| Job Title / Description
( show titles only )
| Company  | Location
(Distance) | Posted |
Benefit Consultant - Medicare (Dallas) -
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Job type: Full-Time
Prospect for and enroll eligibles in the Medicare Advantage. Meet the minimum enrollment goal of new members into the Medicare + Choice Plan. Present...
| | TX - Dallas
| 3 Weeks Ago |
Configuration Specialist, Senior ICD-10 -
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Job type: Full-Time
Ensures accurate and timely loading of the Institutional/ASC or professional provider contracts. Oversees the maintenance and termination processes...
| | FL - Tampa
| May-21 |
Configuration Analyst, Senior - SQL -
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Job type: Full-Time
The Senior Configuration Analyst is responsible for accurate and timely development of automated rules and pricing. This position will also need to...
| | FL - Tampa
| May-20 |
Configuration Analyst, Senior - Claims Coding -
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Job type: Full-Time
The Senior Configuration Analyst is responsible for accurate and timely development of automated rules and pricing. This position will also need to...
| | FL - Tampa
| May-20 |
Business Analyst, Senior - Network Integrity -
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Job type: Full-Time
The Senior Business Analyst leads in the development of complex adhoc reports to enable process and trend analysis and provides recommendations for...
| | FL - Tampa
| 2 Weeks Ago |
Benefit Consultant - Medicare (Dallas) -
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Job type: Full-Time
Prospect for and enroll eligibles in the Medicare Advantage. Meet the minimum enrollment goal of new members into the Medicare + Choice Plan. Present...
| | TX - Dallas
| 3 Weeks Ago |
Supervisor, Case Management - RN Required - Long Beach, CA -
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Job type: Full-Time
DEPARTMENT NAME: Health Services HIRING MANAGER: State Medical Director Supervises the daily activities of the Field Health Services Utilization...
| | CA - Long Beach
| May-20 |
Regulatory Affairs Mgr (New Jersey) -
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Job type: Full-Time
Provides strategic and tactical oversight and leadership to the managing of the regulatory needs of the Medicaid and Healthy Kids product lines across...
| | NJ - Newark
| 2 Weeks Ago |
Configuration Specialist - ICD-10 -
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Job type: Full-Time
To ensure accurate and timely loading of a provider contract, maintenance and termination processes through appropriate research. Essential...
| | FL - Tampa
| May-20 |
Quality Improvement Specialist - Registered Nurse (RN) - New York City -
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Job type: Full-Time
About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid...
| | NY - New York
| 1 Week Ago |
Medical Director - FL LOB -
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Job type: Full-Time
About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid...
| | FL - Tampa
| 6 Days Ago |
Medical Director - KY LOB -
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Job type: Full-Time
About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid...
| | KY - Louisville
| 6 Days Ago |
Medical Director - Behavioral Health - FL LOB -
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Job type: Full-Time
About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid...
| | FL - Tampa
| 5 Days Ago |
Software Engineer, Senior -
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Job type: Full-Time
The Senior Software Engineer leads a team of developers to provide business and technical expertise in requirements solicitation, system analysis,...
| | FL - Tampa
| 6 Days Ago |
Dir, State Regulatory Affairs -
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Job type: Full-Time
Leads the State Regulatory Affairs department responsible for developing and executing the Medicaid Regulatory Affairs strategy focused on publicly...
| | IL - Chicago
| 1 Week Ago |
Business Systems Analyst, Senior -
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Job type: Full-Time
The Senior Business Systems Analyst is the primary point of contact for interface between the business users and IS teams. This Senior Analyst...
| | FL - Tampa
| 2 Weeks Ago |
Certified Coder - Operations -
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Job type: Full-Time
Certified Coder for configuration operations. This is a full time role to prepare for ICD-10 Ensures accurate and timely loading of the Institutional...
| | FL - Tampa
| 2 Weeks Ago |
Medical Coding Specialist - Retrospective Review (ICD-10) -
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Job type: Full-Time
Department: Health Services - Retrospective Review Analyzes, reviews and recommends code changes and/or mapping scenarios based on ICD9 to ICD10 code...
| | FL - Tampa
| 3 Weeks Ago |
Manager, Case Management (RN Required) - NYC -
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Job type: Full-Time
Manages the activities of supervisory associates and their subordinate work group(s) and/or exempt individual contributors for assigned area of...
| | NY - New York
| 1 Week Ago |
Senior Manager, Network Management (Atlanta, GA) -
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Job type: Full-Time
Manages physician contracting, network development and provider relations functions for developing, executing and maintaining a provider network...
| | GA - Atlanta
| 1 Week Ago |
EDI Analyst -
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Job type: Full-Time
DEPARTMENT NAME: Information Technology HIRING MANAGER: Director, Information Technology Analyzes, designs, and develops specifications for...
| | CA - Long Beach
| 1 Week Ago |
Benefit Configuration Analyst -
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Job type: Full-Time
Collects and analyzes data to evaluate operational obstacles which include revenue and compliance issues, and makes recommendations to resolve issues...
| | FL - Tampa
| 3 Weeks Ago |
Sr Information Security Engineer -
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Job type: Full-Time
Serves as a key technical subject matter expert in the development, implementation and maintenance of Information Security related projects and...
| | FL - Tampa
| 1 Week Ago |
Provider Relations Rep -
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Job type: Full-Time
Position will be based in either the St. Louis or Kansas City, MO area. Manages physician network by developing and maintaining relationships to...
| | MO - Saint Louis
| 1 Week Ago |
Benefit Consultant - Medicare (Binghamton, NY) -
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Job type: Full-Time
Prospects for and enrolls eligible leads into the Medicare Advantage plans. Meets the minimum enrollment goal of new members using approved...
| | NY - Binghamton
| 1 Week Ago |