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As a Bilingual Retention Representative, you will assist members with Government health program applications, addressing inquiries and ensuring completion. Your role includes nurturing relationships with members, tracking application processes, and utilizing databases for accurate information management. You will also need strong communication skills to educate members and enhance retention efforts.
The Assistant General Counsel provides legal advice and services regarding provider network contracting, including contract review and negotiation. This role supports various departments by interpreting healthcare policies, conducting training, and managing legal disputes and outside counsel. Candidates should have experience in managed care and knowledge of healthcare regulations.
The Community Resource Coordinator connects members to community resources supporting their care management journey, conducts outreach, documents resources, and assists clinical teams. The role includes home visits, health assessments, and providing educational materials to enhance community connections.
The Senior Talent Intelligence Researcher will lead talent prospecting strategies, conduct comprehensive talent market analysis, and provide actionable insights for workforce planning. Collaborating with HR and executive teams, they will develop intelligence reports, track competitive landscapes, and recommend strategies for talent sourcing and pipeline diversification.
Responsible for coordinating the transfer of members between provider entities, creating and customizing mass transfer forms, and ensuring compliance with state regulations. Oversees data management and provides training to associates in the mass transfer unit.
The Provider Engagement Account Manager will maintain partnerships with contracted provider networks, ensuring high-quality care delivery. Responsibilities include addressing provider issues, managing network performance, conducting provider education, and implementing performance improvement strategies. The role demands strong relationship management and project management skills.
The Contracts Manager will negotiate agreements with healthcare providers and ensure the implementation of contracts. Responsibilities include coordinating contract activities, monitoring compliance, analyzing cost and utilization data, and maintaining knowledge of plan products and policies.
The Provider Engagement Account Manager serves as the primary liaison between the health plan and healthcare providers, ensuring optimal network performance and resolving provider-related issues. Responsibilities include educating providers on policies, managing provider performance, and completing assigned projects to improve healthcare delivery.
The Application Development Engineer II designs, develops, and implements enterprise software solutions focused on automating processes within claims departments. Responsibilities include coding software modules, executing project plans, evaluating tests, and ensuring compliance with standards. The role requires collaboration with various stakeholders to deliver effective software solutions.
The Program Manager III is responsible for designing and implementing innovative talent management programs with a focus on rotational programs. This role involves managing projects throughout their lifecycle, collaborating with various stakeholders, and maintaining project documentation. The position requires effective communication and leadership skills to align projects with organizational goals.
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