- MyFlorida (Tallahassee, FL)
- OPS MEMBER SERVICES ADVOCATE -...customer focused mindset. + Ability to provide outstanding customer service . + Ability to work independently and in a ... . Requisition No: 855796 Agency: Management Services Working Title: OPS MEMBER SERVICES ADVOCATE - 72901351 Pay Plan: Temp Position… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …We are seeking Customer Service Representatives to join our call center member services operations team. In these positions, we are recruiting talented ... hour. We at Convey Health Solutions focus on building specific technologies and services that can uniquely meet the needs of government-sponsored health plans. We… more
- Molina Healthcare (Jacksonville, FL)
- …regular member benefits training with health plan, including the member advocate /engagement role. **Job Qualifications** **REQUIRED EDUCATION:** High School ... Description** **Job Summary** Responsible for continuous quality improvements regarding member engagement and member retention. Represents ...new MAPD, DSNP, and MMP plans. Serves as an advocate to ensure members are well informed about plan… more
- Point32Health (FL)
- …in related field **Experience** + Required (minimum): 2-4 years' experience as a customer service or member services representative in health care or ... members for all lines of business. **Job Description** + Act as a member advocate ; clearly communicating the appeal and grievance process and procedures… more
- Centers Plan for Healthy Living (Margate, FL)
- …authorization clinical staff, members and providers as needed + Act as liaison and member advocate between the member /family, physician(s) and the care team ... members. PRIMARY RESPONSIBILITIES: + Assists in the prior authorization of services and ongoing authorization requests + Assists in completing authorization updates… more
- Elevance Health (FL)
- …at Recovery and Resiliency sites. + Collaborates with Stabilization Teams as a member advocate in discharge planning education, resolution of barriers, and ... service transitions. + Acts as a resource for staff...maintains contact with assigned individuals and providers to determine member 's response to services . Position requirements: +… more
- Evolent (Tallahassee, FL)
- …and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate , expediting care across the continuum and working in concert ... **Oncology treatment requests** + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review… more
- HCA Healthcare (Fort Pierce, FL)
- …plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug ... and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- WTW (Tampa, FL)
- …strategy development, and execution at the insurance program level. The Associate Client Advocate (ACA) owns client service activities and client engagement in ... **Description** The Associate Client Advocate (ACA) client-facing functions utilizing the colleague's advanced...coordination with an assigned Client Specialist in our Global Service Delivery (GSD) Team. The ACA is the primary… more
- Target (Fort Myers, FL)
- …guest interactions and situations + Promoting and engaging around various benefits, offerings and services **As a Guest Advocate , no two days** **are ever the ... as little as you like as an On-Demand Team Member (TM) and your schedule may vary depending on...up the shifts you desire to work. **ALL ABOUT SERVICE & ENGAGEMENT** Advocates of guest experience who welcome,… more