MCS HEALTHCARE HOLDINGS, LLC Jobs in United States

Responsible for supporting the coordination and development of training programs across all relevant service areas to improve service delivery. · ...

Serves as a legal advisor and compliance leader for the Commercial Sales, Renewals, and Operations teams ensuring adherence to state and federal regulations risk mitigation and effective governance across the commercial health insurance sales cycle renewal processes and related o ...

+Leads orientations and presentations to sell and/or renew MCS Advantage's line of business products to potential clients or beneficiaries (as applicable) that are eligible for the Medicare Program, according to the regulations established by CMS (Center for Medicare and Medicaid ...

Responsible for monitoring customer service operations. · ...

The Customer Service Representative I – CC is responsible for providing excellent service when answering requests from policyholders, members, and providers through phone calls received. Solves situations or service needs, · Handles all inbounds calls accordingly to the establish ...

+ Ensures clinical interventions are performed by personnel under supervision. · + Oversees and audits referrals to the Pharmacy department from CRM tool, · + Handles medication-related complaints and CTMs. · Supervises resolution of complaints related to drug access. · Monitors ...

The Customer Service Representative I is responsible for assisting customers and prospects with information about the company's products and services. They address and clarify any questions from beneficiaries who have concerns. · Handles and resolves service requests from custome ...

Responsible for sales operations ensuring regulatory compliance and driving membership growth for Independent Agents agencies and Field Marketing Organizations FMOs. · Implements sales strategies and initiatives to drive new business generation ensures high member retention and c ...

Responsible for receiving, registering and forwarding applications received within the unit to certify the chronic conditions of beneficiaries for a chronic product. · ...

Participates in shadowing for the management and delivery of various projects designed from or assigned to the department. · ...

Ejecutivo(a) de Operaciones IPA responsible for monitoring and documenting programs or special projects designed for the management of IPA's. · ...

Responsible for the management, administration, strategy, and leadership of various projects to deliver them on time, within the established budget, quality, scope, · and expected customer satisfaction in compliance with the company's goals and objectives. · ...

+Job summary · Analyst for enterprise analytics team contributing to data-driven decision-making processes. · +ResponsibilitiesCollects, analyzes, and quality checks data to identify trends. · Creates analytical solutions (reports, dashboards) that deliver actionable information. ...

Responsible for working with Pharmacy Quality Clinical Programs. · ...

Collects analyzes designs and presents statistical reports for Company business lines internal and external use Ensures that the information offered is accurate complete and precise following the requested specifications of the different Company departments and external clients t ...

Responsible for managing administrative tasks, coordinating services, · maintaining compliance with established protocols. Serves as a vital link between members, · healthcare providers and the multidisciplinary team within the organization. · ...

Responsible for managing administrative tasks, coordinating services, and maintaining compliance with established protocols. Serves as a vital link between members, · Provides comprehensive administrative support related to unit operations. · Facilitates effective communication b ...

Responsible for driving consistent and impactful brand visibility and merchandising across the company's facilities and partner locations. · Must comply fully and consistently with all company policies and procedures, · ...

Responsible for the operation of the units that manage the Comprehensive Health Risk Assessment (CHRA), retrospective projects, and clinical coding processes. · ...

The Lider de Farmacia en Contención de Datos is responsible for the Pharmacy Department’s Financial Activities such as Budget and Savings Initiatives. They develop, analyze, and evaluate pharmacy savings initiatives and monitor the quarterly savings of these. Ensure accurate budg ...