure member and provider requests and needs are met **Regulatory Requirements - ... continually rated among the nation's top health plans for member experience, service , and clinical quality. We...and assessments with the goal to coordinate and facilitate services to meet member needs according to… more
- Providence (Eureka, CA)
- **Description** Under the supervision of the Director, the Provider Relations Representative functions as a liaison among the contracted physician/specialist ... and St. Joseph Heritage Healthcare. This position provides on-going communication, in- service , orientation, and direction to these contracted provider offices.… more
- CareFirst (Baltimore, MD)
- …for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including ... **Resp & Qualifications** **PURPOSE:** This role enables a seamless provider experience serving as a primary liaison with stakeholders within Health Services and… more
- YMCA of Greater Seattle (Bothell, WA)
- …an awesome opportunity for the critical position of Lead Member Engagement Representative . In this role, you will provide our members with exceptional ... service , developing strong and supportive relationships that provide motivation and guidance focused on the specific needs...help oversee the daily functions of the facility/programs and provide leadership and guidance to other Member … more
- Insight Global (Tempe, AZ)
- …ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic ... Job Description Provider Support Representatives are responsible for addressing complex...teams to deliver timely, accurate resolutions while maintaining exceptional service standards. The representative plays a key… more
- CHS (Clearwater, FL)
- … Service Level: Minimum of 90% of calls reach a live Member and Provider Service Representative within 45 seconds. + Average Speed to Answer: The ... organizations, and employers. One such service is Member and Provider Services , where...importance of privacy and accuracy in the information they provide , and work with Enterprise Risk Management (ERM) Auditors… more