Job offers: by WellCare

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Best Version Media

Sales Executive

Best Version Media :: Madison Heights, Michigan :: 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 Account Executive

Best Version Media :: Connecticut :: 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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Maxim Healthcare Services

Registered Nurse - RN - Orthopedic

Maxim Healthcare Services :: Philadelphia, Pennsylvania :: 7 days ago

Requirements The Orthopedic Registered Nurse (RN) assumes responsibility and accountability for the application of the nursing process and the delivery of patient care to patients with orthopedic needs. Responsibilities Utilizes the nursing process to assess, plan, implementand evaluate patient care. Performs focused interview to identify specific ...

Care Coordinator

WellCare :: Columbia, Missouri :: today

... special projects, reports or assignments to meet department needs and objectives. * Serves as a liaison in corresponding and communicating with providers, vendors and WellCare contacts and/or members representatives. * Produces, formats and edits correspondence and documents. * Organizes a variety of administrative and clinical tasks and ...

Principal Technical Lead

WellCare :: Tampa, Florida :: today

The Principal Technical Lead provides leadership and technical expertise in requirements solicitation, system analysis, technical design, programming, documentation of information systems and delivery of large scale applications. Essential Functions: * Prepares detailed functional specifications, design models, and system workflows from which ...

Director, Field Health Services

WellCare :: Brentwood, Tennessee :: yesterday

... Director review and approval. * Serves as a conduit for communication between the client and the company. * Works to resolve issues related to members, providers and any WellCare utilization review or case/disease management process. * Oversees the utilization management-medical advisory committee (UMAC) each quarter along with all agenda, ...

Operations Intake Coordinator

WellCare :: Tampa, Florida :: yesterday

LOCATION: Idlewild Avenue, Tampa, Florida DEPARTMENT: Operations, Provider Communication REPORTING TO: Supervisor, Operations SHIFT: Monday - Friday (9:30am - 6:00pm) The Ops Intake Coordinator processes phone and fax authorization requests for medical services from physicians and hospitals (providers) in an efficient, accurate and customer-focused ...

Business Technical Analyst

WellCare :: Tampa, Florida :: yesterday

Location: Henderson, Rd, Tampa, FL 33634 Department: Health Services - Encounters Reports to: Manager, Reporting & Analytics Provides functional business knowledge and technical support to the business unit through developed and ad hoc analysis/reporting , as well as designing and programming new processes/reports. Acts as subject matter expert ...

Business Technical Analyst

WellCare :: Tampa, Florida :: yesterday

Location: Henderson Rd, Tampa, FL 33634 Department: Health Services - Encounters Reports to: Sr. Manager, Reporting & Analytics Provides functional business knowledge and technical support to the business unit through developed and ad hoc analysis/reporting , as well as designing and programming new processes/reports. Acts as subject matter ...

Software Engineer, Assoc

WellCare :: Tampa, Florida :: yesterday

... assigned applications, solutions or projects. * Fosters and maintains good working relationships with customers and colleagues to meet expected service levels. * Maintains WellCare Information Systems (IS) development standards and best practices. * Completes time estimates for assigned tasks * Assists in writing on-line help manuals, user manuals ...

Care Coordinator

WellCare :: Tampa, Florida :: 2 days ago

... special projects, reports or assignments to meet department needs and objectives. * Serves as a liaison in corresponding and communicating with providers, vendors and WellCare contacts and/or members representatives. * Produces, formats and edits correspondence and documents. * Organizes a variety of administrative and clinical tasks and ...

Behavioral Health Care Manager

WellCare :: Houston, Texas :: 2 days ago

... options and services to meet complex psychosocial health needs of inpatient and outpatient members. * Manages a caseload in compliance with contractual obligations and WellCare standards. * Conducts comprehensive member assessments through root cause analysis based on referred member's needs and benefit plan eligibility, and performs ...

Field Serv Coordinator-RN

WellCare :: Chicago, Illinois :: 3 days ago

Choose a job you love and you will never have to work a day in your Life!! As a Field Service Coordinator RN, you will work with Care Coordination MVP Team members to assess, plan, implement, coordinate, monitor, and evaluate services and outcomes to maximize the health of the Member. Conducts comprehensive member psychosocial assessments through ...

Supervisor, Clinical Care

WellCare :: Tampa, Florida :: 3 days ago

Oversees the day to day operations for inpatient, outpatient and prior authorization management activities to achieve quality and service driven objectives. DEPARTMENT: Health Services-Utilization Management REPORTS TO: Sr. Manager, Clinical Care Essential Functions: * Supervises a staff of nurses to achieve successful quality outcomes and benefit ...

Business Technical Analyst-Human Resources

WellCare :: Tampa, Florida :: 3 days ago

Provides functional business knowledge and technical support to the business unit through developed and ad hoc analysis/reporting , as well as designing and programming new processes/reports. Acts as subject matter expert for department or business unit on business systems/applications. Analyzes company functions, processes, and activities to ...

Business Technical Analyst-SAS Programmer

WellCare :: Tampa, Florida :: 3 days ago

Location: Woodland Center Blvd, Tampa, FL Department: Ops-Payment Integrity Reporting to: Manager, Technical Analysis Provides functional business knowledge and technical support to the business unit through developed and ad hoc analysis/reporting , as well as designing and programming new processes/reports. Acts as subject matter expert for ...

Configuration Analyst, Sr

WellCare :: Tampa, Florida :: 3 days ago

Location: 5301 W. Idlewild Ave, Tampa, FL Department: Ops-Provider Operations Reporting to: Manager, Configuration The Senior Configuration Analyst is responsible for accurate and timely development of automated rules and pricing. This position will also need to help develop new business plans that will help promote technology and automation. ...

Service Coordinator BH/SW - Maui

WellCare :: Kahului, Hawaii :: 3 days ago

Coordinates, monitors and ensures that appropriate and timely primary, acute and long-term care services are provided to members across the continuum of care. Assists in coordinating services with federal and state programs, and other community services to the member. Promotes effective healthcare utilization, monitors health care resources and ...

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