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Nov 21 Data Processor, Sr - 2nd Shift WellCare Health Plans California

Company headquartered in Tampa, Florida, WellCare offers a variety of health plans ... members nationwide as of June 30, 2009.At WellCare, we strive to be the leader in... more

Nov 21 Customer Service Representative WellCare Health Plans California

Company headquartered in Tampa, Florida, WellCare offers a variety of health plans ... / call center) regarding all aspects of WellCare business, including claims, in a... more

Nov 21 Quality & Reporting Coordinator WellCare Health Plans California

Company headquartered in Tampa, Florida, WellCare offers a variety of health plans ... members nationwide as of June 30, 2009.At WellCare, we strive to be the leader in... more

Nov 21 Pharmacy Technician WellCare Health Plans California

Company headquartered in Tampa, Florida, WellCare offers a variety of health plans ... members nationwide as of June 30, 2009.At WellCare, we strive to be the leader in... more

Nov 21 Production Control Analyst WellCare Health Plans California

Company headquartered in Tampa, Florida, WellCare offers a variety of health plans ... members nationwide as of June 30, 2009.At WellCare, we strive to be the leader in... more

Nov 21 Configuration Specialist, Sr - R. Santana WellCare Health Plans California

Company headquartered in Tampa, Florida, WellCare offers a variety of health plans ... members nationwide as of June 30, 2009.At WellCare, we strive to be the leader in... more

Nov 21 Ancillary Coordinator WellCare Health Plans California

Company headquartered in Tampa, Florida, WellCare offers a variety of health plans ... members nationwide as of June 30, 2009.At WellCare, we strive to be the leader in... more

Nov 21 Case Manager WellCare Health Plans California

Company headquartered in Tampa, Florida, WellCare offers a variety of health plans ... members nationwide as of June 30, 2009.At WellCare, we strive to be the leader in... more

Nov 21 Field Social Services Assessment Specialist WellCare Health Plans California, MO

Company headquartered in Tampa, Florida, WellCare offers a variety of health plans ... members nationwide as of June 30, 2009.At WellCare, we strive to be the leader in... more

Nov 21 CTM Coordinator WellCare Health Plans California

of a win-win for members, associates and WellCare. Demonstrates based behaviors such as initiative, accountability and value. Performs skills necessary to create a high-quality... more

Nov 20 Supervisor, Training WellCare Tampa, FL

and challenges * Skills and competencies of WellCare major operations job families ... Utilizes technology and media within WellCare University instructional design *... more

Nov 20 Benefit Consultant - Medicare WellCare Cleveland, OH

by phone * Strictly adhere to all CMS and WellCare Marketing MIPPA regulations. * Performs special duties as assigned. Additional Duties: * Public speaking * Checking enrollment... more

Nov 20 Medicare Compliance Audit Spec, Sr WellCare Tampa, FL

Participates in the internal and external oversight and compliance assessments of ... the importance of compliance and the WellCare Compliance Program to health plan... more

Nov 20 Mgr, Hospital Contracting WellCare Tampa, FL

Oversees the network development and provider service functions for hospitals and selected ancillary providers within a state(s). Works with finance, legal, medical management,... more

Nov 20 Medical Director of Networking WellCare Chicago, IL

NCQA experience is a must! Oversight of the utilization and disease management activities for all lines of business including Medicaid and Medicare. Assist in the recruitment of... more

Nov 20 Provider Solutions Analyst, Sr WellCare Tampa, FL

Resolves provider issues submitted through Field Magic by performing root cause analysis and developing corrective action plans. Supports management with special and complex... more

Nov 20 Marketing Analyst, Sr WellCare Tampa, FL

Leads in the analyzing and development of complex adhoc reports to enable process and trend analysis and provides recommendations for the implementation of new/revised operational... more

Nov 20 Mgr, Field Regulatory Affairs WellCare Tampa, FL

Provides strategic and tactical oversight and leadership to the managing of the regulatory needs of the Medicaid and Healthy Kids product lines across multiple states. Oversees... more

Nov 20 Manager, Sales Training WellCare Chicago, IL

The Sales Training Manager will oversee the assessment of and be responsible for current curriculum, instructional design, facilitation, teaching and monitoring educational... more

