Job offers: by WellCare

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Best Version Media

Sales Account Executive

Best Version Media :: Salina, Kansas :: over 30 days ago

Job Description: Join one of the Fastest Growing, Private, Media Companies in the United States Best Version Media (BVM) is looking nationwide for entrepreneurs and professionals who desire an exciting opportunity to be in business for themselves, but not by themselves. About Us: Best Version Media (BVM) brings neighbors together by providing a ...

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Best Version Media

Sales Executive

Best Version Media :: Delavan, Wisconsin :: over 30 days ago

Job Description: Join one of the Fastest Growing, Private, Media Companies in the United States Best Version Media (BVM) is looking nationwide for entrepreneurs and professionals who desire an exciting opportunity to be in business for themselves, but not by themselves. About Us: Best Version Media (BVM) brings neighbors together by providing a ...

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Best Version Media

B2B Outside Sales

Best Version Media :: Costa Mesa, California :: over 30 days ago

Job Description: Join one of the Fastest Growing, Private, Media Companies in the United States Best Version Media (BVM) is looking nationwide for entrepreneurs and professionals who desire an exciting opportunity to be in business for themselves, but not by themselves. About Us: Best Version Media (BVM) brings neighbors together by providing a ...

LTC Enrollment Specialist

WellCare :: New York, New York :: today

... applicant, family and/or applicants caregiver(s) on program benefits and design. * Identify applicants health needs and complete medical assessment of applicant. * Utilize WellCare designated criteria along with clinical knowledge to develop personalized plan of care. * Initiate direct communication with health care providers involved in the care of ...

LTC Field Clinical Assessment Specialist

WellCare :: New York, New York :: today

Conducts home/facility visits to perform a comprehensive health re-assessment regarding clinical, behavioral and home safety requirements on existing members in the community as required by the state for the Managed Long Term Care program. Department: NY Sales - Long Term Care Reports to: Sr. Manager - LTC Clinical Programs Essential Functions: * ...

District Sales Manager-Medicare License Req'd Cypress

WellCare :: Cypress, California :: 2 days ago

... associated with the broker channel, to include compliance oversight, selling, member retention and marketing of PDP/CCP lines of business. Essential Functions: * Delivers WellCare's Value Proposition to the broker team in assigned market. * Drives broker team to maximize new membership enrollment. * Staffs, trains, evaluates and develops broker ...

Quality Improvement Coordinator - Cypress

WellCare :: Cypress, California :: 2 days ago

Provide support and project coordination for the quality improvement functional area . Essential Functions: * Provides support for the quality improvement functional area. * Maintains and updates department policies/procedures. * Completes special projects or assignments as needed to meet initiatives and/or objectives of department. * Assists and ...

Provider Resolution Specialist - Cypress

WellCare :: Cypress, California :: 2 days ago

... work experience Candidate Experience: * Required 1+ year of experience in previous claims or health insurance * Required Other or 9 months to 1 year experience at WellCare as a Sr CSR or Sr. Claims Specialist. Candidate Skills: * Intermediate Demonstrated written communication skills * Intermediate Demonstrated interpersonal/verbal ...

Network Management Specialist

WellCare :: Baton Rouge, Louisiana :: 2 days ago

Manages physician contracting, network development and provider relations functions for developing, executing and maintaining a provider network strategy. Works in concert with medical management and sales developing actions to meet market growth and medical cost targets. Provides service and education to network physicians/providers. "PLEASE ...

Inpatient Care Nurse-Telephonic

WellCare :: Brentwood, Tennessee :: 2 days ago

Oversees utilization management activities by assessing the necessity and efficiency of services through systematic monitoring of medical necessity and quality, while maximizing the appropriate level of care that correlates to the member's benefit plan. REPORTS TO: SUPERVISOR, CLINICAL CARE DEPARTMENT: HEALTH SERVICES INPATIENT CARE MANAGEMENT ...

Assistant General Counsel, Litigation

WellCare :: Tampa, Florida :: 3 days ago

... to aggressively represent and support the enterprise as legal counsel. * Oversees and manages policy developments as it relates to legal matters. * Educates and informs WellCare's leadership team on corporate legal affairs. * Ensures compliance with all applicable laws, rules and regulations, managing investigations as assigned. * Manages ...

Pharmacy Resolution Specialist

WellCare :: Tampa, Florida :: 3 days ago

... miscellaneous special project work. Essential Functions: * Log, track, resolve and respond to all assigned inquiries and complaints while meeting all regulatory, CMS, and WellCare Corporate guidelines in which special care is required to enhance WellCare relationships; while meeting and exceeding all performance standards. * Enters DER overrides ...

Actuarial Intern

WellCare :: Tampa, Florida :: 3 days ago

... of kick revenue accuracy. Success will be measured by confirming or questioning accuracy of current process and suggested solutions to improve the process. Since 1985, WellCare Health Plans, Inc. has connected members with the resources needed to live healthier and more fulfilled lives. A leading provider of managed care services focused on ...

Finance Systems Manager

WellCare :: Tampa, Florida :: 4 days ago

LOCATION: Henderson Road, Tampa, FL DEPARTMENT: Finance REPORTING TO: Senior Director, Accounting Perform as a manager and developer to support and enhance the Oracle EBS, Hyperion Applications and Contributor for the Finance department. Partner and collaborate with IT, HR, Finance and other functional areas of the company to leverage Finance ...

Medical Coding Auditor

WellCare :: Chicago, Illinois :: 4 days ago

... are being met. * Analyzes MRA data to identify patterns and development of interventions at the provider and market level to coordinate an educational work plan for WellCare contracted providers. * Perform quality assurance auditing (i.e. ensure appropriateness and accuracy of ICD-9/ICD-10 coding) for WellCares Medical Coding Specialists. * ...

Enrollment Specialist

WellCare :: Tampa, Florida :: 4 days ago

LOCATION: Henderson Road, Tampa, Florida DEPARTMENT: Operations, Enrollment & Billing REPORTING TO: Supervisor, Operations Position is responsible for performing duties related to enrolling, dis-enrolling, and maintaining membership files. Essential Functions: * Processes enrollment related transactions from various data sources. * Researches ...

Business Analyst

WellCare :: Tampa, Florida :: 4 days ago

Location: Henderson Rd/Idlewild Ave, Tampa, FL Department: Ops-CCS Admin Reporting to: Sr Dir, Customer Service Identifies and recommends operational improvement opportunities through reporting, process and trend analysis. Develops ad-hoc reports for data analysis to support initiatives. Interacts with Management to recommend next-level operational ...

Case Manager

WellCare :: St. Louis, Missouri :: 5 days ago

Choose a job you love and you will never have to work a day in your Life!! As a Case manager with Wellcare, you have the unique opportunity each and every day to bring value and quality to a members life. Through phone interviews, you will asses the social and medical needs of each member, create and implement a care plan, and coordinate services ...

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