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Kapolei, HI
Full Time
Other
Wellcare

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and communities in which they live while helping them live better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us a career that inspires passion and purpose across all levels and disciplines within our award-winning organization. Supports the development and implementation of quality improvement interventions and audits and assists in resolving...  more ->

4/2/2020 9:31:04 PMJS3595_2001272
http://www.jobserve.com/Hv0TP
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Chicago, IL
Full Time
Other
Wellcare

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and communities in which they live while helping them live better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us a career that inspires passion and purpose across all levels and disciplines within our award-winning organization. Supports the development and implementation of quality improvement interventions and audits and assists in resolving...  more ->

4/2/2020 1:31:19 PMJS3595_2001409
http://www.jobserve.com/HvwxM
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Tampa, FL
Full Time
Other
Wellcare

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and communities in which they live while helping them live better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us a career that inspires passion and purpose across all levels and disciplines within our award-winning organization. Location: Little Rock, Arkansas Department: HS-Quality & Analytics (Provider 360) Reports to: Sr. Director, Quality...  more ->

4/2/2020 1:31:20 PMJS3595_2001346
http://www.jobserve.com/HvwxN
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Chicago, IL
Full Time
Other
Wellcare

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and communities in which they live while helping them live better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us a career that inspires passion and purpose across all levels and disciplines within our award-winning organization. Supports the development and implementation of quality improvement interventions and audits and assists in resolving...  more ->

4/2/2020 1:31:15 PMJS3595_2001018
http://www.jobserve.com/HvwxL
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Tampa, FL
Full Time
Community
Wellcare

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and local communities in which they live while helping them lead better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us in a career that inspires passion and purpose across all levels and disciplines within our award-winning organization. Responsible for providing leadership and oversight of multiple aggregation groups within pharmacy area, and is...  more ->

4/2/2020 1:31:09 PMJS3595_2000610
http://www.jobserve.com/HvwxI
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Tampa, FL
Full Time
Science
Wellcare

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and communities in which they live while helping them live better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us a career that inspires passion and purpose across all levels and disciplines within our award-winning organization. Coordinates and controls the workflow occurring in and out of the department. Serves as a liaison between WellCare and...  more ->

4/2/2020 1:31:08 PMJS3595_2001834
http://www.jobserve.com/HvwxG
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Chicago, IL
Full Time
Healthcare
Wellcare

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and communities in which they live while helping them live better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us a career that inspires passion and purpose across all levels and disciplines within our award-winning organization. Conducts oversight and management of Accreditation initiatives, state and regulatory quality compliance, HEDIS and...  more ->

4/2/2020 1:29:23 PMJS3595_2001128
http://www.jobserve.com/HvwvZ
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Detroit, MI
Full Time
Finance
Wellcare

In coordination with the Pharmacy Finance Team Lead, the Pharmacy Financial Analyst is responsible for compiling, analyzing, trending, tracking and interpretation of pharmacy data. This position will be responsible for the support of the maximum allowable cost (MAC) program, including market surveillance, pricing analysis, and on-going, weekly updates. Report on development, benchmarking and other financial reporting activities that contribute to corporate reporting objectives, business solutions and recommendations. Department: Finance (Pharmacy Finance) Reports to: Mgr., Finance Location:...  more ->

4/2/2020 1:29:23 PMJS3595_2000178
http://www.jobserve.com/Hvwvb
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Tampa, FL
Full Time
IT
Wellcare

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and local communities in which they live while helping them lead better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us in a career that inspires passion and purpose across all levels and disciplines within our award-winning organization. Location: Wisconsin Department: HS-Encounters & RAPS Reports to: Manager, Risk Adjustment Audit & Provider...  more ->

4/2/2020 1:29:20 PMJS3595_1908661-2
http://www.jobserve.com/HvwvV
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Houston, TX
Full Time
Finance
Wellcare

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and local communities in which they live while helping them lead better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us in a career that inspires passion and purpose across all levels and disciplines within our award-winning organization. Position is responsible for providing timely, accurate, and actionable data and analysis supporting the...  more ->

4/2/2020 1:29:21 PMJS3595_2001399-1
http://www.jobserve.com/HvwvX
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Tampa, FL
Full Time
Finance
Wellcare

