Oversees and manages all facets of insurance products and services for an assigned book of business with multiple clients ranging from 26-150 employees enrolled. Job Description: Job Responsibilities Developing new business opportunities; building and managing long-term
Consults to all levels of management in order to provide appropriate business solutions to operational business problems. Job Description: Job Responsibilities Providing recommendations that supports the design, development, assessment, and implementation of organizational management projects, policies,
Performs intake and enrollment assessments, person-centered planning, and ongoing maintenance and monitoring of overall service provision and each members well-being. Job Description: Job Responsibilities Partnering with members and families to identify needed supports and direct services
Performs intake and enrollment assessments, person-centered planning, and ongoing maintenance and monitoring of overall service provision and each members well-being. Job Description: Job Responsibilities Partnering with members and families to identify needed supports and direct services
The Transition Care Coordinator is responsible for assisting in the proactive approach of identifying members who are potential candidates for transition to the community and assisting with the completion of the transition process in collaboration with
The Transition Care Coordinator is responsible for assisting in the proactive approach of identifying members who are potential candidates for transition to the community and assisting with the completion of the transition process in collaboration with
Support all product education, service and enrollment for all BCBST individual products (Medicare, Individual, and Ancillary). Job Description: Job Responsibilities Provide first contact resolution for member service inquiries at consumer centers including services such as benefit
Performs intake and enrollment assessments, person-centered planning, and ongoing maintenance and monitoring of overall service provision and each members well-being. Job Description: Job Responsibilities Partnering with members and families to identify needed supports and direct services
The position works alongside HCBS, discharge, and institutional care/support coordinators to promote interdependent collaboration with the member, physician/primary care manager, family, and other members of the care/support coordination team to ensure continuity of care by performing
Manages member care and progress for cases with multiple levels of risk. Job Description: Job Responsibilities Supporting utilization management functions for more complex and non-routine cases as needed. Serving as a liaison between members, providers and
Investigates special investigation unit claims; analyzes and documents potential fraudulent insurance claims. Job Description: Job Responsibilities Preparing legal and investigation documentation; presenting findings and making recommendations to management. Participating in legal proceedings when necessary. Analyzing all
Investigates special investigation unit claims; analyzes and documents potential fraudulent insurance claims. Job Description: Job Responsibilities Preparing legal and investigation documentation; presenting findings and making recommendations to management. Participating in legal proceedings when necessary. Analyzing all
Provides support as a single point of contact for Groups and Brokers in relation to customer service inquiries. Job Description: Job Responsibilities Receiving, investigating and resolving inquiries timely and accurately; clearly documenting all communications. Handling customer
Provides consulting services to help envision, design, develop, implement and support health and wellness programs and capabilities needed for client groups to achieve their organizational objectives. Job Description: Job Responsibilities Communicating effectively with clients to build
Performs intake and enrollment assessments, person-centered planning, and ongoing maintenance and monitoring of overall service provision and each members well-being. Job Description: Job Responsibilities Partnering with members and families to identify needed supports and direct services
Provides support of the population health quality improvement programs by engaging members, providers and the community in improving health outcomes. Job Description: Job Responsibilities Support the implementation of community-based population health activities ensuring that performance and
Manages member care and progress for cases with multiple levels of risk. Job Description: Job Responsibilities Supporting utilization management functions for more complex and non-routine cases as needed. Serving as a liaison between members, providers and
Support all product education, service and enrollment for all BCBST individual products (Medicare, Individual, and Ancillary). Job Description: Job Responsibilities Provide first contact resolution for member service inquiries at consumer centers including services such as benefit
Performs intake and enrollment assessments, person-centered planning, and ongoing maintenance and monitoring of overall service provision and each members well-being. Job Description: Job Responsibilities Partnering with members and families to identify needed supports and direct services
Support all product education, service and enrollment for all BCBST individual products (Medicare, Individual, and Ancillary). Job Description: Job Responsibilities Provide first contact resolution for member service inquiries at consumer centers including services such as benefit