WellCare Health Plans Inc health & Medical Jobs

1 - 10 of 255 Jobs
Medical Director - GA LOB
WellCare Health Plans Inc.Health & Medical
Atlanta, GA
The Medical Director oversees clinical direction of medical services and quality improvement functions at the health plan level. Provides medical management leadership for the health plan and, as appl
from wellcare.comToday
Care Coordinator Louisville, KY
WellCare Health Plans Inc.General Management & Business
Louisville, KY
Provides administration and department support for clinical care management, case and disease management and field service coordination staff. Coordinates services and performs administrative function
from wellcare.comToday
Business Analyst
WellCare Health Plans Inc.Technology
Tampa, FL
Identifies and recommends operational improvement opportunities through reporting, process and trend analysis. Develops ad-hoc reports for data analysis to support initiatives. Interacts with Senior M
from wellcare.comToday
Risk Adjustment Coordinator
WellCare Health Plans Inc.Medical Records & Health It
Tampa, FL
Supports quality improvement interventions by collecting medical records data. Interface via phone, fax and mail with providers and contracted vendors. Maintain confidentiality of protected health inf
from wellcare.comToday
Benefit Consultant - Medicaid
WellCare Health Plans Inc.Health & Medical
New York, NY
The Benefit Consultant is responsible for marketing the Medicaid product to interested eligible candidates in the service area, according to the prescribed rules and regulations of the Medicaid Contra
from wellcare.comToday
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Appeals Coordinator
WellCare Health Plans Inc.Health & Medical
Tampa, FL
Processes appeals from receipt to resolution in a timely and accurate manner. Essential Functions: Logs, tracks, and processes health service appeals. Serves as a liaison in corresponding and com
from wellcare.comToday
Field Case Manager - High Risk OB Ashland, KY
WellCare Health Plans Inc.Finance Management
Ashland, KY
Coordinates the care and services of selected member populations across the continuum of illness. Promotes effective utilization and monitors health care resources. Assumes a leadership role within th
from wellcare.comToday
Claims Coding Rules Supervisor
WellCare Health Plans Inc.Insurance
Tampa, FL
Department: Operations - Claims Reports: Sr. Director Location: Tampa, FL 33634 Manages claims coding rule process. Evaluates claims coding rule change request from clinical, financial, and clai
from wellcare.comYesterday
Manager, Quality Improvement, RN (Registered Nurse)...
WellCare Health Plans Inc.Nursing
Tampa, FL
Conducts oversight and management of Accreditation initiatives, state and regulatory quality compliance, HEDIS and quality improvement initiatives for PiPs, QiPs, QIA’s, delegation audits and external
from wellcare.comYesterday
Benefit Consultant - Medicare, Dallas, TX
WellCare Health Plans Inc.Health & Medical
Dallas, TX
Prospects for and enrolls eligible leads into the Medicare Advantage plans. Meets the minimum enrollment goal of new members using approved presentation materials and sales techniques. Essential Fu
from wellcare.comYesterday

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