Monitors Key Performance Indicators and maintains service levels to ensure that requirements are met or exceeded. Coordinates and plans activities with vendors.
Participate in the development and implementation of new services focused on earning members for life through building relationship with health and wellness…
Oversee the activities of the operational staff who assist the Health Coordinators in ensuring that members receive timely and integrated access to services.
In-office service contact for assigned groups. The Group Service Specialist (GSS) serves as the primary resource tasked with researching, processing and…
The Senior External Audit Coordinator reports to the Director, Internal Audit, and is responsible for planning and executing external audit activities (e.g.,…
Supervises the installation of system upgrades and service packs. Sets up and monitors new access and services systems. Leads multiple projects/systems/issues.
Achieve service commitments from core and support functional areas. This position is responsible for the overall business, functional, and operational aspects…
The Program Manager of Provider Portal oversees the day-to-day implementation of the provider portal strategy, including bringing together key enterprise…
A) As the senior level subject matter expert on Medicare plans, works closely with HMSA management, operational departments, Medicare Compliance Officers,…