Behavioral Care Advocate, CA - After Hours - Remote
Los Angeles, CA
Field inbound calls in a queue from members and providers for purpose of assessment and triage Focus on initial inpatient admission for psychiatric and chemical dependency patients Make...

Community Well Care Coordinator - St Joseph County Indiana and surrounding areas
South Bend, IN
Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs Engage members face to face and/or telephonically to complete a comprehensive n...

Community Well Care Coordinator - Delaware County Indiana and surrounding areas
Muncie, IN
Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs Engage members face to face and/or telephonically to complete a comprehensive n...

Community Well Care Coordinator - Clark County Indiana and surrounding areas - R
Jeffersonville, IN
Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs Engage members face to face and/or telephonically to complete a comprehensive n...

Community Well Care Coordinator - Vanderburgh County Indiana and surrounding are
Evansville, IN
Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs Engage members face to face and/or telephonically to complete a comprehensive n...

Medicare Market Growth Manager - Hybrid in Orange County, CA
Cypress, CA
Key Agent/Agency Performance Agent Development Mentor, coach and engage key agents/agencies through ongoing business and strategy planning. This includes identifying sales opportunities,...

Sr. Network Pricing Consultant - Remote
Des Moines, IA
Conduct financial and network pricing modeling, analysis and reporting Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost mana...

Specialty Benefits Senior Account Executive-North Carolina
Charlotte, NC
Full oversight of the specialty sale at the direction of the AE/SAE to achieve health plan market sales goals and maintain profitability Advocate for specialty voluntary products to supp...

Sr Utilization Management Nurse - Remote
Albuquerque, NM
Functional role is responsible for utilization management of LTSS determinations, oversight on outpatient service requests from a reporting perspective and understanding the criteria for...

Market Growth Manager, Medicare Hybrid in NE
Omaha, NE
Build and maintain solid relationships with key brokers and others as necessary within the assigned territory Develops action plans and strategies to optimize Medicare sales Partner with...

Medical Assistant at Primary Care Plus
Lafayette, LA
As part of a multi disciplinary care coordination team Addresses the total patient, inclusive of medical, psychosocial, behavioral, cultural, and spiritual needs Involves the individual...

Appeals Representative - Las Vegas, NV
Las Vegas, NV
Positions in this function are responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating, and resolving all types of appeals a...

Appeals and Grievances Medical Director - PM&R Physician - Remote
Cypress, CA
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to a...

Case Manager - $1,500 Sign On - Field Work in Northwest Colorado
Craig, CO
Intake/screening/referral, assessment/reassessment, development of support plans, on going case management, monitoring of the Member's health and welfare, documentation of contacts and c...

Medicare Market Growth Manager - Remote in Richmond, VA
Richmond, VA
Key Agent/Agency Performance Agent Development Mentor, coach and engage key agents/agencies through ongoing business and strategy planning. This includes identifying sales opportunities,...