Manhattan, NY health & Medical Jobs with WellCare Health Plans Inc

Coordinates complex assignments involving cross functional teams in the fullfillment of contract deliverables, regulatory and accreditation requirements with focus on data analytics and performance im

The Quality Improvement Project Manager supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies that impact plan compliance to

Under the supervision of a clinician, assists in the clinical and socio-economic coordination and implementation of member's care to ensure that appropriate and timely primary, acute and long-term car

Coordinates the socio economic needs and service of selected member populations across the continuum of illness. Interviews, coordinates and plans activities and behavioral routines to meet the social

Works with Care Coordination MVP Team members to assess, plan, implement, coordinate, monitor, and evaluate services and outcomes to maximize the health of the Member. Coordinates, monitors and ensure

Manages the activities of supervisory associates and their subordinate work group(s) and/or exempt individual contributors for assigned area of responsibility. Works with the Supervisor(s) and Case Ma

Provides strategic and tactical oversight and leadership to the managing of the regulatory needs of the Medicaid and Healthy Kids product lines across multiple states. Oversees the coordination of the

The Quality Improvement RN supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies impacting plan compliance to regulatory and

The Business Analyst identifies and recommends operational improvement opportunities through reporting, process and trend analysis. The Business Analyst develops ad-hoc reports for data analysis to su

Assists in network development and provider service functions for hospitals and selected ancillary providers within a state(s). Works with finance, legal, medical management, sales, provider operation