- Centene Corporation (New York, NY)
- …health needs to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses ... on services and benefit options available to receive appropriate high-quality care . + Evaluates the service needs of the most complex or high risk/high acuity… more
- Molina Healthcare (Kenosha, WI)
- …SKILLS & ABILITIES** : * 3 - 5 years customer service , provider service , or claims experience in a managed care setting. * 3+ years experience ... healthcare policies and procedures while achieving the highest level of customer service . **Job Duties** The Complex Residential Services Lead is tasked with… more
- Elevance Health (Hendersonville, TN)
- …the operations in alignment to a special product/programs, such as long term service and supports ( LTSS ), with a focus on program performance, operating ... **Director GBD Special Programs Services - LTSS ** **Location:** State of Tennessee. It is highly...corporate and health plan management in execution of clinical service delivery. + Monitors national and local health plan… more
- Commonwealth Care Alliance (Boston, MA)
- …and supporting operational excellence to enhance provider satisfaction and member access to care . Reporting to the Senior , Director of Delegation Partnerships., ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening… more
- Commonwealth Care Alliance (Boston, MA)
- …leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role ... that enhance operational engagement, member access, provider satisfaction, and value-based care outcomes, while serving as the primary liaison for escalated provider… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA's delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care ... to delegated providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement… more
- Greater Lynn Senior Services (Lynn, MA)
- …challenges *Employee referral bonuses of up to $1,000 Position Overview: The LTSS Program Clinical Care Nurse will complete program Comprehensive Assessments, ... Development | 83,200.00-87,360.00 per year | Full Time | Greater Lynn Senior Services offers comprehensive medical and dental plans, flexible spending accounts,… more