Configuration specialist jobs with WellCare Health Plans Inc.

To ensure accurate and timely loading of a provider contract, maintenance and termination processes through appropriate research. Essential Functions: Loads professional contracts into the Diamond

High School Diploma required Experience: 2-4 years experience in health insurance required 1 years experience in end to end configuration Special Skills (e.g. 2 nd language): Strong understanding of

High School Diploma required Experience: 2-4 years experience in health insurance required 1 years experience in end to end configuration Special Skills (e.g. 2 nd language): Strong understanding of

DEPARTMENT: Operations HIRING MANAGER: VP, Operations To ensure accurate and timely loading and maintenance of provider file information through appropriate research. This would include, but not be l

efficiency, and ease of use. Essential Functions: Reviews applications, applies policy and criteria, performs primary source verification, processes files through Committee and forwards to Configurati

provider contracts and contract configuration to escalated provider inquiries. Thoroughly researches escalated issues and takes appropriate action to resolve them within established service level...

Department: Finance Reports to: Manager, Capitation The Senior Capitation Specialist owns all aspects of the outgoing capitation payments to the Primary Care Physicians and Specialists for all WellCar

The Retention Specialist is a critical member of Operations Quality Management Team and works closely with the Operational areas in Tampa to identify real time abrasion/disenrollment potentials. The O

The Sr. Organizational Development Specialist works in partnership with the Human Resources team to lead and/or participate in the development of initiatives and programs aligned to performance... co

Manages the relationship and all levels of operations support with network hospitals. Provides ongoing education to facilities regarding health plan operations. Identifies and implements process impro