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Benefit Configuration Analyst
Collects and analyzes data to evaluate operational obstacles which include revenue and compliance issues, and makes recommendations to resolve issues...
FL - Tampa
Network Management Specialist
Manages physician contracting, network development and provider relations functions for developing, executing and maintaining a provider network...
KY - Louisville
Sr Manager, Accounting
Provide leadership and coordination of accounting department. Oversees the Company’s accounting system, ensuring compliance with GAAP standards and...
Supervisor, Field Health Services - RN Required - Long Beach, CA
DEPARTMENT NAME: Health Services HIRING MANAGER: State Medical Director Supervises the daily activities of the Field Health Services Utilization...
CA - Long Beach
Configuration Analyst, Senior - SQL
The Senior Configuration Analyst is responsible for accurate and timely development of automated rules and pricing. This position will also need to...
Director, Field Service Coordination - RN Required - Tampa, FL
Ensures the case management process of assessing, planning, implementation, coordination, monitoring, and evaluating services and outcomes is pursued...
Corporate Development Manager
Location: Tampa, FL 33634 Department: Finance, Corporate Development Reports to: Vice President, Investor Relations Position is responsible for...
Sr Systems and Reporting Analyst
Provides functional knowledge and technical support to the design, implementation and customization of departmental applications, systems and...
Network Management Rep
LA - Baton Rouge
VP, Field Health Services - Registered Nurse (RN)
About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid...
Statutory Reporting Manager
Responsible for statutory-basis accounting & reporting, capital analysis for the HMO and insurance subsidiaries. Additionally responsible for...
Senior Capitation Specialist - Finance
WellCare provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in...
Senior Financial Analyst (SAS/Advanced Access Required)
DEPARTMENT NAME: Florida Division HIRING MANAGER: Director of Finance Position is responsible for complex financial analysis work including...
Sr Mgr, Clinical Care Utlization Review
Oversees the day to day operations for inpatient utilization, outpatient utilization and prior authorization management activities for multiple...
Corporate Medical Director
Daily utilization management activities for all lines of business including Medicare. Assist in the recruitment of participating providers, support...
Network Management Representative - Bay County/Panama City, FL
DEPARTMENT NAME: Provider Relations HIRING MANAGER: Sr. Mgr, Network Mgmt Manages physician contracting, network development and provider...
FL - Pensacola
Supervisor, Medicaid Sales (Albany, NY)
The Sales Supervisor is responsible for overseeing a team of Facilitated Enrollers during the distribution of information on health and public events...
NY - Albany
Leads and manages the WellCare procurement functions including, but not limited to, purchase order administration, contract review / negotiations,...
Manager, Claims Audit
Manages performance of claim audits to determine financial risk and user compliance. Assists in developing policies and procedures to support...
Field Case Manager - RN Required (Atlanta, GA)
CURRENT GEORGIA RN LICENSE REQUIRED WITH OB/PRE-NATAL EXPERIENCE Coordinates the care and services of selected member populations across the...
GA - Atlanta
Field Case Managers - Hugs
Coordinate the care and services of pregnant and post-partum member populations across the continuum of care. Promotes effective utilization and...
IL - Chicago
Application Administrator, Senior
Support WellCare business and IT partners by effective administration of assigned applications in specified environments. Designs, documents,...
Clinical Delegation Oversight Auditor - RN or LCSW Required - Long Beach, CA
Supports the delegation of processes across multiple product lines by performing pre-delegation assessments, ongoing delegation oversight and auditing...
Quality Improvement Project Manager - Registered Nurse (RN)
AZ - Prescott