Regulatory Associate, Member Documents - New York, New York, United States

We are hiring a Regulatory Associate to join our Regulatory Affairs team. The role involves drafting and formatting insurance policy documents for Oscar's Individual Plan portfolio. · Draft core insurance policy documents such as the Evidence of Coverage and Outline of Coverage. ...

The Document Management Team Member is responsible for the procurement and assignment of documents for both the pharmacy and nursing departments. · ...

Care Management Associate role involves handling high-volume incoming calls scheduling medical visits assisting members with benefits coordination monitoring assigned queues entering prior approvals managing documentation verifying accuracy tracking membership status updates aler ...

Clinical Assessment Manager · This key position involves conducting comprehensive assessments for potential new members and existing members' conditions within VNS Health Plans network. · Face-to-face or telehealth UAS-NY assessments are conducted according to state guidelines. · ...

The Product Specialist ensures operational excellence and regulatory compliance owning the full spectrum of product member materials and across all Product Lines. · Bachelor's degree from an accredited college or university in an appropriate discipline required. · Master's degree ...

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. · Conduct in-pers ...

We are seeking a Primary Care Physician to join our team. The physician will assist in the care for a diverse population and be responsible for conducting medical assessments, providing treatment, and overseeing clinical operations. · ...

The · Outreach Specialist supports Quality Management and Care Coordination initiatives by engaging members through outreach efforts, · administering Health Risk Assessments (HRA), identifying care needs, · and connecting members to appropriate clinical and social services.This ...

As a Residence Counselor at Fountain House, provide care and support to member residents in a safe and collaborative community environment. · Engage and support members with apartment maintenance and cleanliness. · Participate in an integrated care team providing feedback, advoca ...

The Enrollment Medicaid Specialists provides Healthfirst's Medicare Advantage Plan (MAP), Senior Health Partners' (SHP) Managed Long|Term Care (MLTCP), FIDA and Nursing Home members and families with assessment and interventions related to enrollment processing of qualified, · el ...

We are seeking a Radiology Implementation Analyst Lead or Architect to join our team. The successful candidate will have strong experience in implementing Radiology PACS Systems and lead or senior experience driving projects forward. · Monitoring incident queues via ServiceNowMus ...

Provide prospective and existing members with assistance (telephonically inbound and outbound) completing state required applications, for the purpose of obtaining and maintaining healthcare coverage. · Provide non-clinical reminders (i.e. product overviews, premiums, gaps in car ...

The Mortgage Sales Assistant is responsible for assisting the Mortgage Sales Team with member applications, · appointment scheduling, member documentation,This position is focused on the administrative side of the originations process and is responsible for supporting the rest of ...

The Peer Support Specialist (PSS) works with members who are struggling with mental health and/or substance use disorders. · ...

The Care Manager plans and manages behavioral and/or physical care with members and their beneficiaries and works with clinicians and health care team members. ...

The Care Coordinator works within a multidisciplinary care team to help assist with the care of members enrolled in CPHL Managed Long Term Care program and other LOBs to facilitate, schedule and arrange a variety of treatments and healthcare related activities. ...

As a Credit Relationship Manager you will serve in a member-facing role within the Credit team supporting credit-related inquiries while contributing to the operational execution of credit servicing. · ...

The Document Control Specialist joins a dedicated team that values expertise collaboration and professional development at IVY Engineering Group. · ...

The Assessment Nurse may be the first person that the potential member/member and family meet from the MLTCP programs. · The Assessment Nurse conducts the UAS assessment to determine the level of care needed to support applicants/members in their own homes. · ...

The Field Care Coordinator is responsible for conducting local home visits for Healthfirst members. They perform assessments, administer health questionnaires, retrieve necessary documentation, and facilitate video visits with care managers or clinical eligibility nurses. · ...