The representative will respond to Medicaid member inquiries, assist with application processes, and document calls using multiple computer systems. They are responsible for resolving complex issues while maintaining high-quality service standards and adhering to established policies.
The associate will handle inbound calls from Medicaid members and providers to resolve inquiries regarding eligibility and claims. They are responsible for documenting calls accurately and ensuring performance metrics are met while acting as an advocate for callers.
The Senior Java Developer is responsible for designing, developing, and supporting mission-critical applications for pharmacy benefit management and point-of-sale platforms. This role involves building scalable microservices, troubleshooting complex production issues, and collaborating with cross-functional teams in an Agile environment.
The representative will respond to Medicaid member inquiries, assess needs, and resolve issues using computerized systems and standard scripts. They will also assist members with Medicaid applications and provide updates on application status while maintaining accurate documentation.
The Pharmacy Technician Services Associate provides first-call resolution for state eligibility programs and assists customers with account inquiries and prescription prior authorizations. They also enter client data, verify eligibility, and work closely with healthcare providers to resolve patient concerns.
The Lead Quality Analyst will manage a team of analysts while driving the adoption of AI and automation to modernize quality operations. This role involves serving as the primary client point of contact for quality activities and ensuring alignment between client expectations and QA team deliverables.
The Senior Software Test Engineer will design and execute test strategies, plans, and scripts to ensure the quality of complex healthcare technology solutions. They will also perform data validation using SQL and manage defects throughout the software development life cycle.
The Customer Service Representative will provide quality support within the KanCare Contact Center by answering eligibility questions and documenting information accurately. They are responsible for maintaining up-to-date knowledge of program policies and ensuring high-quality service through professional phone interactions.
The role involves administering, monitoring, and troubleshooting Linux-based workloads and Azure platform services. You will collaborate with DevOps teams to support CI/CD deployments, infrastructure as code, and secure platform patterns.
Manage the end-to-end delivery of healthcare products from design to deployment, ensuring alignment with business requirements and strategic goals. Lead and supervise technical teams, including Scrum Masters, while overseeing budgets, schedules, and resource allocation.
Manage the end-to-end delivery of healthcare products from design to deployment, ensuring alignment with business requirements and strategic goals. Lead and supervise technical teams, including Scrum Masters, while overseeing budgets, schedules, and resource allocation.
The role involves designing, developing, and debugging software systems throughout the full development life cycle. The developer will act as a technical expert, creating specifications and evaluating new technologies to meet business needs.
Act as the Claims Domain lead for MMIS healthcare projects, driving the claims module process and providing domain expertise. Responsible for analyzing business requirements, developing documentation, and coordinating with customers to ensure quality implementation.
Assist Kentucky residents with health benefits such as SNAP, Medicaid, and TNAF via a high-volume call center. Responsibilities include handling application status, password resets, and guiding users through online government tools.
Design and develop complex Microsoft Dynamics 365 CE applications and Power Platform solutions to meet business requirements. Lead technical teams in implementing integrations, AI capabilities, and scalable CRM architectures.
The Project Coordinator is responsible for managing assigned projects from inception to implementation, ensuring success defined by scope, budget, and timeline. This includes developing project plans, monitoring progress, and maintaining communication among stakeholders.
The role involves leading the design and implementation of payer-centric interoperability platforms, focusing on building secure, scalable FHIR R4 services that expose member, coverage, claims, and clinical data. Responsibilities include designing and maintaining FHIR servers, mapping payer data to FHIR formats, developing microservices with Spring Boot, and ensuring HIPAA compliance.
