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Candidate Education Preferred A Bachelor's Degree in business or equivalent directly related to experience Preferred Other MBA or equivalent Candidate Experience Required 7 years of experience in a related field based on Operational areas Required 3 years of experience in progressively responsible management Required Other Strong experience in the related area of Operations at management level Pre
Posted 2 days ago
Full Job Title Appeals Coordinator Job Number 1803335 Location Louisville , KY Date Posted 5 22 2018 Processes appeals from receipt to resolution in a timely and accurate manner. REPORTS TO SUPERVISOR, APPEALS DEPARTMENT HEALTH SERVICES APPEALS & GRIEVANCES POSITION LOCATION LOUISVILLE, KY 40223 Essential Functions Logs, tracks, and processes health service appeals. Serves as a liaison
Posted 3 days ago
Position may be located in a provider's office Candidate Education Required A Bachelor's Degree in Healthcare, Public Health, Nursing, psychology, Social Work, Health Administration, or related health field or equivalent work experience (a total of 4 years of experience required for the position); Work experience should be in direct patient care, social work, quality improvement or health coaching
Posted 6 days ago
Full Job Title Quality Practice Advisor Job Number 1803589 Location Lexington , KY Date Posted 5 16 2018 Establishes and fosters a healthy working relationship between large physician practices, IPAs and WellCare. Educates providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measure
Posted 8 days ago
Full Job Title QI Care Gap Coordinator (Louisville, KY) Job Number 1802553 Location Louisville , KY Date Posted 5 16 2018 Conducts telephonic outreach to members who are identified as needing preventive services in support of quality initiatives and regulatory/contractual requirements. Provides education to members regarding the care gaps they have. Assists in scheduling doctor appoint
Posted 8 days ago
Position may be located in a provider's office Candidate Education Required A Bachelor's Degree in Healthcare, Public Health, Nursing, psychology, Social Work, Health Administration, or related health field or equivalent work experience (a total of 4 years of experience required for the position); Work experience should be in direct patient care, social work, quality improvement or health coaching
Posted 9 days ago
Position may be located in a provider's office Candidate Education Required A Bachelor's Degree in Healthcare, Public Health, Nursing, psychology, Social Work, Health Administration, or related health field or equivalent work experience (a total of 4 years of experience required for the position); Work experience should be in direct patient care, social work, quality improvement or health coaching
Posted 9 days ago
Position may be located in a provider's office Candidate Education Required A Bachelor's Degree in Healthcare, Public Health, Nursing, psychology, Social Work, Health Administration, or related health field or equivalent work experience (a total of 4 years of experience required for the position); Work experience should be in direct patient care, social work, quality improvement or health coaching
Posted 9 days ago
Position may be located in a provider's office Candidate Education Required A Bachelor's Degree in Healthcare, Public Health, Nursing, psychology, Social Work, Health Administration, or related health field or equivalent work experience (a total of 4 years of experience required for the position); Work experience should be in direct patient care, social work, quality improvement or health coaching
Posted 9 days ago
Full Job Title Quality Practice Advisor certification or professional license required Job Number 1803260 Location Lexington , KY Date Posted 5 11 2018 Establishes and fosters a healthy working relationship between large physician practices, IPAs and WellCare. Educates providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS
Posted 14 days ago
Candidate Education Required A High School or GED Required or equivalent work experience Candidate Experience Required 2 years of experience in medical office HMO or hospital environment performing adminstrative duties with a clincal focus Required Other Experience with medical terminology Candidate Skills Advanced Demonstrated written communication skills Advanced Demonstrated interpersonal/verba
Posted 14 days ago
Full Job Title Quality Practice Advisor certification or professional license required Job Number 1803257 Locations Lexington, KY Ashland, KY Date Posted 5 9 2018 Establishes and fosters a healthy working relationship between large physician practices, IPAs and WellCare. Educates providers and supports provider practice sites in regards to the National Committee for Quality Assurance (
Posted 15 days ago
Full Job Title Quality Practice Advisor certification or professional license required Job Number 1803261 Location Owensboro , KY Date Posted 5 9 2018 Establishes and fosters a healthy working relationship between large physician practices, IPAs and WellCare. Educates providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS
Posted 15 days ago
Full Job Title Quality Practice Advisor certification or professional license required Job Number 1803258 Location Hazard , KY Date Posted 5 9 2018 Establishes and fosters a healthy working relationship between large physician practices, IPAs and WellCare. Educates providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS mea
Posted 15 days ago
If position is not primarily telephonic, will travel to inpatient bedside, member's home, provider's office, hospitals, etc as required with dependable car. May spend up to 70% of time traveling with exposure to inclement weather and normal road hazards. Support the lead database by providing feedback with strategies to improve the quality of referrals to ensure the appropriate members are outreac
Posted 15 days ago
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