CareMore Health

The specialist processes routine prior authorizations and specialty referrals by verifying member eligibility and ensuring clinical documentation meets medical necessity guidelines. They also coordinate with clinical teams and providers to facilitate timely access to services while maintaining accurate records in electronic health systems.

The Network Support Manager optimizes the provider network for access, quality, and compliance. They are responsible for operational execution, resolving network issues, and managing provider engagement aligned with value-based care.

Lead annual budgeting, quarterly forecasting, and complex financial analyses to support business decision-making in a value-based healthcare environment. Serve as a strategic finance partner to operational and clinical leaders by translating financial data into actionable insights.

The Primary Care Physician is responsible for delivering comprehensive primary care to seniors in institutional settings, focusing on improving clinical outcomes and reducing hospitalizations. This role involves care coordination with an interdisciplinary team and managing transitions of care.