Showing the most recent 10,000 jobs

*** Ideal candidate will be based in Texas and be able to work CST Hours*** Job Summary Provides subject matter expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors Health Plan Scorable Action Items (SAIs) to ensure performance...

JOB DESCRIPTION Job Summary The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and “pop...

JOB DESCRIPTION Job Summary The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and “pop...

*** Ideal candidate should be knowledgeable of and have experience with South Carolina Medicaid*** Job Summary Provides subject matter expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts.

JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid KNOWLEDGE/SKILLS/ABILITIES • Responsible for...

JOB DESCRIPTION Job Summary The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nursing facilities, and “pop...

JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid KNOWLEDGE/SKILLS/ABILITIES • Responsible for...

Job Summary For this position we are seeking a (RN) Registered Nurse who must be licensed for the state of KENTUCKY or have a compact license. Provides subject matter expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts.

JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential.

KNOWLEDGE/SKILLS/ABILITIES Develop and deploy workforce management strategies nationwide. Partner with leaders by strategically identifying business needs and propose solutions in line with the needs of our members and providers. Requires contact center experience with in-depth Workforce Management experience specializing in planning...

JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential.

Job Description Job Summary Assist business teams with developing requirements for major projects of considerable complexity, prepares system design specifications, conducts research to resolve customer initiated issues related to core systems processing, and coordinates and manages project teams in the development of large multi-system,...

JOB DESCRIPTION Job Summary The Member Navigator primary function is to be the member's liaison. Primarily telephonic, this role is responsible for ensuring that the members member has assistance they may need in navigating their health care needs.

JOB DESCRIPTION We are looking for a Community Connector to support our Idaho Medicaid Population. This role will be Hybrid - working remotely and meeting members at clinics, provider facilities, and /or homes. Monday to Friday 8 AM to 5 PM MST Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary...

JOB DESCRIPTION For this position we are seeking a (RN) Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will support our MMP (Medicaid Medicare Population) with members in Nursing Facilities. This position will have a case load and manage members enrolled in this program.

Job Description For this position we are seeking a Licensed Behavioral Health Professional who must live and have a current active unrestricted license in the state of OH (LMSW or LCSW) Case Manager will work remotely supporting Medicaid SUD population, this role is primarily remote, but if face to face is requested by member we must...

Job Description: $5,000.00 Sign on Bonus currently available**. (Not applicable to internal employees.) This is your chance to make your mark. Introducing our customers to the world’s most robust network all while delivering best-in-class service. You’re the key to elevating the customer experience, providing seamless installation...

Job Description: Join AT&T in 2025! SAVE the date to connect to our online Hiring event on Thursday Augst December 10th! This is your opportunity to be selected and secure your job as a future voice of AT&T – a global leader in communications and technology! Apply to get registered to our event and receive the link to join...

Job Description: This position requires office presence of a minimum of 5 days per week and is only located in the location(s) posted. No relocation is offered Join our dynamic HR "DASH" Data Analytics and Solutions Hub team, where innovation meets impact! As a vital part of the Total Rewards and Technology organization,...

Job Description: $1500 Sign -On Bonus offered. To be eligible you must be hired by AT&T for the location(s) listed. AT&T reserves the right, at its discretion, to pay your bonus payments after 90 days of your first date of employment and the second payment after you complete 180 days of employment.