The Patient Services Representative manages incoming calls, schedules appointments, and facilitates communication between patients and medical staff. They are also responsible for maintaining accurate patient records in the electronic health records system while ensuring privacy and confidentiality.
The Care Manager delivers person-centered care management services to Medicaid members by conducting clinical assessments and developing individualized care plans. They also manage transitions of care and coordinate with interdisciplinary teams to improve health outcomes and member stability.
The Program Manager serves as the primary liaison between technical teams and operational stakeholders to drive risk adjustment and Star Ratings performance. They are responsible for managing program timelines, coordinating cross-functional workgroups, and translating complex technical data into actionable business strategies.
