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 Responsible for reviewing prior authorization requests for medical services including elective admissions (Post-Acute and Acute), inpatient surgeries, outpatient surgeries, home health, and durable medical equipment. RN will prioritize expedited requests for medical necessity and efficiency in accordance with health plan coverage guidelines and CMS coverage determinations…

JOB SUMMARY The Medicare Compliance Specialist is a key member of the organization, responsible for ensuring adherence to federal, state, and local healthcare laws and regulations, as well as internal policies and procedures. This position plays a pivotal role in promoting a culture of compliance across the organization, supporting contract management, overseeing regulatory reporting, and…

JOB SUMMARY Responsible for reviewing prior authorization requests for medical services including elective admissions (Post-Acute and Acute), inpatient surgeries, outpatient surgeries, home health, and durable medical equipment. RN will prioritize expedited requests for medical necessity and efficiency in accordance with health plan coverage guidelines and CMS coverage determinations…

JOB SUMMARY The Risk Adjustment Coding Specialist supports HealthTeam Advantage mission of improving the health and well-being of our communities through a commitment to personalized service, quality, and enhanced care experiences by identifying actual health conditions of our members while maintaining core values of integrity, quality, service, people, and patient safety. The Risk…

JOB SUMMARY The Contracting & Credentialing Specialist initiates, negotiates, and executes Medicare Advantage (MA) physician, hospital, and/or other provider contracts and agreements. The Contracting & Credentialing Specialist also obtains, reviews, and processes physician, facility, and ancillary initial & re-credentialing applications and supporting documentation to approve credentialing and…

JOB SUMMARY The Vice President of Information Technology (VP of IT) will be responsible for leading the IT strategy and operations across the organization. This role requires a hands-on leader who can balance strategic vision with day-to-day IT management, ensuring that our technology infrastructure supports our business goals. The VP of IT will collaborate closely with other executive leaders…