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Fidelis Care Plan Only: Bachelor's degree in healthcare administration or related field required; master's degree preferred. Understand the local healthcare landscape to look for key drivers & opportunities for innovative models targeting the Quadruple Aim.
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How to utilize insurance portals – Availity, United Healthcare, Connex, etc. think Healthfirst, metroPlus, Fidelis care,etc) How to utilize insurance portals – Availity, United Healthcare, Connex, etc.
$20 - $23 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Position Purpose: With the Fidelis NJ Health plan PMO Team, you will focus on process improvement activities throughout the NJ Health Plan, project improvement initiatives, and fostering collaboration.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Understanding of denials – what they mean and how to overturn. They will start with less around 15-20 and ramp up wen ready. Experience with insurance portals (ex: United, blue cross, etc) How to put together documentation for appeals.
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For Fidelis Care plan only: The Account Executive II supports membership growth and retention in assigned territories by working with appointed brokers. Bachelor's degree in Healthcare, Marketing, Business or related field or equivalent experience.
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Position Purpose: This role will manage all aspects of vendor activity, including but not limited to dental, ancillary, pharmacy and vision vendors for the Fidelis Care Health Plan. 4+ years of healthcare management experience, preferably in vendor managed care or the health insurance field.
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Fidel comes from the Latin word 'Fidelis' which means reliability, trust, truth and dependability. Additional benefits include 401k company match, healthcare premium coverage, and WFH stipend.
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Healthcare experience preferred. License/Certification PMP or CAPM certification preferred. Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
$66,100 - $118,900 a yearFull-timeExpandUpdated 2 days ago - UpvoteDownvoteShare Job
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Position Purpose: In partnership with the CMO, serve as a key stakeholder, decision maker, and catalyst, for all marketlevel population health identification, strategy, evaluation, and monitoring to achieve the Quadruple Aim and drive Centenes Population Health mission at the market level.
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Pay Range: $178,500.00 - $338,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
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Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. Centene is transforming the health of our communities one person at a time. Previous experience in a managed care organization strongly preferred.
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Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. As an Executive on our team, you could be the one who changes everything for our 28 million members.
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Total compensation may also include additional forms of incentives. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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License/Certification: Current state RN license preferred. 3 of leadership experience. Master's Degree preferred.
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License/Certification: Current state RN license preferred. 3 of leadership experience. Master's Degree preferred.
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