5,407 jobs found

Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs Provide patient and provider education Facilitate member access to community based services Monitor referrals made to community based organizations, medical care and other services to support the...

Position Purpose: Develop, recommend and implement interventions at the practice and membership level to improve clinical quality and operational efficiency. Collaborate with practices to facilitate redesign efforts, support care teams, introduce population health management and support achievement towards improved financial, process and clinical outcomes. Serve as a liaison to practices to provide on-site and remote assistance and facilitation to the clinicians, care teams and their associated practices to drive improvement in clinical quality and operational efficiency. Develop and execute set of intervention work plans to drive practice improve quality measures and transformation. Develop and implement workflow design and redesign, including electronic health record (EHR) optimization, clinical documentation, billing practices, assessments, financial analyses, and financial performance improvement and reporting. Develop and implement changes to root causes of financial...

* Applicants for this job have the flexibility to work remote from home and must reside in MD, VA, or DC You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Plans, coordinates, and monitors project scheduling, logistics, and administrative tasks.   Participate in identification and proposal of departmental initiatives, including defining requirements and implementing projects. Track and coordinate projects to ensure that implementation and prescribed activities are carried out in accordance with specified objectives. Monitor activities concerned with implementation and carrying out objectives of the project and ensure compliance with company and government policies. Act as a liaison for the project...

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care   Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients Develop plan of...

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients   Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required Obtain verbal authorizations and request detailed clinical information from prescribers Approve coverage determination requests based on defined criteria Enter and document coverage determination request decision into the PBM system and notify providers and/or members Respond to client inquiries regarding authorization approvals and PBM on-line applications Refer coverage determination requests for specialty drugs to...

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: The Account Executive II, Medicare Programs, is responsible for developing and maintaining relationships with new and existing contracted sales producers and sales organizations, and for contracting, training and motivating new sales producers. This position is also responsible for educational and compliance oversight activities with contracted producers and represents Health Net as the industry leader to contracted producers. Oversees sales producers and sales organizations to ensure full compliance with the Centers for Medicare and Medicaid Services (CMS), federal and state laws, regulations and guidelines. Follows company policies relating to the selling and...

Job Description: At Bank of America, we handle the finances of over 67 million client relationships every day, including helping them save, borrow and invest for today and for their future. We stand by our clients each and every day giving them the power to realize their personal financial goals and help make their financial lives better. If you join our team, we'll count on you to care for, advise and guide our clients when they need us most - whether they're just starting out, buying a home, building a family or planning for retirement. We're looking for the next generation of Financial Center Managers - those with a passion for growing a long-term career, building relationships and working with a team of client professionals in one of over 4,000 locations nationwide. The Financial Center Manager role is meant for those looking to make a real impact and build a career in financial services. The role is ideal for those with a passion for leading a team, operating as a...

Job Description: At Bank of America, we handle the finances of over 67 million client relationships every day, including helping them save, borrow and invest for today and for their future. We stand by our clients each and every day giving them the power to realize their personal financial goals and help make their financial lives better. If you join our team, we'll count on you to care for, advise and guide our clients when they need us most - whether they're just starting out, buying a home, building a family or planning for retirement. We're looking for the next generation of Relationship Manager & Lending Specialists (RMLSs) - those with a passion for growing a long-term career, building relationships and working with a team of client professionals in one of over 4,000 locations nationwide. RMLSs focus on deepening relationships with individual and small business customers/clients, and they accomplish this by identifying financial needs, offering appropriate solutions...

Job Description: At Bank of America, we handle the finances of over 67 million client relationships every day, including helping them save, borrow and invest for today and for their future. We stand by our clients each and every day giving them the power to realize their personal financial goals and help make their financial lives better. If you join our team, we'll count on you to care for, advise and guide our clients when they need us most - whether they're just starting out, buying a home, building a family or planning for retirement. We're looking for the next generation of Relationship Bankers - those with a passion for growing a long-term career, building relationships and working with a team of client professionals in one of over 4,000 locations nationwide. The Relationship Banker role is meant for those looking to make a real impact and build a career in financial services. The role is ideal for those who have a passion to engage and educate clients with our industry...

Job Description: At Bank of America, we're creating real, meaningful relationships with individuals and businesses across the country. Each day, we connect with 67 million clients through a growing specialist workforce and our world-class digital platform. With each relationship and connection, we are looking to provide care and guidance for our clients when they need us most - whether they are just starting out, buying a home, building a family or planning for retirement. As part of our commitment, we are looking for the next generation of Financial Advisors-those with a passion for growing a long-term career and a drive to make our clients' financial lives better. If you are an individual who is passionate about helping clients reach their financial goals, join Bank of America's Advisor Development Program and become an investment specialist in one of over 4,000 financial center locations nationwide. From day one, you will receive training from our-award winning Academy at...

Job Description: At Bank of America, we handle the finances of over 67 million client relationships every day, including helping them save, borrow and invest for today and for their future. We stand by our clients each and every day giving them the power to realize their personal financial goals and help make their financial lives better. If you join our team, we'll count on you to care for, advise and guide our clients when they need us most - whether they're just starting out, buying a home, building a family or planning for retirement. We're looking for the next generation of Financial Center Assistant Managers - those with a passion for growing a long-term career, building relationships and working with a team of client professionals in one of over 4,000 locations nationwide. The Financial Center Assistant Manager role is meant for those looking to make a real impact and build a career in financial services. The role is ideal for those who learn and adapt quickly and have...

