Specialty Benefits Senior Account Executive-North Carolina
Charlotte, NC
Full oversight of the specialty sale at the direction of the AE/SAE to achieve health plan market sales goals and maintain profitability Advocate for specialty voluntary products to supp...

Sr Utilization Management Nurse - Remote in NM
Albuquerque, NM
Functional role is responsible for utilization management of LTSS determinations, oversight on outpatient service requests from a reporting perspective and understanding the criteria for...

Medical Assistant at Primary Care Plus
Lafayette, LA
As part of a multi disciplinary care coordination team Addresses the total patient, inclusive of medical, psychosocial, behavioral, cultural, and spiritual needs Involves the individual...

Appeals Representative - Las Vegas, NV
Las Vegas, NV
Positions in this function are responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating, and resolving all types of appeals a...

Appeals and Grievances Medical Director - PM&R Physician - Remote
Cypress, CA
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to a...

Case Manager - $1,500 Sign On - Field Work in Northwest Colorado
Craig, CO
Intake/screening/referral, assessment/reassessment, development of support plans, on going case management, monitoring of the Member's health and welfare, documentation of contacts and c...

Medicare Market Growth Manager - Remote in Richmond, VA
Richmond, VA
Key Agent/Agency Performance Agent Development Mentor, coach and engage key agents/agencies through ongoing business and strategy planning. This includes identifying sales opportunities,...

Medicare Sales Agent
Roanoke, VA
Answer incoming phone calls from prospective members, identify the type of assistance and information the customer needs with the goal to convert caller to a qualified lead and sale Foll...

Care Manager - Field Based in Surry, VA Market
Surry, VA
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals fo...

RN Health Coordinator - $5,000 Sign On - Field Based on Oahu, HI
Honolulu, HI
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals fo...

Appeals and Grievances Medical Director - Neurologist Required - Remote
Cypress, CA
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to a...

Housing Community-Based Worker - Las Vegas, NV
Las Vegas, NV
Provide office and community based resource coordination and member education to help improve member wellness and quality of life Provide Housing Supports and Services as defined in stat...

Housing Community-Based Worker - Remote in Reno, NV
Reno, NV
Provide office and community based resource coordination and member education to help improve member wellness and quality of life Provide Housing Supports and Services as defined in stat...

Strategic Account Executive, KA - Pennsylvania
Horsham, PA
Accountable for customer (employer) loyalty and satisfaction, as measured by survey results and persistency Establish, cultivate and manage the customer relationship at multiple levels,...

Field Based Community Health Worker - Greater Detroit Area, MI
Southfield, MI
Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate care Utilize both company and community based resources to establis...