Job Description Job Title: Claims Analyst III (DSU -- Remote) Job ID: 11157 Location: Tampa, FL Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities *** REMOTE POSITION (MUST LIVE 75 MILES OR MORE AWAY FROM TAMPA OFFICE) *** ** MEDICARE EXPERIENCE NEEDED ** JOB SUMMARY : Under general supervision, evaluat

Job Description Job Title: Provider Relations Rep I Job ID: 11161 Location: Houston, TX Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities Grade: 16 JOB SUMMARY : Serves as liaison to providers and is responsible for performing activities designed to establish and maintain positive and productive relati

Job Description Job Title: Facets Configuration Analyst with Pricing and NetworX exp a must. Job ID: 11156 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : This is a senior technical position. Performs complex configuration activities. The incumbent for this p

Job Description Job Title: Mgr ITS Application Mgt&Suppt - SharePoint Job ID: 11151 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities Grade: 21 JOB SUMMARY : Responsible for managing team through analysis, design, development, testing, deployment, and maintenance of custom

Job Description Job Title: Manager Customer Care (DSU) Job ID: 11154 Location: Tampa, FL Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities **MEDICARE exp. preferred** JOB SUMMARY : Provides leadership and direction for assigned member/provider/outbound teams. Responsible for the achievement and mainten

Job Description Job Title: Provider Relations Rep I - NJ Job ID: 11155 Location: Edison, NJ Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Serves as liaison to providers and is responsible for performing activities designed to establish and maintain positive and productive relationships

Job Description Job Title: Overpayment Recovery Specialist Job ID: 11153 Location: Tampa, FL Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : To identify, track, and reconcile overpayments made to providers ensuring that recovery is made and reported. PRIMARY RESPONSIBILITIES : 1. Resea

Job Description Job Title: Provider Relations Rep II TN Job ID: 11148 Location: Nashville, TN Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : TN SSO Dept Serves as liaison to providers (including physicians, hospitals, and/or ancillary providers) and internal departments at the health pl

Job Description Job Title: Project Lead - Medical Cost Management Job ID: 11144 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : An experienced project leader, facilitator, innovator, and champion who manages multiple projects focused on Medical Cost Manageme

Job Description Job Title: SQL Sever 2005/2008 Programmer Analyst working on a datawarehouse team Job ID: 11147 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Acts independently under general direction, designs, develops, modifies, debugs and evaluates progr

Job Description Job Title: Decision Support Analyst I Job ID: 11145 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Responsible for gathering requirements, performing analysis, supporting the development and testing processes, and understanding and documenti

Job Description Job Title: Decision Support Analyst I Job ID: 11141 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Responsible for gathering requirements, performing analysis, supporting the development and testing processes, and understanding and documentin

Job Description Job Title: Outreach Associate Job ID: 10925 Location: New York City, NY Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : The Member Outreach Associate is responsible for providing support for clinical quality initiatives and regulatory/contractual requirements. Support in

Job Description Job Title: Decision Support Analyst II Job ID: 11140 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Responsible for gathering requirements, performing analysis, supporting the development and testing processes, and understanding and documenti

Job Description Job Title: Case Manager RN - Plan Job ID: 11143 Location: San Antonio, TX Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : The Case Manager / Service coordinator is responsible for managing members experiencing complex or catastrophic illness, injury and/or specialty illne

Job Description Job Title: VP Govt Relations - Albany, New York Job ID: 10753 Location: New York City, NY Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities Grade: 23 JOB SUMMARY : Responsible for establishing a variance in the perception of regulators and elected officials of AMERIGROUP's mission and v

Job Description Job Title: Manager - Operations Job ID: 11035 Location: New York City, NY Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Responsible for the collection, review, and analysis of data from key operational processes: financial, production, configuration and staffing data. D

Job Description Job Title: Director Strategic Sourcing Job ID: 11138 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Responsible for management and oversight of the strategic sourcing process within the procurement function of Amerigroup. The immediate scope

Job Description Job Title: Case Manager RN - Plan Job ID: 11133 Location: Merrifield, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : The Case Manager RN is responsible for managing members experiencing complex or catastrophic illness, injury and/or specialty illnesses such as diabete

Job Description Job Title: Provider Relations Rep II (Orlando) Job ID: 11137 Location: Orlando, FL Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities Recruiter: Carolina Cairo Grade: 17 JOB SUMMARY : Serves as liaison to providers (including physicians, hospitals, and/or ancillary providers) and interna

Job Description Job Title: Case Manager LTC - FL (Miami) Job ID: 11135 Location: Miami Lakes, FL Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : The case manager LTC program is responsible for facilitating members gaining access to needed medical, social, and education services. Coordina

Job Description Job Title: Case Manager LTC - FL (Stuart) Job ID: 11127 Location: Boca Raton, FL Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : The case manager LTC program is responsible for facilitating members gaining access to needed medical, social, and education services. Coordina

Job Description Job Title: Case Manager LTC - FL (Tampa) Job ID: 11128 Location: Tampa, FL Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : The case manager LTC program is responsible for facilitating members gaining access to needed medical, social, and education services. Coordinates th

Job Description Job Title: Provider Relations Rep II- SSO Job ID: 11124 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities Grade: 17 SSO Recruiter: J. Mays JOB SUMMARY : Serves as liaison to providers (including physicians, hospitals, and/or ancillary providers) and internal

Job Description Job Title: Behavioral Health Case Manager RN Job ID: 11122 Location: Baltimore, MD Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Behavioral health/mental health/substance abuse management experience needed. The Case Manager RN is responsible for managing members experie

