| | Job Title / Description
( show titles only )
| Company | Location  | Posted |
|
| Quality Improvement Project Manager - Registered Nurse (RN) -
View similar jobs
Job type: Full-Time
About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid...
| | AZ - Prescott | 3 Weeks Ago |
|
| Supervisor, Field Health Services - RN Required - Long Beach, CA -
View similar jobs
Job type: Full-Time
DEPARTMENT NAME: Health Services HIRING MANAGER: State Medical Director Supervises the daily activities of the Field Health Services Utilization...
| | CA - Long Beach | 4 Days Ago |
|
| Clinical Delegation Oversight Auditor - RN or LCSW Required - Long Beach, CA -
View similar jobs
Job type: Full-Time
Supports the delegation of processes across multiple product lines by performing pre-delegation assessments, ongoing delegation oversight and auditing...
| | CA - Long Beach | 3 Weeks Ago |
|
| Benefit Consultant - Medicare (CT) -
View similar jobs
Job type: Full-Time
Prospect for and enroll eligibles in the Medicare Advantage. Meet the minimum enrollment goal of new members into the Medicare + Choice Plan. Present...
| | CT - New Haven | 2 Weeks Ago |
|
|
| Quality Improvement Specialist - RN -
View similar jobs
Job type: Full-Time
Supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies impacting plan...
| | FL - Orlando | 3 Weeks Ago |
|
| Inpatient Care Nurse - Field RN - Pensacola, FL -
View similar jobs
Job type: Full-Time
Field RN Sacred Heart Hospital, Pensacola, FL Oversees utilization management activities by assessing the necessity and efficiency of services through...
| | FL - Pensacola | Today |
|
| Network Management Representative - Bay County/Panama City, FL -
View similar jobs
Job type: Full-Time
DEPARTMENT NAME: Provider Relations HIRING MANAGER: Sr. Mgr, Network Mgmt Manages physician contracting, network development and provider...
| | FL - Pensacola | 2 Weeks Ago |
|
| Manager, Procurement -
View similar jobs
Job type: Full-Time
Leads and manages the WellCare procurement functions including, but not limited to, purchase order administration, contract review / negotiations,...
| | FL - Tampa | 2 Weeks Ago |
|
| Configuration Data Specialist -
View similar jobs
Job type: Full-Time
To ensure accurate and timely loading and maintenance of provider file information through appropriate research. This would include, but not be...
| | FL - Tampa | Apr-26 |
|
| Manager, Claims Audit -
View similar jobs
Job type: Full-Time
Manages performance of claim audits to determine financial risk and user compliance. Assists in developing policies and procedures to support...
| | FL - Tampa | 2 Weeks Ago |
|
| Employee Relations Specialist III -
View similar jobs
Job type: Full-Time
Independently supports/consults with HRBPs and client groups on highly complex employee relations cases in order to achieve legally sound resolutions...
| | FL - Tampa | 3 Days Ago |
|
| Business Analyst -
View similar jobs
Job type: Full-Time
The Business Analyst identifies and recommends operational improvement opportunities through reporting, process and trend analysis. The Business...
| | FL - Tampa | 2 Weeks Ago |
|
| Sr Legal Specialist / Sr Paralegal -
View similar jobs
Job type: Full-Time
Provides advanced legal assistance to in-house counsel and internal clients with primary responsibility for corporate governance and insurance...
| | FL - Tampa | 2 Weeks Ago |
|
|
| Benefit Configuration Analyst -
View similar jobs
Job type: Full-Time
Collects and analyzes data to evaluate operational obstacles which include revenue and compliance issues, and makes recommendations to resolve issues...
| | FL - Tampa | Yesterday |
|
| Configuration Specialist, Senior ICD-10 -
View similar jobs
Job type: Full-Time
Ensures accurate and timely loading of the Institutional/ASC or professional provider contracts. Oversees the maintenance and termination processes...
| | FL - Tampa | 3 Days Ago |
|
| Configuration Specialist -
View similar jobs
Job type: Full-Time
To ensure accurate and timely loading of a provider contract, maintenance and termination processes through appropriate research. Essential...
| | FL - Tampa | Today |
|
| Business Systems Analyst, Sr -
View similar jobs
Job type: Full-Time
Primary point of contact for interface between the business users and IS teams. Formulates and defines systems’ scope and objectives through research...
| | FL - Tampa | 3 Weeks Ago |
|
| Clinical Social Worker - LCSW/RN - Tampa, FL -
View similar jobs
Job type: Full-Time
Coordinates the socio economic needs and service of selected member populations across the continuum of illness. Interviews, coordinates and plans...
| | FL - Tampa | 2 Weeks Ago |
|
| Inpatient Care Nurse - Field RN - Palm Beach, FL -
View similar jobs
Job type: Full-Time
Field RN - St. Mary's, West Palm Hospital Location: Palm Beach, FL Oversees utilization management activities by assessing the necessity and...
| | FL - Tampa | Today |
|
| Senior Organizational Development Specialist -
View similar jobs
Job type: Full-Time
The Sr. Organizational Development Specialist works in partnership with the Human Resources team to lead and/or participate in the development of...
| | FL - Tampa | 1 Week Ago |
|
| Inpatient Care Utlization Review RN - Office Setting -
View similar jobs
Job type: Full-Time
Oversees utilization management activities by assessing the necessity and efficiency of services through systematic monitoring of medical necessity...
| | FL - Tampa | 2 Weeks Ago |
|
| Corporate Development Manager -
View similar jobs
Job type: Full-Time
Location: Tampa, FL 33634 Department: Finance, Corporate Development Reports to: Vice President, Investor Relations Position is responsible for...
| | FL - Tampa | 1 Week Ago |
|
| Sr Manager, Accounting -
View similar jobs
Job type: Full-Time
Provide leadership and coordination of accounting department. Oversees the Company’s accounting system, ensuring compliance with GAAP standards and...
| | FL - Tampa | 2 Days Ago |
|
| Statutory Reporting Manager -
View similar jobs
Job type: Full-Time
Responsible for statutory-basis accounting & reporting, capital analysis for the HMO and insurance subsidiaries. Additionally responsible for...
| | FL - Tampa | 1 Week Ago |
|
| Configuration Analyst, Senior - Claims Coding -
View similar jobs
Job type: Full-Time
The Senior Configuration Analyst is responsible for accurate and timely development of automated rules and pricing. This position will also need to...
| | FL - Tampa | 4 Days Ago |