LogoFresh Jobs Ahead
Centene Corporation
Centene Corporation
KonsaltingSog‘liqni saqlashSug‘urta
Centene Corporation davlat tomonidan qo‘llab-quvvatlanadigan tibbiy sug‘urta va jamoat salomatligiga e’tibor qaratadigan sog‘liqni saqlash va sug‘urta kompaniyasidir. Uning xizmatlari Medicaid, Medicare, Tibbiy sug‘urta bozori rejalari hamda harbiy jamoalar uchun TRICARE ko‘magini o‘z ichiga oladi. Centene o‘zi xizmat ko‘rsatadigan a’zolarning ehtiyojlarini qondirish uchun mahalliy tibbiy yordam ko‘rsatishni notijorat tashkilotlar bilan hamkorlik bilan uyg‘unlashtiradi. Kompaniya, shuningdek, faoliyat yuritish va jamoalarni qo‘llab-quvvatlash yondashuviga ekologik mas’uliyat hamda axloqiy boshqaruvni kiritadi.
LinkedIn
Kompaniyadagi ish o‘rinlari

Care Management Support Coordinator II - Medicaid LTSS (Remote)

Support Medicaid LTSS members through care-management outreach, scheduling, authorizations, resource referrals, and administrative coordination. Connect members and providers with health-plan and community services while assisting with care-plan needs.

USAmerika Qo‘shma ShtatlariFLFloridaMIMichiganNCShimoliy KarolinaPAPensilvaniyaSCJanubiy KarolinaTXTexasVAVirjiniyaWVG‘arbiy Virjiniya
17 $ – 28 $ / soat
MasofaviyTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaParvarish koordinatoriUmumiy

Tavsif

  • Coordinate administrative care-management work, including member outreach, inbound calls, and service scheduling
  • Act as a primary contact for members, providers, and internal staff by addressing and resolving issues
  • Maintain accurate member documentation in line with applicable state and regulatory requirements
  • Contact members by phone about care-plan actions, resources, appointments, questions, concerns, and continuing education
  • Link members to health-plan services and community-based resources
  • Use knowledge of assigned health-plan processes and available resources to support care delivery
  • Handle initial member and provider questions, requests, and concerns
  • Explain care-plan procedures, requirements, and protocols
  • Assist with member onboarding and related administration, including welcome letters, correspondence, and educational content
  • Maintain non-clinical member records and supply records to providers when requested
  • Refer members to services that address Social Determinants of Health needs
  • Complete additional assigned responsibilities while following organizational policies and standards

Talablar

  • High school diploma or GED
  • One to two years of related professional experience
  • At least two years conducting outbound calls with members or providers in a remote call-center setting
  • Two years processing healthcare or insurance authorizations and coordinating services for members or providers
  • Preferred: two or more years supporting adults aged 21 and older who receive Long-Term Services and Supports (LTSS)
  • Preferred: two or more years conducting member or provider outreach in a fully outbound call environment
  • Preferred: two or more years processing healthcare or insurance authorizations and coordinating member or provider services
  • Detail-oriented, adaptable, and comfortable learning through hands-on experience
  • Proficiency with web-based platforms and CMS systems
  • Able to work Monday through Friday from 8:00 a.m. to 5:00 p.m. or 8:30 a.m. to 5:00 p.m. Eastern Time

Imtiyozlar

  • Health insurance coverage
  • 401(k) plan
  • Employee stock purchase plans
  • Tuition reimbursement
  • Paid time off
  • Paid holidays
  • Flexible remote, hybrid, field, or office work arrangements
  • Potential eligibility for additional incentives

O‘xshash ish o‘rinlari

Kreato Global | BPO and Language Solutions

Remote English-Spanish OPI/VRI Interpreter

Kreato Global | BPO and Language Solutions
201 – 500 Xodimlar
LogistikaMehmondo‘stlikSog‘liqni saqlash
ARArgentinaBOBoliviyaBRBraziliyaCLChiliCOKolumbiyaCRKosta-RikaCUKubaDODominikan RespublikasiECEkvadorGTGvatemalaHNGondurasHTGaitiMXMeksikaNINikaraguaPAPanamaPEPeruPRPuerto-RikoPYParagvaySVSalvadorUYUrugvayVEVenesuelaMasofaviyTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaTalab Qilinadigan Til: ispanchaTarjimon

Interpret remotely between English- and Spanish-speaking people in medical, financial, social service, and customer care settings. Provide language support for Kreato Global across Latin America.

Ochish
RecruitGo

Remote Executive Assistant, Outreach and Marketing — Philippines

RecruitGo
51 – 200 Xodimlar
KonsaltingLogistikaMarketing
PHFilippin
45 000 ₱ / oy
MasofaviyTo‘liq stavkaJuniorO‘rta darajaDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaRahbar yordamchisi

Handle administrative support, CRM, outreach, and marketing for RecruitGo, an Employer of Record serving global clients with talent from emerging markets. Support two UK-facing clients with day-to-day administration and creative campaigns.

Ochish