• Specialist , Medicare Member

    Molina Healthcare (Tucson, AZ)
    …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 (02/21/25)
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  • Sr Medicare Advocate

    CNO Financial Group (Carmel, IN)
    …ensuring that beneficiaries receive the benefits to which they are entitled. The specialist also educates members on Medicare requirements and works closely with ... Drug Plans. + Conducting one-on-one consultations to assess clients' healthcare needs and Medicare options available that meet a member 's criteria. + Assisting… more
    CNO Financial Group (02/20/25)
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  • State Program Member Engagement

    Healthfirst (Enfield, NY)
    …+ Assist members with selecting a high-quality Primary Care Physician (PCP), order member ID card and make monthly premium payment. This includes using the ... via the provider search tool, verifying the correct information in Salesforce/ Member 360/OnContact/BizTalk before making any necessary changes based on members… more
    Healthfirst (02/20/25)
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  • Provider Engagement Specialist

    Molina Healthcare (Spokane, WA)
    …and monitoring for key performance measurement activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Provider Engagement contributes to one or more ... key quality strategies, which may include initiation and management of provider, member and/or community interventions (eg, removing barriers to care); and other… more
    Molina Healthcare (02/06/25)
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  • Medical Record Retrieval Specialist

    Medical Mutual of Ohio (OH)
    **_The Medical Record Retrieval Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of a local Medical ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s… more
    Medical Mutual of Ohio (12/10/24)
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  • Community Resource Center Specialist III

    LA Care Health Plan (Long Beach, CA)
    …data to inform management with an integrated approach to outreach activities and targeted member engagement . Plan, develop, analyze and implement member and ... Community Resource Center Specialist III Job Category: Customer Service Department: Community...instructors. The role leads community and provider outreach and engagement initiatives to increase member traffic at… more
    LA Care Health Plan (02/19/25)
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  • Housing Specialist , Phoenix AZ area

    Molina Healthcare (Peoria, AZ)
    …worker, Navigator, Assistor, Connecter, Promotora, Marketing, managed care, MCO, member , market, screening, education, educating, Medicare , Medicaid, ... **Molina Healthcare of Arizona** is hiring for a **Housing Specialist ** in the greater **Phoenix /Maricopa County** area. This role will be a combination of… more
    Molina Healthcare (12/21/24)
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  • Care Management Specialist II (D-SNP Team)

    LA Care Health Plan (Los Angeles, CA)
    Care Management Specialist II (D-SNP Team) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... 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 (02/21/25)
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  • Documentation Specialist

    Convey Health Solutions (Fort Lauderdale, FL)
    …commercial plans. The company focuses on enhancing the administration, compliance, and member engagement of health plans, offering scalable and flexible ... Reporting to the Senior Manager, Professional Services, the Documentation Specialist is responsible for creating, managing, and maintaining accurate and… more
    Convey Health Solutions (01/07/25)
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  • CDI Specialist - Managed Care Exp preferred

    Fallon Health (Worcester, MA)
    …care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
    Fallon Health (12/26/24)
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