Manager, Medical Risk Adjustment Programs & Operations
Dayton, OH
The Manager, Medical Risk Adjustment Programs & Operations is responsible for managing performance, activities and SLAs of outside vendors who are partnered with for risk adjustment inte...

Community Based Care Manager - Hamilton County
Cincinnati, OH
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the ne...

Community Based Care Manager - Clark County
Atlanta, GA
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the ne...

Community Based Care Manager - Fulton County
Atlanta, GA
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the ne...

Community Based Care Coordinator
Little Rock, AR
The Community Based Care Coordinator I BH/SUD is the member concierge and is the single point of contact for assessment, person centered planning, service coordination (funded or unfunde...

Care Guide - Hamilton County
Cincinnati, OH
The Care Guides are responsible for participating as a member of the inter disciplinary Care Coordination Team to coordinate care for members, meeting their individual needs and the need...

Community Health Worker - Fulton County
Atlanta, GA
The Community Health Worker participates as a member of the inter disciplinary care team (ICT) to coordinate care for members. Essential Functions Engage with the member in a variety of...

Community Based Care Manager - Murray County
Atlanta, GA
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the ne...

Community Based Care Manager - Hall County
Atlanta, GA
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the ne...

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...