• Specialist , Medicare Member

    Molina Healthcare (Caldwell, ID)
    …issues or questions. + Log all contacts in a database. + Participate in Member engagement work groups as needed to ensure Medicare member needs are being ... - 8am - 4:30pm PST** **Job Summary** Responsible for continuous quality improvements regarding member engagement and member retention. Represents Member more
    Molina Healthcare (08/29/25)
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  • Medicare Customer Service Specialist

    Molina Healthcare (Kenosha, WI)
    Molina Healthcare is hiring for its outbound Medicare Member Engagement team. Candidates who are Bilingual in either Mandarin or Cantonese are highly ... and will work 8am to 430pm Pacific Standard Time, Monday through Friday. Medicare Member Engagement Specialists will make outbound welcome calls to our… more
    Molina Healthcare (08/31/25)
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  • Medicare /Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims ... Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit, compliance, and provider … more
    Commonwealth Care Alliance (08/31/25)
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  • Member Engagement Specialist

    Wider Circle (Lexington, NC)
    …and disadvantaged communities. Job Overview: Wider Circle is seeking a passionate and dedicated Member Engagement Lead to play a vital role in our groundbreaking ... group events, home visits, and telephone outreach. As a Member Engagement Lead, they will be seen...video conferencing. + A genuine interest in working with Medicare /DSNP/Medicaid populations and a commitment to building strong, supportive… more
    Wider Circle (07/31/25)
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  • CISC Member , Caregiver and Stakeholder…

    Magellan Health Services (Albuquerque, NM)
    …Presents the program and offerings in group settings. Consistently achieves member engagement strategies while meeting quality performance standards. + ... with individuals with adverse childhood experiences. General Job Information Title CISC Member , Caregiver and Stakeholder Engagement Manager Grade 23 Work… more
    Magellan Health Services (06/19/25)
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  • Community Resource Center Specialist III

    LA Care Health Plan (Los Angeles, CA)
    …data to inform management with an integrated approach to outreach activities and targeted member engagement . Plan, develop, analyze and implement member and ... Community Resource Center Specialist III Job Category: Customer Service Department: Community...instructors. The role leads community and provider outreach and engagement initiatives to increase member traffic at… more
    LA Care Health Plan (09/09/25)
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  • Case Management Specialist

    CVS Health (Springfield, IL)
    …to meet performance and productivity metrics, including call volume, successful member engagement , and state/federal regulatory requirements. + **Professional ... each and every day. **Position Summary** As an essential member of our Special Needs Plan (SNP) care team,...Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the… more
    CVS Health (08/31/25)
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  • Care and Outreach Specialist - PHP…

    CareOregon (Portland, OR)
    …Knowledge, Skills and Abilities Required Knowledge + Understanding of the nature of member engagement and the awareness of health system strategies to improve ... resources for the organization's most vulnerable, at-risk members. The Care and Outreach Specialist is responsible for member outreach and follow-up related to… more
    CareOregon (09/09/25)
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  • Care Management Specialist II

    LA Care Health Plan (Los Angeles, CA)
    Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12405 ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of… more
    LA Care Health Plan (09/06/25)
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  • Ambulatory Clinical Document Specialist

    Novant Health (NC)
    …+ Our team members are part of an environment that fosters team work, team member engagement and community involvement. + The successful team member has ... Job Summary Clinical Documentation Specialist The Ambulatory Clinical Documentation Specialist ...capture/ recapture, and participating in the annual Centers for Medicare & Medicaid Services Quality Payment Program reporting process.… more
    Novant Health (08/25/25)
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