Job offers: by WellCare

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Best Version Media

Sales Executive

Best Version Media :: Meadowbrook, Virginia :: 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 :: Copperopolis, 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 ...

Sponsored
Best Version Media

B2B Outside Sales

Best Version Media :: Gilbert, Arizona :: 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 ...

Benefit Consultant

WellCare :: Chicago, Illinois :: today

... that is deemed acceptable from the company. * Coordinates and conducts approved marketing events. * Achieves corporate enrollment goals. * Strictly adheres to all CMS and WellCare Marketing regulations. * Performs other duties as assigned. Additional Responsibilities: * Reviews, quality checks and accurately enters all data/enrollment paperwork into ...

Superviosr, Patient Care Advocacy - Florida

WellCare :: Tampa, Florida :: today

Oversees the day to day operations for patient care advocate field staff and for the overall coordination and supervision of activities as it relates to state and regulatory quality compliance, HEDIS and quality improvement initiatives. Works with members and providers to close care gaps, ensure barriers to care are removed, and improve the overall ...

Senior Systems and Reporting Analyst

WellCare :: Tampa, Florida :: today

Location: Henderson Rd, Tampa, FL 33634 Department: Health Services - Encounters & RAPS Reports to: Supervisor, Business Analysis Provides functional knowledge and technical support to the design, implementation and customization of departmental applications, systems and databases to meet the customer's requirements and system needs. ...

Project Administrator

WellCare :: Tampa, Florida :: today

LOCATION: Henderson Road, Tampa, FL DEPARTMENT: Compliance REPORTING TO: Sr Dir, Policies and Training Assists in completing activities related to various cross-functional projects in support of departmental goals. Essential Functions: * Assists in all phases of project coordination, project planning, implementation and monitoring results. * ...

Dir, Network Management

WellCare :: St. Louis, Missouri :: today

Choose a job you love and you will never have to work a day in your Life!! As a Director, Network Management you will, direct a team in managing physician contracting, network development, provider relations and provider operations. Develops, executes and maintains a provider network strategy. Works in concert with medical management and sales to ...

Customer Service Representative

WellCare :: Tampa, Florida :: today

... Operations, Complaint Resolution REPORTING TO: Supervisor, Operations Responds to member and provider inquiries (phone, written or walk in) regarding all aspects of WellCare business, including claims, in a professional, timely, accurate and caring manner while consistently meeting all guidelines. Essential Functions: * Responds to member, ...

Buyer

WellCare :: Tampa, Florida :: yesterday

LOCATION: Henderson Road, Tampa, FL DEPARTMENT: Finance-Treasury REPORTING TO: Director IT, Vendor Management Responsible for the procurement of a limited variety of commodities and/or services that are not highly technical or complex, and may participate in the administration of procurement contracts led by higher level procurement team members. ...

Field Serv Coordinator-RN

WellCare :: Independence, Missouri :: 2 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 with Wellcare, you have the unique opportunity each and every day to bring value and quality to a members life. Your responsibilities will include working with Care Coordination MVP team members to assess, plan, implement, coordinate, ...

IT Process Analyst, Lead

WellCare :: Tampa, Florida :: 2 days ago

Leads projects to analyze, integrate, transform and create efficient, sustainable, and compliant processes across IT which includes the following areas: Audit & Risk Remediation support, IT Risk Management, Attestation Coordination, IT Governance, Project Management Office and Intake process design, Policy and Procedure Development/Management, ...

Grievance Coordinator

WellCare :: Tampa, Florida :: 2 days ago

... to: Operations Supervisor Location: 5301 Idlewild Avenue, Tampa, FL 33634 Responds to member and provider inquiries (phone, written or walk in) regarding all aspects of WellCare business, including claims, in a professional, timely, accurate and caring manner while consistently meeting all guidelines. Essential Functions: * Responds to member, ...

RN - Prior Authorization Nurse

WellCare :: Phoenix, Arizona :: 2 days ago

This position is for Care1st Health Plan, a WellCare Healthplans, Inc. company. This Prior Authorization Nurse conducts prospective review of authorization requests including selected specialties, medical treatments and services, elective hospital admissions, ancillary services, home care and out of area referrals. The nurse makes clinical decisions ...

Notice of Action Coordinator

WellCare :: Phoenix, Arizona :: 2 days ago

This position is with Care1st Health Plan, a WellCare Healthplans Inc. company. This position is responsible for the Notice of Action (NOA) Process for all denials for all Care1st lines of business. This includes ensuring that all State and Federal Regulations and NCQA Guidelines are met in the policies and letters. ESSENTIAL DUTIES AND ...

Member Services Representative

WellCare :: Phoenix, Arizona :: 2 days ago

This position is for Care1st Health Plans a WellCare Healthplan Inc. company. The Member Services Representative is responsible for delivering efficient, high quality customer service to Plan members, providers and Plan personnel. This position is responsible for disseminating information regarding the Plan, benefit coverage, member eligibility, and ...

EPSDT Outreach Coordinator

WellCare :: Phoenix, Arizona :: 2 days ago

This position is for Care1st Health Plan, a WellCare Healthplans, Inc. company. The position is responsible for the facilitation, implementation and coordination of the EPSDT Member Outreach Program and the overall compliance with immunization and EPSDT examinations. The position serves as the health plan resource for EPSDT/Well Child Program ...

Claims Analyst

WellCare :: Phoenix, Arizona :: 2 days ago

This position is for Care1st Health Plan, a WellCare Healthplans, Inc. company. Provides subject matter expertise to departmental and corporate projects, by pulling data or creating scenarios needed for testing, validation, and root cause analysis on all types of claims, adjustments, for enhancements, updates, benefits and pricing as to impacts and ...

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