Location: 90% remote - will be required to attend staff meetings Schedule: Monday - Friday 8am - 5pm Specialty: OB/Pedi JOB SUMMARY The Manager Comprehensive Care Management QA manages the activities and staff responsible for assessing and coordinating patient care across the continuum to include case management, social work, utilization review and care coordination to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization. ESSENTIAL FUNCTIONS OF THE ROLE Provides administrative, technical and clinical management of assigned staff in accordance with industry best practices which includes the responsibility for hiring, firing, performance evaluation, education, staff development, work allocation, and problem resolution. Coordinates and supports ongoing problem solving related to care coordination, discharge planning, case management and utilization review. Monitors processes and systems to...

*Location: 90% remote - will be required to attend staff meetings* *Schedule: Monday - Friday 8am - 5pm * *Specialty: OB/Pedi* *JOB SUMMARY* The Manager Comprehensive Care Management QA manages the activities and staff responsible for assessing and coordinating patient care across the continuum to include case management, social work, utilization review and care coordination to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization. *ESSENTIAL FUNCTIONS OF THE ROLE* Provides administrative, technical and clinical management of assigned staff in accordance with industry best practices which includes the responsibility for hiring, firing, performance evaluation, education, staff development, work allocation, and problem resolution. Coordinates and supports ongoing problem solving related to care coordination, discharge planning, case management and utilization review. Monitors processes and systems to ensure efficient...

Are you looking to make a difference in a patient's life? At AmerisourceBergen, you will find an innovative and collaborative culture that is patient focused and dedicated to making a difference. As an organization, we are united in our responsibility to create healthier futures. Join us and Apply today!What you will be doing1. Conducts outbound telesales calls to targeted groups of customer accounts.2. Solicits competitive intelligence information from customers.3. Develops and maintains strong customer relationships with an assigned group of customer accounts.4. Conducts prospecting calls to recruit customers interested in doing business with the Company.5. Access inventory systems to assist customer with availability information.6. Participates in daily team huddles.7. Enters and maintains integrity of data in company CRM software programs.8. Complies with all appropriate policies, procedures, safety rules and regulations.9. Supports the Inside Sales Team and performs related...

Location: 90% remote - will be required to attend staff meetings Schedule: Monday - Friday 8am - 5pm Specialty: OB/Pedi JOB SUMMARY The Manager Comprehensive Care Management QA manages the activities and staff responsible for assessing and coordinating patient care across the continuum to include case management, social work, utilization review and care coordination to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization. ESSENTIAL FUNCTIONS OF THE ROLE Provides administrative, technical and clinical management of assigned staff in accordance with industry best practices which includes the responsibility for hiring, firing, performance evaluation, education, staff development, work allocation, and problem resolution. Coordinates and supports ongoing problem solving related to care coordination, discharge planning, case management and utilization review. Monitors processes and systems to...

Reporting to the Controller, this key role is responsible for assisting with all aspects of the accounting department. The Senior Financial and Project Accountant, assists Management, with the oversight of the day to day general ledger activities while designing, testing and implementing efficiencies, and processes to complete activities in an efficient, accurate and timely manner. Works closely with Accounts Payable, Accounting Operation Managers and business unit owners ensuring all daily activity, journal entries, reconciliations and accruals are accounted for timely assisting in assuring the reliability of financial records and to support successful regulatory and financial audits, producing financial, regulatory and board reporting; annual budgeting of capital expenditure, depreciation expenses, and fee income and preparation of statistical reporting. Reviews accounting entries and assuring the reliability of financial records for preparing financial statements and...

We are looking for enthusiastic individuals to join our team as a full time work from home customer service representative. We are looking for someone with great communication skills, excellent time management skills and can work independently. Prior customer service and client care experience is preferred but not required. This is a work from home position for residents of the state of California. The responsibilities include but are not limited to: Answering any questions or concerns from our clients regarding their benefits Understand our policies and retention processes Help our customers with upgrades and downgrades on their accounts Manage referrals and multiple accounts Provide guidance and route feedback Other duties as assigned Job Requirements: Qualifications: Great communication skills, both verbal and written Be self-motivated and have strong desire to work with people Excellent time management skills Ability to work...

JOB SUMMARYThe Customer Advocate 1, under general supervision, communicates to Members and Providers policy and procedures and services of the Health Plan (Plan), and handles any complaints concerning the Plan by the membership. This position works on the Members behalf to resolve any issues and concerns by going the extra mile, when needed.ESSENTIAL FUNCTIONS OF THE ROLEUnder general supervision, communicates to Members and Providers policies, procedures and services of the Plan to ensure complete understanding of the Plan. Assists Members with access to the Plan system, and helps members choose an appropriate physician, and assist with appointments.Must adhere to call handling goals of 80% of calls answered within 30 seconds. Supports and adheres to call abandonment rate of less than five percent (5%) with average hold time not to exceed 2 minutes based on regulatory requirements. Within 60 days of employment on the floor, must meet monthly quality goal of ninety-two percent (92%)...

Job DescriptionReporting to the Controller, this key role is responsible for assisting with all aspects of the accounting department. The Senior Financial and Project Accountant, assists Management, with the oversight of the day to day general ledger activities while designing, testing and implementing efficiencies, and processes to complete activities in an efficient, accurate and timely manner. Works closely with Accounts Payable, Accounting Operation Managers and business unit owners ensuring all daily activity, journal entries, reconciliations and accruals are accounted for timely assisting in assuring the reliability of financial records and to support successful regulatory and financial audits, producing financial, regulatory and board reporting; annual budgeting of capital expenditure, depreciation expenses, and fee income and preparation of statistical reporting.Reviews accounting entries and assuring the reliability of financial records for preparing financial statements...