• Director - USFHP Clinical Operations

    Pacific Medical Centers (Seattle, WA)
    …national USFHP Alliance Operations Committee as the principal PMC representative . Responsible for developing and ensuring regular reporting and analysis of data ... **Description** **Overview:** The director provides leadership for USFHP clinical operations: including care management and the clinical quality management program.… more
    Pacific Medical Centers (05/18/24)
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  • Provider Inquiry Representative

    Martin's Point Health Care (Portland, ME)
    …customers Education/Experience: + High school diploma or equivalent. + 3+ years customer service experience. Requirements:Terms of employment may require the ... to Work" since 2015. Position Summary The Provider Inquiry Representative I has the primary responsibility of answering incoming...of and alignment with Martin's Point Values. + Excellent customer service skills + Previous experience in… more
    Martin's Point Health Care (05/17/24)
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  • Director, Appeals & Grievances

    Point32Health (Canton, MA)
    …reports, but also of others + Must have commitment to excellence in customer service + Considers creative alternatives to traditional/conventional practices and ... enjoy the important work we do every day in service to our members, partners, colleagues and communities. To...not limited to ACA, CMS, DOI, EOHHS, NCQA and USFHP . The director works closely with key internal stakeholders… more
    Point32Health (04/11/24)
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