Career Opportunities

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…

Job Summary: Reporting to the Director of Operations – Claims and A&G, 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 will work with…

JOB SUMMARY The Provider Data Specialist will be responsible for entering and maintaining large amounts of provider demographic and credentialing data from various sources into the company’s provider database and maintaining the accuracy and currentness of the data. Other supportive assignments will be assigned as identified such as audits and special projects. ESSENTIAL DUTIES AND…

JOB SUMMARY Reporting to the Senior Manager, Quality/Medicare Stars, this individual will play a critical role in executing HealthTeam Advantages’ Quality programs with the implementation of the National Committee for Quality Assurance (NCQA) and Centers for Medicare & Medicaid Services (CMS) compliant Stars functions, projects, roadmap development, reporting, audit, and submissions. This…

JOB SUMMARY Under the direction of the Director of Quality, the Quality Manager is responsible for helping to develop, administer, and manage the CMS Medicare Stars/Quality programs at HealthTeam Advantage. Will collaborate with the Director of Quality and other internal and external teams to coordinate activities related to HEDIS, CAHPS, and HOS and ensure programs provide high-quality care…