- Centene Corporation (Austin, TX)
- …health needs to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses ... on services and benefit options available to receive appropriate high-quality care . + Evaluates the service needs of the most complex or high risk/high acuity… more
- Molina Healthcare (Jackson, MI)
- …Molina healthcare policies and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary point of contact ... contracting subject matter expertise to successfully engage complex providers, including senior leaders and physicians, to ensure provider satisfaction, education on… more
- Humana (Lansing, MI)
- …for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to ... caring community and help us put health first** The Senior Quality Compliance Professional is an integral part of...State of MI, unrestricted + Experience with Medicaid programs, LTSS and program population strongly preferred + Previous experience… more
- Commonwealth Care Alliance (Boston, MA)
- …and supporting operational excellence to enhance provider satisfaction and member access to care . Reporting to the Senior , Director of Delegation Partnerships., ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening… more
- Commonwealth Care Alliance (Boston, MA)
- …leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role ... that enhance operational engagement, member access, provider satisfaction, and value-based care outcomes, while serving as the primary liaison for escalated provider… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA's delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care ... to delegated providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement… more
- Greater Lynn Senior Services (Lynn, MA)
- …challenges *Employee referral bonuses of up to $1,000 Position Overview: The LTSS Program Clinical Care Nurse will complete program Comprehensive Assessments, ... Development | 83,200.00-87,360.00 per year | Full Time | Greater Lynn Senior Services offers comprehensive medical and dental plans, flexible spending accounts,… more