We are seeking a Member Engagement Representative to join our team at SummaCare. · As a regional provider-owned health plan, we value the relationship between members and their doctors. · The successful candidate will be responsible for completing Medicare Advantage plan changes ...

As a regional provider-owned health plan SummaCare values the relationship between members and their doctors. · Serves as a Subject Matter Expert for all pharmacy benefit questions concerns and issues from internal and external customers Researches identified issues and works to ...

Seeking a full-time Licensed Professional Clinical Counselor (LPCC) or Licensed Independent Social Worker (LISW) in Ohio for a long-term care facility. · Enjoy meaningful work with a supportive team,focusing on group sessions and individual counseling,Facilitating mental health g ...

We are hiring a full-time Service Coordinator for Senior Apartments in Cincinnati.We are responsible for connecting elderly residents to necessary supportive services. · ...

The Cuyahoga County Board of Developmental Disabilities (Cuyahoga DD) seeks a Medicaid Liaison to expedite Medicaid eligibility for individuals in Home and Community-Based Services (HCBS) waivers. · ...

As a regional provider-owned health plan SummaCare values the relationship between members and their doctors Known for its excellent customer service and personalized attention to members SummaCare is committed to building lasting relationships Employees can expect competitive pa ...

A per diem pharmacist position is available in Cleveland, OH. · Provide expert consultation for patients with chronic and advanced disease states. · Manage medication therapies for patients requiring complex care. · ...

The employee is responsible for providing oversight and analysis of the Anasazi Accounts Receivable Module, · maintaining up-to-date knowledge of current policies and procedures related to the Anasazi accounts receivable module; · completing monthly billing processes; · developin ...

We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, · and enjoy the flexibility of remote work on other days.Reimbursement Specialists are responsible for the timely · & accurate billin ...

The Financial Controller is responsible for overseeing all accounting and financial reporting functions for the senior living organization.This role ensures the accuracy integrity and timeliness of financial information while supporting operational leaders with insightful analysi ...

The Cuyahoga County Board of Developmental Disabilities (Cuyahoga DD) is seeking a Liaison to expedite the process of establishing Medicaid eligibility in order to enroll individuals in Home and Community-Based Services (HCBS) waiversMaintain daily communication with SMBC staff r ...

As the Credentialing Specialist, you will be responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare, Medicaid, commercial payers, hospitals, and regulatory agencies. · This role ...

The Cuyahoga County Board of Developmental Disabilities (Cuyahoga DD) is seeking a Liaison to expedite the process of establishing Medicaid eligibility in order to enroll individuals in Home and Community-Based Services (HCBS) waivers. · Maintain daily communication and consultat ...

We are seeking an experienced Medical Billing Specialist with nursing home billing expertise to join our team. · Billing Oversight: Manage and oversee billing operations for multiple nursing homes. · Revenue Cycle Management: Monitor the revenue cycle, identify potential issues. ...

Create a concise job summary here: As a regional, provider-owned health plan, SummaCare values the relationship between the members and their doctors. Based in Akron, Ohio, · SummaCare provides Medicare Advantage plans with competitive pay and benefits. · Creats and prepares grie ...

Evaluates data and risk characteristics of groups to assist in the establishment of prospect and renewal rates, · working independently through initial recommendations. · The Underwriter I has some experience in sales and/or underwriting support in the health insurance or related ...

We are seeking a compassionate Speech Therapist to join our team at Alternate Solutions Homecare Cleveland. As a Speech Therapist, you will provide home-based skilled speech therapy care for patients as directed by the attending physician. You will educate patients and their fami ...

As a regional provider-owned health plan SummaCare values the relationship between members and their doctors based in Akron Ohio it provides Medicare Advantage individual and family commercial insurance plans known for excellent customer service personalized attention to members ...

A regional health plan values the relationship between members and their doctors. · Reviews processes submits tracks post service appeals grievances · ...

The Field Reimbursement Manager (FRM) is responsible for supporting the patient access process for our gastroenterology business. · The FRM will leverage his/her account management, data analytics, and reimbursement expertise and demonstrated experience to support and facilitate ...

Supports the HEDIS team with medical record reviews during data collection period. · ...