Showing 1-10 of 249
Showing 1-10 of 249
Healthplan Services jobs

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Superior HealthPlan - Laredo, TX

Assess member’s medical, safety and support service needs and coordinate the delivery of services. Conduct follow-up contacts or in-person visits to determine...

SilverSummit Healthplan - Las Vegas, NV

Partner with others in Provider Services/Relations who identify and resolve claims issues, and provide instruction to providers’ billing staff and services...

YourCare - Buffalo, NY

Responsible for managing timelines associated with the program, work plans, coordination of data with IT analyst, development of chase strategy & medical record...

Superior HealthPlan - Laredo, TX

Facilitate member access to community based services. Monitor referrals made to community based organizations, medical care and other services to support the...

WellCare - Chicago, IL

Field Health Services. Senior Director, Field Health Services. Frequent travel required to regional healthplan office....

SilverSummit Healthplan - Las Vegas, NV

5+ years of related experience negotiating hospital, large physician groups and ancillary service agreements and external customer service for providers....

Partnership HealthPlan of CA - Redding, CA

All HealthPlan employees are expected to:. Provide the highest possible level of service to clients; Perform routine and ad-hoc reporting and data management...

Superior HealthPlan - McAllen, TX

Facilitate member access to community based services. Monitor referrals made to community based organizations, medical care and other services to support the...

SilverSummit Healthplan - Las Vegas, NV

Aid the Vice President of Medical Affairs in formulating and administering related organizational policies and procedures, including pharmacy service quality,...

Fairfield, CA

The case management process requires a focus on critical thinking skills, customer service skills, setting appropriate goals and measuring outcomes to...


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