Job Summary Provides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions, and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members and identifies opportunities to maintain and increase member relationships. Recommends and implements programs to support member needs. KNOWLEDGE/SKILLS/ABILITIES Performs member outreach calls in states supported by Molina Healthcare to enforce member retention Answers incoming calls regarding Medicaid members in PEND status and those …
REP, MEMBER ENGAGEMENT (ON SITE – BRENTWOOD/LONG ISLAND, NY)
REP, MEMBER ENGAGEMENT (ON SITE – BROOKLYN, NY)
Job Summary Provides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions, and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members and identifies opportunities to maintain and increase member relationships. Recommends and implements programs to support member needs. KNOWLEDGE/SKILLS/ABILITIES Performs member outreach calls in states supported by Molina Healthcare to enforce member retention Answers incoming calls regarding Medicaid members in PEND status and those …
REP, MEMBER ENGAGEMENT (ON SITE – ROCKLAND, NY)
Job Summary Provides new and existing members with the best possible service in relation to billing inquiries, service requests, suggestions, and complaints. Resolves member inquiries and complaints fairly and effectively. Provides product and service information to members and identifies opportunities to maintain and increase member relationships. Recommends and implements programs to support member needs. KNOWLEDGE/SKILLS/ABILITIES Performs member outreach calls in states supported by Molina Healthcare to enforce member retention Answers incoming calls regarding Medicaid members in PEND status and those …
PROGRAM COORDINATOR (REMOTE IN CALIFORNIA)
Job Summary Provides general administrative support that includes routine document preparation, file management, scheduling/arranging meetings, arranging travel and ordering office supplies. May also perform a variety of activities in support of the functional processes, programs and/or services. Also provides the administration of various programs, projects and assignments aligned with functional processes and services. Work may involve design and development of program components, coordination of work effort across third party vendors or internal staff to execute against program requirements, development and …
COMMUNITY CONNECTOR – KENT COUNTY MI
JOB DESCRIPTION For this position we are seeking a Community Connector to provide support for the Medicaid population for the Michigan Health Plan. Excellent computer skills (Microsoft Office) and attention to detail are very important. Working on multiple databases toggling back and forth talk with members on the phone and enter accurate contact notes. This is a fast-paced position and productivity is important. Experience with community resources within Kent County and working with members within the community within the field. …
Medical Scribe (Spanish Bilingual)
Medical Scribe (Spanish Bilingual) Full time, Monday – Friday, 8a-5p Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patients’ communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. …
System of Care Research & Data Analyst
The Oregon Health Authority has a fantastic opportunity for an experienced System of Care Research & Data Analyst with an excellent team. This is a full-time, permanent, classified position with Health Policy and Analytics. What you will do! As a System of Care Research and Data Analyst, you will support System of Care policy decision-making and strategic planning efforts especially those related to youth who are involved in 3 or more services and/or struggling to get the care they need …
SPECIALIST, APPEALS & GRIEVANCES
Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid KNOWLEDGE/SKILLS/ABILITIES Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from Molina members, providers and related outside agencies to ensure that internal and/or regulatory timelines are met. Research claims appeals and grievances using support systems to determine appeal and …
Postdoctoral Fellow
Join the HJF Team! The Henry M. Jackson Foundation for the Advancement of Military Medicine (HJF) is a nonprofit organization dedicated to advancing military medicine. We serve military, medical, academic and government clients by administering, managing and supporting preeminent scientific programs that benefit members of the armed forces and civilians alike. Since its founding in 1983, HJF has served as a vital link between the military medical community and its federal and private partners. HJF’s support and administrative capabilities allow …