Risk Adjustment Analyst II
Dayton, OH
The Risk Adjustment Analyst II provides analysis, extracts, review and reporting of data (must have solid SQL experience) to ensure accuracy and completeness and identify areas of risk a...

Health Plan Operations Analyst- Ashville NC Area
Charlotte, NC
The Health Plan Operations Analyst I reviews and analyzes the effectiveness and efficiency of existing market operation processes and systems and participates in development of solutions...

Health Partner Engagement Manager
Charlotte, NC
The Health Partner Engagement Manager is responsible for working closely with managers to build, manage and maintain health partner relationships. Essential Functions Support Manager in...

Manager, Provider Network Performance
Dayton, OH
The Manager, Provider Network Performance provides leadership and direction to staff to ensure the goals of the department are successfully achieved. Essential Functions Ensure accurate...

Customer Care Specialist I
Dayton, OH
The Customer Care Specialist I assists members or providers with routine service inquiries. Must live in Ohio Training Hours Monday Friday 8a 4 30p EST Post Training Hours Monday Friday...

Enterprise Accreditation Specialist III - NCQA-LTSS Distinction
Dayton, OH
The Enterprise Accreditation Specialist III is responsible for supporting the organization to obtain and maintain appropriate accreditations, distinctions and recognitions through NCQA,...

SIU Investigator III CFE or AHFI required
Dayton, OH
The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, f...

Operations Specialist II
Dayton, OH
The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. Essential Functions Represent claims on cross funct...

SIU Investigator III CFE or AHFI required
Dayton, OH
The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, f...

Operations Specialist II
Dayton, OH
The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. Essential Functions Represent claims on cross funct...

Distribution & Processing Services Specialist I
Dayton, OH
The Distribution and Processing Services Specialist I is responsible for all incoming and outgoing mail service functions including processing registered, certified, and overnight mail....

Sales Coordinator II
Dayton, OH
The Sales Coordinator II, in collaboration with team members and leadership, supports the sales strategy and sales enrollment initiatives to ensure annual sales goals are successfully ac...

Healthcare Claims Operations Specialist II - Facets/Analytics
Dayton, OH
The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. Essential Functions Represent claims on cross funct...

Member Engagement Analyst II
Atlanta, GA
Member Engagement Analyst II is responsible for contributing to the overall support of Member Engagement programs by coordinating processes and procedures associated with benefits, reten...

Life Services Life Coach I- Mobile-South Bend or Elkhart Areas
Indianapolis, IN
The Life Services Life Coach provides one on one coaching and development for participants in the Life Services program as defined by member needs both urgent, immediate, and long term t...