- Highmark Health (Frankfort, KY)
- …Inc. **Job Description :** **JOB SUMMARY** This job is responsible for supervising member service call center and ensuring timely, professional, and courteous ... to other areas as necessary for resolution. Investigate escalated member inquiries. The incumbent may be required to make...routine medical approval decisions. **This role sits within the Medicaid Market - looking for someone who has Customer… more
- Molina Healthcare (Lexington, KY)
- …and must be licensed for the state of Kentucky. We are looking for a supervisor with a clinical and some experience with Behavioral Health. Supervisor will ... or Holidays) Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management,… more
- Molina Healthcare (Lexington, KY)
- …to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. * Ensures that adequate staffing coverage is ... optimization of medication related health care outcomes, and quality cost-effective member care. **Essential Job Duties** * Hires, trains, develops, and supervises… more
- Molina Healthcare (Lexington, KY)
- …and in compliance with all relevant federal, state and local regulations. Provider Services staff are the primary point of contact between Molina Healthcare and ... policies and procedures while achieving the highest level of customer service . **KNOWLEDGE/SKILLS/ABILITIES** This role serves as the primary point of contact… more