• Specialist , Medicare Member

    Molina Healthcare (Santa Fe, NM)
    …issues or questions. + Log all contacts in a database. + Participate in Member engagement work groups as needed to ensure Medicare member needs are being ... **Job Description** **Job Summary** Responsible for continuous quality improvements regarding member engagement and member retention. Represents Member more
    Molina Healthcare (06/19/25)
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  • Community Health Engagement

    Wider Circle (Newark, NJ)
    Wider Circle is looking for a Community Health Engagement Specialist in Newark to join our circle and play a vital role in running Connect for Life, our ... apply!* Responsibilities + You will lead the Wider Circle Medicare program in your assigned area, using the Wider...and you will hold yourself accountable for achieving membership engagement , growth goals, and other metrics such as attendance… more
    Wider Circle (05/21/25)
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  • Training & Product Specialist

    Independent Health (Buffalo, NY)
    …providers, brokers, and others as requested or needed. + Support Medicare member advisory panel and member engagement activities as needed. Product ... growth, innovation and collaboration. **Overview** The Training and Product Specialist - Medicare , Senior will be responsible for the...we are and the work we do. As a member of our family, you're part of something special,… more
    Independent Health (06/15/25)
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  • Community Engagement Specialist

    Wider Circle (Wilmington, DE)
    …and disadvantaged communities. Job Overview: Wider Circle is seeking a passionate and dedicated Member Engagement Specialist to play a vital role in our ... create webs of community circles by employing local and culturally competent engagement specialists whose hands-on approach is informed by a sophisticated analytics… more
    Wider Circle (06/09/25)
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  • CISC Member , Caregiver and Stakeholder…

    Magellan Health Services (Albuquerque, NM)
    …Presents the program and offerings in group settings. Consistently achieves member engagement strategies while meeting quality performance standards. + ... with individuals with adverse childhood experiences. General Job Information Title CISC Member , Caregiver and Stakeholder Engagement Manager Grade 23 Work… more
    Magellan Health Services (06/19/25)
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  • Care Transition Specialist - Remote Hawaii

    Magellan Health Services (Honolulu, HI)
    …Care Management while in a higher level of care facility, along with facilitating member engagement with their primary care and other sources of behavioral ... and assists in coordinating physical, psychological and/or psychiatric services for the member . + Works collaboratively with other engagement specialists, care… more
    Magellan Health Services (05/28/25)
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  • Provider Network Communications Specialist

    CareOregon (Portland, OR)
    …Nevada, Texas, Montana, or Wisconsin. Job Title Provider Network Communications Specialist Requisition # 25004 Exemption Status Exempt Management Level n/a Direct ... reside in Oregon or Washington. Job Summary The Provider Network Communications Specialist is responsible for leading the provider communication strategy across the… more
    CareOregon (05/29/25)
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  • Coding Audit Response Specialist

    Novant Health (NC)
    …+ Our team members are part of an environment that fosters team work, team member engagement and community involvement. + The successful team member has ... benefits What You'll Do: + The Coding Audit Response Specialist position responds to external and internal audits for...By engaging the strengths and talents of each team member , we ensure a strong organization capable of providing… more
    Novant Health (06/16/25)
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  • Coding Audit Response Specialist

    Novant Health (NC)
    …+ Our team members are part of an environment that fosters team work, team member engagement and community involvement. + The successful team member has ... benefits What You'll Do: + The Coding Audit Response Specialist position responds to external and internal audits for...By engaging the strengths and talents of each team member , we ensure a strong organization capable of providing… more
    Novant Health (06/03/25)
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  • Care Management Specialist II (Mcla)

    LA Care Health Plan (Los Angeles, CA)
    Care Management Specialist II (MCLA) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of… more
    LA Care Health Plan (06/10/25)
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  • Youth Services Specialist II - Prairie…

