Job(s) 1 to 14 of 14
3/15/2017
Louisville, KY
Not Provided
Federal Contractor
Manager, State Pharmacy Kentucky (1700382) Provides clinical pharmacy direction for the health plan including, but not limited to Disease Management, Pharmacy, Utilization and Quality Management. Provides drug utilization review and intervention while targeting high utilizing physicians and reviewin ...
3/15/2017
Louisville, KY
Not Provided
Federal Contractor
Benefit Consultant Medicare (1701230) Prospects for and enrolls eligible leads into the Medicare Advantage plans. Meets the minimum enrollment goal of new members using approved presentation materials and sales techniques. REPORTS TO SR. DIRECTOR, FIELD SALES & MARKETING DEPARTMENT KENTUCKY SALES ME ...
3/1/2017
Hazard, KY
Not Provided
Federal Contractor
Member Outreach Coordinator (1700980) "PLEASE NOTE THIS POSITION CAN BE LOCATED IN ONE OF THE FOLLOWING COUNTIES FLOYD, JOHNSON, KNOTT, MAGOFFIE, OR PIKE WITH REPORTING RELATIONSHIPS TO THE HAZARD, KY OFFICE." Conducts telephonic, mail and in person outreach to members who are identified as requirin ...
3/1/2017
Louisville, KY
Not Provided
Federal Contractor
VP, Field Network Management (1701017) Acts as a strategic contributor to the state plan senior leadership team. Delivers on the development of a high quality, high performance network, drives a collaborative relationship with and between internal clinical and quality stakeholders and external provi ...
Related:  IT - Networking
2/25/2017
Tampa, FL; Chicago, IL; Columbia, MO; Bronx, NY; Lexington, KY; Charlotte, NC; Harrisburg, PA; Columbia, SC; Greenville, SC; Atlanta, GA; Queens, NY; Flushing, NY; St. Louis, MO; Cincinnati, OH; Ralei...
Not Provided
Federal Contractor
QI Project Manager, Sr (1700948) Supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies that impact plan compliance to regulatory and accreditation standards. Drives key quality improvement projects requiring the ability to w ...
2/22/2017
Lexington, KY
Not Provided
Federal Contractor
Onsite Inpatient Care Manager, RN (1700791) Represents WellCare at assigned facilities to provide concurrent review, discharge planning and clinical evaluations of members for Case Management needs during face to face interaction. Identifies members with high risk medical conditions that will requir ...
2/22/2017
Louisville, KY
Not Provided
Federal Contractor
Quality Practice Advisor (1700885) 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 ...
2/16/2017
Louisville, KY
Not Provided
Federal Contractor
Community Relations Specialist, Sr (1700818) Implements programs to develop relationships with organizations to build community coalitions and promote health awareness and managed care. Develops and implements approved marketing strategies for events to interested candidates in the service area acco ...
2/7/2017
Bowling Green, KY
Not Provided
Federal Contractor
Field Service Coordinator RN (1700739) "PLEASE NOTE THIS POSITION CAN BE LOCATED IN ONE OF THE FOLLOWING COUNTIES PULASKI, CASEY, RUSSELL, WAYNE OR MCCREARY" Works with Care Coordination MVP Team members to assess, plan, implement, coordinate, monitor, and evaluate services and outcomes to maximize ...
2/4/2017
Ashland, KY; Lexington, KY
Not Provided
Federal Contractor
Behavioral Health Care Manager (1700652) "PLEASE NOTE THIS POSITION CAN BE LOCATED IN ASHLAND OR LEXINGTON, KY" Conducts comprehensive member psychosocial assessments through root cause analysis and performs clinical intervention through the development of a care management treatment plan specific t ...
1/26/2017
Owensboro, KY
Not Provided
Federal Contractor
Field Services Coordinator RN (1700281) "PLEASE NOTE THIS POSITION TO BE LOCATED IN TRIGG, CHRISTIAN, MUHLENBURG OR TODD COUNTY" " THIS POSITION IS A WORK FROM HOME OPPORTUNITY" Works with Care Coordination MVP Team members to assess, plan, implement, coordinate, monitor, and evaluate services and o ...
1/10/2017
Louisville, KY
Not Provided
Federal Contractor
Network Management Specialist (1700186) Manages physician contracting, network development and provider relations functions for developing, executing and maintaining a provider network strategy. Works in concert with medical management and sales developing actions to meet market growth and medical c ...
Related:  IT - Networking
Federal Contractor
Provider Relations Representative (1700003) "PLEASE NOTE THIS POSITION TO BE LOCATED IN FLORENCE REPORTING TO THE LEXINGTON, KY OFFICE" Manages physician network by developing and maintaining relationships to drive business results within a specific geographic area. Provides service and education to ...
Federal Contractor
Provider Relations Representative (1700006) " PLEASE NOTE THIS POSITION TO BE LOCATED IN SOMERSET, KY AND REPORTING TO THE LEXINGTON, KY OFFICE" Manages physician network by developing and maintaining relationships to drive business results within a specific geographic area. Provides service and edu ...