Modivcare
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The Exception Specialist III facilitates client procedures, manages transportation service orders, evaluates mileage requests, ensures compliance with protocols, coordinates with healthcare providers, and monitors phone activity for efficiency. They also address attendance challenges and investigate utilization trends, while handling invoicing and maintaining contact information for service providers.
The Talent Acquisition Specialist I supports the recruitment process by sourcing and screening candidates, coordinating interviews, and assisting with onboarding for the Personal Care business line. Responsibilities include maintaining candidate records, building candidate pipelines, ensuring a positive candidate experience, and collaborating with hiring managers to understand staffing needs.
The Provider Relations Manager II is responsible for developing and maintaining relationships with transportation providers, managing execution and performance metrics, conducting training sessions, driving process improvements, and utilizing data to resolve issues. This role requires travel and collaboration with various stakeholders to enhance provider performance and ensure compliance.
The Exception Specialist II is responsible for the accurate fulfillment and approval of transportation service requests, identifying customer service issues, investigating benefit utilization issues, and reporting member dissatisfaction. The role involves managing the denial and appeal process, assisting with communication through various channels, and suggesting process improvements.
The Procurement Specialist IV is responsible for negotiating, preparing, and processing complex contracts for various materials and services. They advise stakeholders, evaluate bids, ensure compliance, and resolve non-routine procurement issues while maintaining accurate records of activities. This role also involves conducting training sessions and may require occasional business travel.
The Exception Specialist II is responsible for managing transportation service requests, ensuring accurate trip data, advising on customer service related issues, investigating benefit utilization issues, and suggesting improvements in the appeals process. The role involves communication with clients and facilities, handling multiple tasks while maintaining service quality, and participating in projects as assigned.
The Exception Specialist I is responsible for processing transportation service requests and ensuring compliance with service guidelines. Responsibilities include managing denial and appeal processes, investigating issues, and monitoring service utilization trends. Excellent customer service and communication skills are essential for this role.
The Onboarding Specialist III is responsible for overseeing the orientation process for caregivers, conducting virtual training sessions, ensuring paperwork completion, updating records in HHA, and maintaining communication between caregivers and management.
The Device Support Specialist provides technical support and exceptional customer service to clients through various communication channels. Responsibilities include resolving technical issues, documenting interactions, educating customers on technology usage, and collaborating with team members. This role requires effective communication, patience, and a willingness to learn.
The Onboarding Specialist III is responsible for managing the orientation experience for caregivers, ensuring they complete all required paperwork, and are ready to work post-orientation. The role includes facilitating virtual training sessions, maintaining communication with caregivers and managers, updating necessary documentation, and improving the onboarding process.
The Onboarding Specialist III is responsible for managing the orientation experience for caregivers, ensuring completion of onboarding paperwork, facilitating virtual training sessions, and maintaining communication with management. This role aims to streamline the onboarding process and improve overall caregiver readiness for work.
Responsible for obtaining and managing authorizations for medical services, ensuring compliance with insurance requirements, and facilitating seamless patient care. Collaborates with healthcare providers, insurance companies, and internal teams to streamline the authorization process.
The Client Account Manager oversees operational management for Managed Care Organizations, ensuring contract performance and resolving account-related issues. This role involves cross-functional collaboration, data analysis, client liaison responsibilities, and implementing corporate policies, all aimed at enhancing client relations and achieving growth goals.
The RCM Analyst is responsible for auditing claims information, monitoring RCM systems, resolving claims issues, and processing documentation and payments. The role includes providing guidance to junior team members and analyzing account discrepancies while ensuring the accuracy of claims data.
The Exception Specialist is responsible for managing service requests related to transportation, ensuring accurate data input, resolving customer service issues, overseeing communication channels, and investigating service utilization. This role requires excellent customer service skills and the ability to adhere to complex processes.
The Provider Relations Manager I develops and maintains relationships with transportation providers, manages provider performance metrics, conducts training sessions, drives process improvements, utilizes data for resolution, and acts as a subject matter expert while also ensuring compliance and safety.
The Authorizations Coordinator II role involves managing and obtaining authorizations for medical services, ensuring compliance with insurance requirements, and facilitating patient care. Responsibilities include verifying patient insurance, handling complex authorization requests, collaborating with insurance companies, maintaining records, and conducting audits for improvements.
The Exception Specialist is responsible for managing transportation service requests and ensuring compliance with service guidelines. They resolve complex customer service issues, handle appeals, monitor trends related to billing and utilization, and support their colleagues by sharing knowledge and improving department efficiency.