Coordinating the delivery of high quality, cost-effective care based on a customized model of care. Advocating for the member/patient and family among various sites to coordinate resource utilization. Encouraging client/member/patient participation and compliance in the clinical program efforts.
A leading global technology provider has a current position open for a Telecommute Senior Client Care Technical Analyst. Individual must be able to fulfill the following responsibilities: Providing detailed analysis of issues received from clients.
A leader in home-agent contact centers has a current position open for a Telecommuting Travel Customer Care Agent. Core Responsibilities of this position include: Clearly answering member questions and anticipating future needs.
A staffing agency has a current position open for a Virtual Bilingual Spanish English Travel Customer Care Representative. Individual must be able to fulfill the following responsibilities: Take inbound calls and emails with inquiries from members and sales reps.
Supporting physician decision-making. Position Requirements Include: Bachelor’s degree in a relevant field, or an equivalent combination of education and highly relevant experience. Current, unrestricted license as an LPN or RN. Previous experience in Managed Care, Utilization Management.
A sustainable, people-focused, healthcare system is seeking a Telecommute Policy and Implementation Analyst. Core Responsibilities of this position include: Developing, maintaining and publishing reimbursement policy. Evaluating, recommending and implementing clinical editing solutions.
Bachelor's degree required or equivalent education or experience. Active Series 7, 24, 63, 65 (or 66) Previous industry and supervisory experience. Previous leadership and management experience. Resident state Life and Health licensee. All other requirements listed by the company.
Minimum 7+ years prior experience working with accountable care organizations (ACO’s), hospital systems, payers and other entities in the healthcare industry. Healthcare industry and solution sales experience required.
Must be able to: Manage and prioritize care coordination activities. Facilitate the clinical progression of care. Identify process improvement opportunities. Qualifications for this position include: US Citizenship and the ability to pass federal security clearance screening.