Job Description: At Bank of America, we handle the finances of over 67 million client relationships every day, including helping them save, borrow and invest for today and for their future. We stand by our clients each and every day giving them the power to realize their personal financial goals and help make their financial lives better. If you join our team, we'll count on you to care for, advise and guide our clients when they need us most - whether they're just starting out, buying a home, building a family or planning for retirement. We're looking for the next generation of Financial Center Assistant Managers - those with a passion for growing a long-term career, building relationships and working with a team of client professionals in one of over 4,000 locations nationwide. The Financial Center Assistant Manager role is meant for those looking to make a real impact and build a career in financial services. The role is ideal for those who learn and adapt quickly and have...

Job Description Job Description Summary This position is responsible for supervising the day-today plasma center operations and staff to ensure efficient plasma collections. Job Description 1 In compliance with Standard Operating Procedures (SOPs), supervise center operations daily activities. Provide clear and consistent instructions and directions, conduct meetings, and clearly communicate performance expectations. May be required to perform tasks in work areas. Advise management of employee relation issues or escalated donor issues. 2 In conjunction with Group Leaders, facilitate donor movement throughout the center minimizing wait time and processing. 3 Ensure the center is staffed with adequate number of personnel to provide sufficient support based upon center size, structure and donor flow. Monitor time card reporting procedures, attendance, and utilization of overtime. 4 Conduct error investigations and develop recommendations for process improvement. 5 Participate...

Job Description Job Description Summary This position is responsible for supervising the day-today plasma center operations and staff to ensure efficient plasma collections. Job Description 1 In compliance with Standard Operating Procedures (SOPs), supervise center operations daily activities. Provide clear and consistent instructions and directions, conduct meetings, and clearly communicate performance expectations. May be required to perform tasks in work areas. Advise management of employee relation issues or escalated donor issues. 2 In conjunction with Group Leaders, facilitate donor movement throughout the center minimizing wait time and processing. 3 Ensure the center is staffed with adequate number of personnel to provide sufficient support based upon center size, structure and donor flow. Monitor time card reporting procedures, attendance, and utilization of overtime. 4 Conduct error investigations and develop recommendations for process improvement. 5 Participate...

Job Description: At Bank of America, we handle the finances of over 67 million client relationships every day, including helping them save, borrow and invest for today and for their future. We stand by our clients each and every day giving them the power to realize their personal financial goals and help make their financial lives better. If you join our team, we'll count on you to care for, advise and guide our clients when they need us most - whether they're just starting out, buying a home, building a family, managing a small business or planning for retirement. We're looking for the next generation of Relationship Manager Business Owner Specialists (RMBOSs) - those with a passion for growing a long-term career, building relationships and working with a team of client professionals in one of over 4,000 locations nationwide. RMBOSs focus on deepening relationships with individual and small business customers/clients, and they accomplish this by identifying financial needs,...

Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better by connecting clients and communities to the resources they need to be successful. Make a difference where it counts by joining our industry-leading Consumer Lending team. We're looking for people with focus and drive - people who take the time to get to know clients, engage with them to understand what's important to them, and provide the lending solutions, service and expertise they need to achieve their financial goals. As part of the Bank of America team, Credit Solutions Advisors (CSAs) have access to industry leading products, services and technology, award winning platforms, and a team of dedicated loan coordinators and underwriters - all designed to meet the unique life priorities of our clients. The CSA provides clients with guidance and advice to uncover their lending and financial needs and matches them to our lending and banking solutions. CSAs work in assigned...

Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better by connecting clients and communities to the resources they need to be successful. Make a difference where it counts by joining our industry-leading Consumer Lending team. We're looking for people with focus and drive - people who take the time to get to know clients, engage with them to understand what's important to them, and provide the lending solutions, service and expertise they need to achieve their financial goals. As part of the Bank of America team, Credit Solutions Advisors (CSAs) have access to industry leading products, services and technology, award winning platforms, and a team of dedicated loan coordinators and underwriters - all designed to meet the unique life priorities of our clients. The CSA provides clients with guidance and advice to uncover their lending and financial needs and matches them to our lending and banking solutions. CSAs work in assigned...

Job Description: At Bank of America, we handle the finances of over 67 million client relationships every day, including helping them save, borrow and invest for today and for their future. We stand by our clients each and every day giving them the power to realize their personal financial goals and help make their financial lives better. If you join our team, we'll count on you to care for, advise and guide our clients when they need us most - whether they're just starting out, buying a home, building a family or planning for retirement. We're looking for the next generation of Relationship Bankers - those with a passion for growing a long-term career, building relationships and working with a team of client professionals in one of over 4,000 locations nationwide. The Relationship Banker role is meant for those looking to make a real impact and build a career in financial services. The role is ideal for those who have a passion to engage and educate clients with our industry...

Job Description: At Bank of America, we handle the finances of over 67 million client relationships every day, including helping them save, borrow and invest for today and for their future. We stand by our clients each and every day giving them the power to realize their personal financial goals and help make their financial lives better. If you join our team, we'll count on you to care for, advise and guide our clients when they need us most - whether they're just starting out, buying a home, building a family or planning for retirement. We're looking for the next generation of Financial Center Managers - those with a passion for growing a long-term career, building relationships and working with a team of client professionals in one of over 4,000 locations nationwide. The Financial Center Manager role is meant for those looking to make a real impact and build a career in financial services. The role is ideal for those with a passion for leading a team, operating as a...

Job Description: At Bank of America, we handle the finances of over 67 million client relationships every day, including helping them save, borrow and invest for today and for their future. We stand by our clients each and every day giving them the power to realize their personal financial goals and help make their financial lives better. If you join our team, we'll count on you to care for, advise and guide our clients when they need us most - whether they're just starting out, buying a home, building a family or planning for retirement. We're looking for the next generation of Relationship Bankers - those with a passion for growing a long-term career, building relationships and working with a team of client professionals in one of over 4,000 locations nationwide. The Relationship Banker role is meant for those looking to make a real impact and build a career in financial services. The role is ideal for those who have a passion to engage and educate clients with our industry...