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and local communities in which they live while helping them lead better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us in a career that inspires passion and purpose across all levels and disciplines within our award-winning organization. Position is responsible for providing timely, accurate, and actionable data and analysis supporting the...  more ->

4/2/2020 1:29:22 PMJS3595_2001399-2
http://www.jobserve.com/HvwvY
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Wisconsin, WI
Full Time
IT
Wellcare

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and local communities in which they live while helping them lead better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us in a career that inspires passion and purpose across all levels and disciplines within our award-winning organization. Location: Wisconsin Department: HS-Encounters & RAPS Reports to: Manager, Risk Adjustment Audit & Provider...  more ->

4/2/2020 1:29:19 PMJS3595_1908661-1
http://www.jobserve.com/HvwvU
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Independence, MO
Full Time
Healthcare
Humana

Description The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, quality based coder, referral coordinator and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services,...  more ->

3/31/2020 6:08:05 PMJS6385_216615
http://www.jobserve.com/HuCV3
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Houston, TX
Full Time
Healthcare
Humana

Description JOB SUMMARY: The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality based coders, referral coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary...  more ->

3/31/2020 6:08:02 PMJS6385_217920
http://www.jobserve.com/HuCWC
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Olathe, KS
Full Time
Healthcare
Humana

Description The Medical Assistant 2, for Partners In Primary Care/PIPC is the first point of contact for patient care. Responsible for administrative duties in addition to patient care. The Medical Assistant 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. Responsibilities Job Description Position: Medical Assistant 2 Assignment: Partners in Primary Care Location: Olathe, KS The Medical Assistant 2 for Partners In Primary Care/PIPC performs clinical duties such as...  more ->

3/31/2020 6:08:08 PMJS6385_215800
http://www.jobserve.com/HuCV2
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Grandview, MO
Full Time
Healthcare
Humana

Description The Medical Assistant is the first point of contact for patient care. Responsible for administrative duties in addition to patient care. The Medical Assistant performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Responsibilities Position: Medical Assistant Assignment: Partners in Primary Care Location: Grandview MO or Overland Park KS The Medical Assistant performs clinical duties such as discussing symptoms and gathering and inputting information into the electronic...  more ->

3/31/2020 6:08:04 PMJS6385_217061
http://www.jobserve.com/HuCV8
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Port Arthur, TX
Full Time
Healthcare
Humana

Description Healthcare isnt just about health anymore. Its about caring for family, friends, finances, and personal life goals. Its about living life fully. At Partners in Primary Care, a division of Humana, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting...  more ->

3/31/2020 6:04:32 PMJS6385_225586
http://www.jobserve.com/HuET4
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Columbus, OH
Full Time
Healthcare
Humana

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Responsibilities Job Title: Behavioral Health Medical Director- Ohio Location: Must live in Ohio Description HumanasMedicaid Behavioral Health Medical Director will oversee our behavioral health (BH) clinical program forMedicaid plan members. They will collaborate closely with the Chief Medical Officer (CMO) to integrate the...  more ->

3/31/2020 6:04:22 PMJS6385_223899
http://www.jobserve.com/HuEUJ
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Louisville, KY
Full Time
Healthcare
Humana

Description The Director, Risk Adjustment Administration responsible for obtaining accurate healthcare information from providers to ensure appropriate clinical care for members and maintain accurate payment levels. The Director, Risk Adjustment Administration requires an in-depth understanding of how organization capabilities interrelate across the function or segment. Responsibilities The Director, Risk Adjustment Administration may conduct analysis of data, provider or member outreach, and/or record retrieval. For Risk Adjustment Coding, please use that job family. Decisions are typically...  more ->

3/31/2020 6:04:31 PMJS6385_226116
http://www.jobserve.com/HuET6
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San Diego, CA
Full Time
Healthcare
Humana

Description The Informatics Lead coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informatics Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities JobTitle: Medical Informatics Lead Location: San Diego, CA Come join the Digital Health & Analytics (DH&A) team within Humana to build a world class Data Science and Insights enterprise capability leveraging digital-first platforms, analytics, and agile development methodologies. An opportunity...  more ->

3/31/2020 6:04:35 PMJS6385_224877
http://www.jobserve.com/HuETy
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