    State of Colorado (Adams County, CO)
    YOUTH SERVICES SPECIALIST II - Prairie Vista Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4972297) Apply  YOUTH ... SERVICES SPECIALIST II - Prairie Vista Youth Services Center Salary...performance evaluations. Youth Center Programming. Actively and with positive engagement , implement and follow the Youth Center's behavioral management… more
    State of Colorado (06/14/25)
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  • Community Engagement Lead

    Wider Circle (Charlotte, NC)
    Wider Circle is looking for a Community Engagement Specialist - Medicaid to play a vital role in our groundbreaking program, which connects neighbors for better ... Circle's trusted delivery network has been proven to drive resilience, improve member experience and engagement , and reduce inappropriate utilization and has… more
    Wider Circle (06/11/25)
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  • Outreach Care Specialist - Mason City

    Elevance Health (IA)
    …and insightful analytics to improve the delivery of care. The **Outreach Care Specialist ** is responsible for ensuring that appropriate member treatment plans ... **Outreach Care Specialist ** This **field-based** role enables associates to primarily...ensures flexibility, responsiveness to client needs, and direct, hands-on engagement . You would only be expected to travel up… more
    Elevance Health (06/07/25)
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  • Provider Engagement , Clinical Executive

    Humana (Richmond, VA)
    …our caring community and help us put health first** The Provider Engagement , Clinical Executive develops and grows positive, long-term relationships with physicians, ... and healthcare systems in order to support and quality performance and improve member outcomes within the contracted working relationship with the health plan. The… more
    Humana (06/21/25)
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  • Certified Peer Specialist Senior - York ACT…

    WellSpan Health (York, PA)
    …peers in developing recovery tools and building support networks in a community setting. As a member of the ACT Team, you will: + Be a member of a ... required for the Peer to maintain services (ie POC, ORS, C-SSRS, Initial Engagement and other clinical documentation). + Acquires knowledge or resources in assigned… more
    WellSpan Health (05/10/25)
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  • Behavioral Health Specialist

    Virginia Mason Franciscan Health (Gig Harbor, WA)
    …Virginia Mason Franciscan Health, is currently seeking a full time Behavioral Health Specialist for our Franciscan Behavioral Health in Gig Harbor, WA. Come join our ... outside the clinic. An incumbent functions as a core member of a Collaborative Care team that is made...with patients who are in remission. + Facilitates patient engagement and follow-up in care. **Identifies and implements strategies… more
    Virginia Mason Franciscan Health (04/25/25)
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  • Delegation Oversight Specialist - Auditor

    CareOregon (Portland, OR)
    …Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Delegation Oversight Specialist Requisition 24998 Exemption Status Non-exempt Management Level n/a Direct ... with Oregon Health plan (OHP) and the Centers for Medicare and Medicaid Services (CMS) | Bachelor's degree (or...communication skills, including written, oral, and listening | Growing engagement and collaboration skills with a broad range of… more
    CareOregon (05/23/25)
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  • Social Work Case Manager- Housing…

    Elevance Health (Woodbridge, NJ)
    …approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement . This position is not eligible for employment based sponsorship. **The ... all other services provided to NJ Medicaid members (Core Medicaid, LTSS, and Medicare FIDE). This associate will work with other Wellpoint Housing Specialists to… more
    Elevance Health (06/10/25)
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  • Specialty Sales Representative, Immunology - Grand…

    Grifols Shared Services North America, Inc (Flint, MI)
    …110 countries and regions. **Overview:** Primary responsibility of the therapeutic specialist is to represent the Grifols plasma portfolio with identified ... relationships. The Immunology/Neurology SSR will focus on sales performance and engagement with the account and targets. Current immunology call points are:… more
    Grifols Shared Services North America, Inc (06/19/25)
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  • Behavioral Health Therapist

    Novant Health (Winston Salem, NC)
    …time. + Our team members are part of an environment that fosters teamwork, team member engagement and community involvement. + The successful team member has ... By engaging the strengths and talents of each team member , we ensure a strong organization capable of providing...processes such as petitioning for guardianship and navigating the Medicare appeals process. + Willingness to cross train between… more
    Novant Health (06/03/25)
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