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Remote - Greensboro, NC
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Job Summary: Reporting to the Director of Operations – Provider Services and Claims this individual will play a critical role in executing HealthTeam Advantage’s mission by working directly with our partners, proactively and methodically focused on ensuring the design, configuration, and adjudication of claims meets the Plan’s handling, productivity and quality standards. The Claims Analyst…
Role and Responsibilities The Healthcare Concierge should have relevant customer service experience, preferably with Medicare experience and specifically with Medicare Advantage programs and be familiar with PPO’s and HMO’s. Must have strong oral and written communication skills, planning and problem-solving skills and be skilled in personal diplomacy. The applicant must possess a high level…
Role and Responsibilities Under the direction of the Director of Care Management, the RN Care Manager is responsible for managing high-risk, chronic illness members to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and financial outcomes. The RN Care Manager will formulate and implement a care management plan that addresses the…
Role and Responsibilities The Healthcare Concierge should have relevant customer service experience, preferably with Medicare experience and specifically with Medicare Advantage programs and be familiar with PPO’s and HMO’s. Must have strong oral and written communication skills, planning and problem-solving skills and be skilled in personal diplomacy. The applicant must possess a high level…
Role and Responsibilities Under the direction of the Director of Care Management, the RN Care Manager is responsible for managing high-risk, chronic illness members to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and financial outcomes. The RN Care Manager will formulate and implement a care management plan that addresses the…