Job Overview: The Network Development Specialist assist in building and sustaining strong, stable provider networks for all lines of business under Hamaspik Managed Care. This role focuses on closing gaps in the network by proactively recruiting providers in alignment with…
The Care Manager acts as the sole communicator between member and Plan. Responsibilities include reviewing of person centered service plan with member/members family and coordination of covered and non covered benefits. Care Manager is responsible for monthly contact and follow…
The Intake Specialist is responsible for fielding inquiries from potential enrollees and referral sources and assisting potential enrollees with the enrollment process which may include Medicaid applications and recertifications, coordinating benefits and facilitating plan transfers. Essential Responsibilities: Maintains a case…
We are seeking a detail oriented and experienced Risk Adjustment Coder to join our dynamic team. The ideal candidate will be responsible for ensuring the accuracy and completeness of clinical data used to support risk adjustment coding for our Medicare…
Job description: Provides auditing for Care Management team. Completes ongoing audits for the department as per current initiatives. Participates in quality and compliance projects/initiatives in support of departmental goals. Maintains and supports documentation, logs and data entry to monitor activity…
The Care Manager acts as the sole communicator between member and Plan. Responsibilities include reviewing of person centered service plan with member/members family and coordination of covered and non covered benefits. Care Manager is responsible for monthly contact and follow…
Focus Areas: Report Development, File Transfers, SSIS, Salesforce Job Overview We are looking for an IT Developer to support healthcare data processing and reporting by developing SQL based reports, automating file transfers, and optimizing ETL workflows. The ideal candidate will…