Career Opportunities

JOB SUMMARY The Intake Specialist will be responsible for entering requested authorization of health care services received via telephone, internet, and fax, sorting, and identifying incoming requests. The Intake Specialist will be responsible for following up with providers to obtain clinical information on UM requests. This role may also work with members on redirecting to in-network…

JOB SUMMARY The Director for Quality is responsible for developing, administering and managing the Medicare Stars program, and other quality improvement processes and programs (HEDIS, CAHPS and HOS) to support the objectives of providing high quality care and service to our members. The Director is responsible for strategic planning and contributes knowledge to assist executive team in the…