Facilitate new hire, upskilling, and refresher training in classroom or virtual environments while providing just-in-time support and coaching. Monitor learner progress through performance metrics and collaborate with operations teams to ensure clinical and operational standards are met.
The Associate Clinical Training Manager is responsible for executing training programs, monitoring learner performance, and ensuring clinical readiness through disciplined coordination and reporting. This role involves coaching trainers, managing training logistics, and escalating risks to ensure operational and quality standards are met.
The Credentialing Advocate supports the credentialing and recredentialing of healthcare providers by verifying credentials and maintaining accurate records. They also ensure compliance with regulatory standards and communicate with providers to resolve documentation discrepancies.
The Quality Analyst will remotely monitor customer service interactions to ensure quality standards, accurate documentation, and proper call handling. They are responsible for providing feedback to representatives, completing statistical reports, and conducting quality control audits.
The Assistant Manager of Operations provides leadership and coaching to senior supervisors to ensure account performance and financial profitability. They are responsible for monitoring operating statistics, implementing process improvements, and optimizing staffing to meet client and organizational goals.
The Senior Manager of Operations is responsible for ensuring operational performance standards are met to drive client satisfaction, retention, and account profitability. They oversee daily operations, manage staff performance, and act as a liaison between the organization and clients to resolve issues and improve service quality.
The Operations Supervisor is responsible for coaching and developing customer service representatives to meet performance metrics and client expectations. They also manage daily operations, handle escalated calls, and facilitate training to ensure operational continuity.
The RN Supervisor leads a team of Registered Nurses and Care Coaches to drive operational performance, quality outcomes, and member satisfaction. This role manages daily operations, provides coaching and mentoring, and ensures compliance with regulatory and client standards.
The Program Manager will lead strategic clinical operations initiatives, including care management, utilization management, and population health programs. They will collaborate with cross-functional teams and stakeholders to optimize healthcare outcomes, ensure regulatory compliance, and drive operational excellence.
The manager leads a team of experts to develop and optimize complex healthcare audit programs that identify and recover overpayments. They collaborate with cross-functional teams to drive innovative audit solutions and ensure program effectiveness across various claim types.
Collaborate with stakeholders to analyze business requirements and develop data-driven solutions for decision-making. Design and implement predictive models and machine learning algorithms to improve operational efficiency, fraud detection, and customer experience.
You will provide consultative support to customers by assessing their needs and explaining Medicare and health plan options. You are responsible for building trusting relationships with members and guiding them toward the most appropriate insurance plans.
The Senior Account Manager serves as the primary client contact, managing project plans and ensuring all deliverables meet client needs. They also act as a HEDIS subject matter expert, providing data analysis and supporting operational management for medical record review projects.
The Credentialing Specialist is responsible for verifying provider credentials, maintaining accurate databases, and ensuring compliance with regulatory standards. They also manage re-credentialing applications and communicate effectively with providers regarding their status.
Care Coaches support adult patients by conducting health assessments and gathering patient information to help them navigate healthcare needs. They also facilitate care coordination, educate patients on benefits, and maintain accurate documentation within electronic systems.
The Senior Care Specialist will conduct telephonic health assessments and develop individualized care plans for members with chronic conditions. They will also coordinate care services, provide health coaching, and collaborate with multidisciplinary teams to improve health outcomes.
The specialist will serve as a primary point of contact for external employer groups during technical migration and server-change initiatives. Responsibilities include coordinating testing, providing access credentials, and ensuring stakeholders successfully navigate the transition process.
Conduct telephonic health assessments and develop individualized care plans for members with chronic or complex health conditions. Collaborate with multidisciplinary teams and healthcare providers to coordinate care, support transitions, and promote improved health outcomes.
Conduct telephonic health assessments and develop individualized care plans for members with chronic and complex health conditions. Collaborate with multidisciplinary teams to coordinate care, provide health coaching, and support transitions of care.
Conduct telephonic health assessments and develop individualized care plans for members with chronic or complex health conditions. Collaborate with multidisciplinary teams to coordinate care, provide health coaching, and support transitions of care.
Conduct telephonic health assessments and develop individualized care plans for members with chronic or complex health conditions. Collaborate with multidisciplinary teams to coordinate care, provide health coaching, and support transitions of care.
The Care Specialist handles inbound and outbound calls to process requests, conduct enrollment projects, and perform customer satisfaction surveys. They are responsible for routing messages to clinical staff, maintaining accurate patient charts, and ensuring all actions comply with HIPAA standards.
The supervisor will lead and motivate a remote team of telesales agents to meet performance targets and quality standards. They are responsible for providing real-time coaching, managing team schedules, and ensuring compliance with healthcare regulations.
The Program Management Support role is responsible for translating client requirements into production floor activities and managing supervisory teams to ensure operational efficiency. This position also oversees clinical management functions, quality compliance, and staff development to meet account performance and profitability objectives.
Lead and motivate a remote team of telesales agents to meet and exceed performance targets. Monitor KPIs and provide real-time coaching to improve sales behaviors and conversion rates.
The Sales Coach drives the performance of the sales team through individualized coaching, training, and the development of actionable feedback plans. They analyze performance data to identify trends and partner with leadership to implement strategies that boost productivity and efficiency.
The Supervisor is responsible for coaching and developing customer service representatives to meet and exceed client KPIs and CPIs. They manage employee performance through monitoring tools, handle escalated customer claims, and drive continuous improvement efforts within the call center.
