Jobs with HealthSpring, Inc.

Coordinates and manages relationships with single office practices to multiple provider practices in HealthSpring's P4Q or P4Q 2 programs. Consistently monitors participating provider performance on

This position is for TEMPORARY or SEASONAL employment ONLY. This job title is NOT to be used for temp-to-hire or permanent positions. Please paste job description below. Assist members, prospect

Accountable for the operating results, strategic direction, and growth of Network Operations. Establishes specific direction and goals in support of and alignment with overall strategies and objectiv

Assists with the development, implementation, and management of department functions and achievement of departmental goals and objectives and which is compliant with state and federal guidelines. Pro

Responsible for non-clinical administrative, data management, and support services of a health services functional area. Required Skills Support may be complex, detailed, te

Develops, tests, maintains, and supports high-performance, innovative web-based applications. Responsible for analyzing and troubleshooting complex software problems and providing solutions to overco

Responsible for non-clinical administrative, data management, and support services of a health services functional area. Required Skills Support may be technical and confide

This position is for TEMPORARY employment ONLY. Perform comprehensive medical record reviews. Required Skills Schedules and performs medical chart reviews at physicia

The Health Service Specialist functions under the direction of the POD Team lead/ Supervisor, CCIP to conduct outreach and screening for the Chronic Care Program, to identify member needs and barriers

Responsible for mail distribution, mail metering, copier/printer/fax paper inventory and delivery, mailing all check runs, folding/inserting for other departments, stocking mail and delivery company s

Responsible for the coordination and development of internal and/or external communication materials and events. Provides communication consultation to internal departments. Required

Responsible for providing support to patients, their families, and physicians in addressing medical and social concerns. Educates patients and families to make informed personal health care decisions

Responsible for assisting clients throughout the continuum of care when social indicators are noted. Process accomplished by mobilizing resources necessary to assure a prompt discharge as soon as the

Works with patients with unresolved treatment needs or complex nursing care problems which are in the clinician's area of clinical competence. Identifies specific patient problems and implements spec

Manages the daily activities of the multi-functional area handing service issues. Responsible for compliance with all company and governmental policies, procedures, and regulations. May be a member

Responsible for managing and delivering all components of a Data Warehouse environment for both production and development systems. Provides guidance regarding the use and expansion capability of data

Clinical Pharmacy Manager will be responsible for providing the following services: Pharmacy resource to Medical Directors and Case Management Staff Part B drug coverage determinations

Responsible for analyzing, reporting, and developing recommendations on data. Uses multiple sources of data, analyzes trends, reconciles data, and identifies areas for improvement. Re

Vice President. Participate in regulatory compliance and other legal matters affecting health plan operations, including negotiation and administration of contracts, litigation management, risk manag

Responsible for non-clinical administrative, data management, and support services of a health services functional area. Under the general supervision of the director of Utilization Management, the

Responsible for the daily activities of the pharmacy programs. Assists with the development and execution of numerous initiatives that improve the quality or cost effectiveness of drug therapy in c

Develops and maintains positive relationships with physicians, providers, and practice managers within the provider network. Required Skills Responsibilities include educati

Responsible for assisting members, physicians and pharmacies in claims processing. Includes Pharmacy Appeals and Prior Authorization. For the Pharmacy Appeals Unit, may be responsible for handling m

Develops and maintains positive relationships with physicians, providers, and practice managers within the provider network. Required Skills Provides internal support to Net

Develops and manages the physician/provider network. Develops programs to recruit, service, train, and reimburse physician and providers. Designs and implements programs to maintain positive relatio