Job Description Job Title: AVP ITS Application Mgt&Suppt - Implementation Job ID: 11119 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Responsible for the oversight and final implementation of the analysis, design, development, testing, deployment, and maint

Job Description Job Title: 2010 Summer Internship Job ID: 11121 Location: Nashville, TN Full/Part Time: Full-Time Regular/Temporary: Temporary ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : The Summer Internship Program is a ten week program consisting of various assignments through corporate departments combined with leadership developme

Job Description Job Title: Platinum Personal Svc Splst - DSU (Medicare) Job ID: 11115 Location: Tampa, FL Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Serves as an advocate to prospects, members, and legal representatives. Assists with rules, regulations specific to AMERIGROUP product

Job Description Job Title: Overpayment Processor Job ID: 11110 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Under general supervision evaluates intermediate level claims to determine the type and amounts of benefits payable. Performs all authorized duties

Job Description Job Title: Behavioral Health Care Manager - RN, LCSW, LPC or LMFT required Job ID: 11118 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : The Care Manager in the Support Center and/or National Contact Center is responsible for the management of

Job Description Job Title: Supervisor Claims Job ID: 11111 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Serves as first level of supervision for associates. Accountable for team performance measurements, associate and team development. Assists Manager in v

Job Description Job Title: Medicare Provider Relations Rep II - NY Job ID: 11070 Location: New York City, NY Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Serves as liaison to providers (including physicians, hospitals, and/or ancillary providers) and internal departments at the healt

Job Description Job Title: Facets Pricing Configuration Analyst with CORE and NetworX experience Job ID: 11117 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : This is a senior technical position. Performs complex configuration activities. The incumbent for th

Job Description Job Title: Director Quality Management, New Markets RN Job ID: 11104 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Responsible for developing, coordinating, and implementing quality initiatives within the new health plans; to include indicat

Job Description Job Title: Regulatory Coordinator II Job ID: 11103 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Supports the Director/Manager of Regulatory Compliance in managing the day-to-day regulatory compliance activities of AMERIGROUP'S operational m

Job Description Job Title: Coordinator, Corporate Accounts Job ID: 11106 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Coordinator of Corporate Accounts will work with the Director in facilitating day-to-day corporate provider management and implementations

Job Description Job Title: Maternity Case Manager RN Plan - NY Job ID: 11102 Location: New York City, NY Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : The Case Manager RN is responsible for managing members experiencing complex or catastrophic illness, injury and/or specialty illnesse

Job Description Job Title: Recovery Analyst Job ID: 11094 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : The Recovery Analyst is responsible for identification of recovery opportunities, research and investigation, follow through to resolution and the develo

Job Description Job Title: Manager Instructional Design- OD Job ID: 11089 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities Grade: 21 Organizational Development Recruiter: J. Mays JOB SUMMARY : Responsible for the analysis, design, and development of training materials. Iden

Job Description Job Title: Intern (Summer) Job ID: 11088 Location: Merrifield, VA Full/Part Time: Full-Time Regular/Temporary: Temporary ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : The Summer Internship Program is a ten week program consisting of various assignments through corporate departments combined with leadership development. Ea

Job Description Job Title: Intern (Summer) Job ID: 11090 Location: Merrifield, VA Full/Part Time: Full-Time Regular/Temporary: Temporary ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : The Summer Internship Program is a ten week program consisting of various assignments through corporate departments combined with leadership development. Ea

Job Description Job Title: VP Multi-Media Communications Job ID: 11092 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Temporary ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : A highly creative photo/editor who will manage and oversee a corporate in-house multimedia production suite. Will organize business, finan

Job Description Job Title: Director Quality Management RN -Ohio Job ID: 11086 Location: Cincinnati, OH Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities Grade 21 JOB SUMMARY : Recruiter: J. Mays The Director of Quality Management is responsible in conjunction with the plan QM leader, the Plan Medical Di

Job Description Job Title: Case Manager RN -OHIO Job ID: 11084 Location: Cincinnati, OH Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities Grade: 19 Ohio Recruiter: J. Mays JOB SUMMARY : The Case Manager RN is responsible for managing members experiencing complex or catastrophic illness, injury and/or sp

Job Description Job Title: Provider Information Specialist I Job ID: 11078 Location: Nashville, TN Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Responsible for the maintenance of Provider Information in a client-server environment for an assigned market area. Assists with the maintena

Job Description Job Title: Data Management Analyst II Job ID: 11087 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Responsible for developing and maintaining positive client relationships as well as understanding the business processes and data in a board ra

Job Description Job Title: Decision Support Analyst I - Medical Finance Job ID: 11081 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : Responsible for gathering requirements, performing analysis, supporting the development and testing processes, and understand

Job Description Job Title: Case Manager Ohio Job ID: 11085 Location: Cincinnati, OH Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities Grade: 18 Ohio Recruiter: J. Mays JOB SUMMARY : The Case Manager is responsible for managing members experiencing complex or catastrophic illness, injury and/or specialty

Job Description Job Title: 2010 Summer Internship Job ID: 11064 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Temporary ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : The Summer Internship Program is a ten week program consisting of various assignments through corporate departments combined with leadership deve

Job Description Job Title: Document Management Specialist I Job ID: 11072 Location: Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular ------------ Email to Friend Save Job Apply Now ------------ Responsibilities JOB SUMMARY : A Document Management Specialist I prepares all paper documents received to be scanned by high speed document scanners and processed thro