• WellCare (Topeka, KS)
    …and manages overall behavioral health services in a dedicated WellCare region, including provider identification, negotiation, contracting and service functions. ... is contingent upon the bid award in the state of Kansas to WellCare Health Plans, Inc. Education and Experience: Bachelors level education or equivalent directly… more
    Ivy Exec (05/03/18)
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  • WellCare (Topeka, KS)
    …compliance with all regulations and contract adherence is critical to WellCare success. Directs and manages the organizations financial performance. Takes ... provider network to ensure the health care needs of WellCare members are met. Develops or manages provider contracts...the bid award in the state of Kansas to WellCare Health Plans, Inc. Education: Bachelors degree in business… more
    Ivy Exec (05/03/18)
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  • WellCare (Tampa, FL)
    …Candidate Education: Required A Bachelors Degree in Business, Marketing, Communications or related field Preferred A Masters Degree in a related field Business ... Key individual contributor role that is responsible for driving the enterprise provider engagement strategy. Leads cross-functional governance focused on end-to-end provider experience transformation and develops communication strategies to support roll out of… more
    Ivy Exec (05/03/18)
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  • WellCare (Topeka, KS)
    …improvement, while improving the consumption health care resources in accordance with WellCare corporate objectives. This person will oversee all clinical aspects of ... standards. Oversees and participates in Performance Improvement Activities. Represent WellCare Health Services at various meetings and conferences on an… more
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  • WellCare (Topeka, KS)
    …State President as it relates to government reporting and compliance. Ambassador for WellCare with various state agencies. Acts as a liaison for Regulatory issues ... This position is contingent upon the bid award in the state of Kansas to WellCare Health Plans, Inc. Education: A Bachelors Degree in a related field is required. A… more
    Ivy Exec (05/03/18)
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  • WellCare (Tampa, FL)
    …This position is contingent upon the bid award in the state of Kansas to WellCare Health Plans, Inc. Candidate Education: A Bachelors Degree in a related field or in ... business administration required. Candidate Experience: 10+ years of experience in strategic planning and development, provider contracting, and financial management required. Candidate Skills: Intermediate - Ability to lead/manage others Intermediate -… more
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  • WellCare (Phoenix, AZ)
    …while improving the consumption health care resources in accordance with WellCare corporate objectives. Incumbent oversees all clinical aspects of behavioral health, ... standards. Oversees and participates in Performance Improvement Activities. Represents WellCare Health Services at various meetings and conferences on an… more
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  • WellCare (Cypress, CA)
    …as medical leadership for effective care integration of WellCare pharmacy operations, utilization/case/disease Management activities, quality improvement activities, ... and provider relations functions. Essential Functions: Collaborates with the organization’s senior leadership to ensure medical compliance with all customer, regulatory, and accreditation requirements for clinical services. Provides current medical expertise… more
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  • WellCare (Tampa, FL)
    …Candidate Education: Required A Bachelors Degree in a related field Required or equivalent work experience Preferred Other Graduate degree a plus Candidate ... The Dir, Strategic Initiatives will serve as a critical resource in supporting, managing and driving strategic projects and initiatives for the area. The position will support senior management in executing business strategies. Essential Functions: Directs the… more
    Ivy Exec (05/03/18)
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  • WellCare (Tampa, FL)
    …Candidate Education: Required A Bachelors Degree in HealthCare, Nursing, Publich Health, Health Administration or directly related field Preferred A Masters Degree in ... a related field Candidate Experience: Required 7+ years of experience in Quality Improvement Required 5+ years of experience in managed care Required 4+ years of management experience Required Other Excellent knowledge of JCAHO, URAC, AAAHC and NCQA standards… more
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  • WellCare (Tampa, FL)
    …Candidate Education: Required A Bachelors Degree in a related field Preferred A Masters Degree in a related field Candidate Experience: Required 7+ years of ... experience in managed care contracting Required 5+ years of experience in targeted experience with Risk Providers and IPA Management Required 5+ years of management experience with oversight of remote and/or matrixed teams Preferred Other Experience in network… more
    Ivy Exec (05/03/18)
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  • WellCare (Topeka, KS)
    …expenses. Collaborates with pharmacy clinical programs department to support and represent WellCare quality initiatives to providers with the market / region such as ... This position is contingent upon the bid award in the state of Kansas to WellCare Health Plans, Inc. Education: A Bachelors Degree in Pharmacy required. A Doctor of… more
    Ivy Exec (05/03/18)
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  • WellCare (Tampa, FL)
    …Oversight of business performance across the shared services Monthly review of the area KPIs, identification of trends and risks/opportunities Coordinate and support ... The Sr Dir Medicare Strategic Initiatives serves as a critical resource in supporting, managing and driving strategic projects and initiatives for Medicare and Operations. The position will support senior management in executing business strategies. Essential… more
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  • WellCare (Columbia, SC)
    …Candidate Education: Required A Bachelors Degree in Business, Healthcare or related field Required or equivalent work experience with directly related hospital and/or ... Directs a team in managing physician contracting and network development. Develops, executes and maintains a provider network strategy for all Lines of Business. Works in concert with medical management and sales to develop strategies to meet market growth and… more
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  • WellCare (Topeka, KS)
    …Works to resolve issues related to members, providers and any WellCare utilization review or case/disease management process. Oversees the utilization ... position is contingent upon the bid award in the state of Kansas to WellCare Health Plans, Inc.1 Education: A Bachelors Degree in nursing, public health, business… more
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  • WellCare (Tampa, FL)
    …Essential Functions: Manages financial filings with the SEC, includingGeneral ledger software experience preferred, proficiency with Excel and Word is necessary. ... coordination with other departments within the Company (Legal and Investor Relations), the Company's SEC counsel and independent auditors. Proactively develops, communicates and manages reporting timelines. Manages the preparation of financial statements and… more
    nexxt.com (05/22/18)
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  • WellCare (Tampa, FL)
    …Support business unit special financial and operational requirements as necessary. Ability to work overtime as required. Candidate Education: Required A Bachelor's ... Manage aspects of the regulatory cost filings for existing and new lines of business across the entire company. Cost reports entail categorizing utilization, medical expense, premium, and administrative expenses across types of service, lines of business, and… more
    nexxt.com (05/22/18)
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  • WellCare (Tampa, FL)
    …Candidate Education: Required A Bachelor's Degree in a related field Required or equivalent work experience with more than 2 years of directly related work in finance ... Provides support on a variety of finance system projects. Analyzes and documents business requirements and partners closely with stakeholders across the organization to recommend and/or develop user-oriented solutions. Essential Functions: Provides finance… more
    nexxt.com (05/22/18)
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  • WellCare (Tampa, FL)
    …to right size the team with right talent doing right work. Provides day-to-day management and supervision for software engineering team by directing and coordinating ... activities consistent with established goals, objectives, and policies. Drive best in people and structure the team by strength. Makes effective hires, develops and trains employees, coaches for optimal performance, gives team members regular performance… more
    Appcast.io (05/22/18)
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  • WellCare (Tampa, FL)
    …Essential Functions: Prepare quarterly and annual income tax provisions Coordinate with outside tax preparer to ensure the tax return preparation process goes ... smoothly and efficiently Assist in handling federal and State tax audits Closely monitor the tax calendar to ensure all tax related filings are in compliance Work closely with team members and assist others as needed Work closely with other Departments to… more
    nexxt.com (05/22/18)
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