| Job Title / Description
( show titles only )
| Company | Location 
(Distance) | Posted |
Quality Improvement Project Manager - Registered Nurse (RN) -
View similar jobs
Job type: Full-Time
About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid...
| | AZ - Prescott
| 3 Weeks Ago |
Supervisor, Field Health Services - RN Required - Long Beach, CA -
View similar jobs
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
| 5 Days Ago |
Clinical Delegation Oversight Auditor - RN or LCSW Required - Long Beach, CA -
View similar jobs
Job type: Full-Time
Supports the delegation of processes across multiple product lines by performing pre-delegation assessments, ongoing delegation oversight and auditing...
| | CA - Long Beach
| 3 Weeks Ago |
Benefit Consultant - Medicare (CT) -
View similar jobs
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...
| | CT - New Haven
| 2 Weeks Ago |
Quality Improvement Specialist - RN -
View similar jobs
Job type: Full-Time
Supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies impacting plan...
| | FL - Orlando
| 3 Weeks Ago |
Network Management Representative - Bay County/Panama City, FL -
View similar jobs
Job type: Full-Time
DEPARTMENT NAME: Provider Relations HIRING MANAGER: Sr. Mgr, Network Mgmt Manages physician contracting, network development and provider...
| | FL - Pensacola
| 2 Weeks Ago |
Inpatient Care Nurse - Field RN - Pensacola, FL -
View similar jobs
Job type: Full-Time
Field RN Sacred Heart Hospital, Pensacola, FL Oversees utilization management activities by assessing the necessity and efficiency of services through...
| | FL - Pensacola
| Yesterday |
Configuration Data Specialist -
View similar jobs
Job type: Full-Time
To ensure accurate and timely loading and maintenance of provider file information through appropriate research. This would include, but not be...
| | FL - Tampa
| Apr-26 |
Configuration Analyst, Senior - SQL -
View similar jobs
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
| 5 Days Ago |
Configuration Analyst, Senior - Claims Coding -
View similar jobs
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
| 5 Days Ago |
Sr Systems and Reporting Analyst -
View similar jobs
Job type: Full-Time
Provides functional knowledge and technical support to the design, implementation and customization of departmental applications, systems and...
| | FL - Tampa
| 1 Week Ago |
Senior Financial Analyst (SAS/Advanced Access Required) -
View similar jobs
Job type: Full-Time
DEPARTMENT NAME: Florida Division HIRING MANAGER: Director of Finance Position is responsible for complex financial analysis work including...
| | FL - Tampa
| 2 Weeks Ago |
Quality Improvement Specialist Nurse - HEDIS -
View similar jobs
Job type: Full-Time
Supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies impacting plan...
| | FL - Tampa
| 3 Weeks Ago |
Director, Field Service Coordination - RN Required - Tampa, FL -
View similar jobs
Job type: Full-Time
Ensures the case management process of assessing, planning, implementation, coordination, monitoring, and evaluating services and outcomes is pursued...
| | FL - Tampa
| 1 Week Ago |
Statutory Reporting Manager -
View similar jobs
Job type: Full-Time
Responsible for statutory-basis accounting & reporting, capital analysis for the HMO and insurance subsidiaries. Additionally responsible for...
| | FL - Tampa
| 1 Week Ago |
Senior Software Engineer / SAS Developer -
View similar jobs
Job type: Full-Time
Position is responsible for working with internal IT and business groups in the design, development, implementation, and support of various reporting...
| | FL - Tampa
| 1 Week Ago |
Senior Capitation Specialist - Finance -
View similar jobs
Job type: Full-Time
WellCare provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in...
| | FL - Tampa
| 1 Week Ago |
Configuration Specialist, Senior ICD-10 -
View similar jobs
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
| 4 Days Ago |
Sr Mgr, Clinical Care Utlization Review -
View similar jobs
Job type: Full-Time
Oversees the day to day operations for inpatient utilization, outpatient utilization and prior authorization management activities for multiple...
| | FL - Tampa
| 2 Weeks Ago |
VP, Field Health Services - Registered Nurse (RN) -
View similar jobs
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
| 1 Week Ago |
Field Service Coordination - RN -
View similar jobs
Job type: Full-Time
Works with Care Coordination MVP Team members to assess, plan, implement, coordinate, monitor, and evaluate services and outcomes to maximize the...
| | FL - Tampa
| 1 Week Ago |
Business Systems Analyst, Sr -
View similar jobs
Job type: Full-Time
Primary point of contact for interface between the business users and IS teams. Formulates and defines systems’ scope and objectives through research...
| | FL - Tampa
| 3 Weeks Ago |
Senior Organizational Development Specialist -
View similar jobs
Job type: Full-Time
The Sr. Organizational Development Specialist works in partnership with the Human Resources team to lead and/or participate in the development of...
| | FL - Tampa
| 1 Week Ago |
Sr Legal Specialist / Sr Paralegal -
View similar jobs
Job type: Full-Time
Provides advanced legal assistance to in-house counsel and internal clients with primary responsibility for corporate governance and insurance...
| | FL - Tampa
| 2 Weeks Ago |
Configuration Specialist, Senior -
View similar jobs
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
| 3 Days Ago |