Nov 20 Sr Mgr, Quality Improvement WellCare Tampa, FL

Plans, provides resources and directs activities within the Quality Improvement Department. Develops and implements activities that improve Health Services operational processes,... more

Nov 20 Care Management Coordinator WellCare Manhattan, NY

The Care Management Coordinator coordinates case management services, completes fulfillment services, conducts initial welcome/outreach calls to members and conducts patient... more

Nov 20 Dir, Physician Contracting - Florida Statewide WellCare Tampa, FL

Leads and directs Divisional physician contracting and reimbursement strategy, policies and analysis. In cooperation with Regional COO's and provider relations teams, provides... more

Nov 20 Prior Authorization Review Nurse - Waipahu/LPN WellCare Honolulu, HI

The Prior Authorization Review Nurse evaluates the pre-service authorization request received for scheduled inpatient admissions, ambulatory surgeries, outpatient services and out... more

Nov 20 Provider Solutions Analyst WellCare Tampa, FL

Resolves provider issues submitted through Field Magic by performing root cause analysis and developing corrective action plans. Essential Functions: * Applies a comprehensive... more

Nov 20 Director Product Development WellCare Tampa, FL

Summary Director, Product Development, develops long-range product plans and competitive strategies for Medicare Advantage and Prescription Drug Plans at the national and... more

Nov 20 Sr Mgr, Quality Improvement WellCare Tampa, FL

Plans, provides resources and directs activities within the Quality Improvement Department. Develops and implements activities that improve Health Services operational processes,... more

Nov 20 Claims Specialist, Sr - LaSheka R. WellCare Tampa, FL

Researches and processes institutional and/or professional claims. Serves as a mentor to less experienced associates and acts as a resource to resolve more complex... more

Nov 20 Marketing Analyst, Sr WellCare Tampa, FL

Provide analytical support to key decision making processes; Develop analytical strategies to design, track and analyze marketing campaigns; Assist in budget planning; Conduct... more

Nov 20 Sales Assistant - Field WellCare Buffalo, NY

The Field Sales Assistant performs all office activities of the Medicaid sales office under direct supervision. Essential Functions: * Prepares routine and special reports *... more

Nov 20 Claims Specialist, Sr - D. Cunningham WellCare Tampa, FL

Researches and processes institutional and/or professional claims. Serves as a mentor to less experienced associates and acts as a resource to resolve more complex... more

Nov 20 Director, Information Technology WellCare Tampa, FL

The Information Technology Director ensures the highest degree of user satisfaction by providing high-quality, high-availability Information Technology and Services on a near... more

Nov 20 Sr. Financial Analyst WellCare Health Tampa, FL

counsel related to financial information. WellCare Health Plans, Inc. (NYSE: WCG) ... above qualifications may apply online to requisition 0902087 at www.wellcare.com ,... more

Nov 19 Sr. Financial Analyst - Healthcare WellCare Florida

experience preferred Company Description WellCare Health Plans, Inc. (NYSE: WCG) ... Company headquartered in Tampa, Florida, WellCare offers a variety of health plans... more

Nov 18 EDI Sunmerge Systems Tampa, FL

follow-up on identified issues Follows WellCare IT development standards and best practices, including SDLC, sox requirements etc.Acts as principle contributor to technical... more

Nov 16 Enrollment Specialist WellCare Manhattan, NY

medical assessment of applicant * Utilizes WellCare designated criteria along with clinical knowledge to develop personalized plan of care * Initiates direct communication with... more

Nov 16 Claims Project Specialist - N. Hornsby WellCare Tampa, FL

/ Peradigm system. Thorough knowledge of WellCare claims processing environment and procedures. Knowledge of Legacy and Intelliclaim systems / processes preferred. Primary... more

Nov 16 Service Coordinator Other - HI/Waipahu WellCare Honolulu, HI

Coordinates, monitors and ensures that appropriate and timely primary, acute and long-term care services are provided to members across the continuum of care excluding within... more

Nov 16 Provider Relations Rep WellCare Manhattan, NY

Manages physician network by developing and maintaining relationships to drive business results within a specific geographic area. Provides service and education to network... more

Nov 16 Bilingual Medicaid Benefits Consultant WellCare Chicago, IL

The Medicaid Benefit Consultant is responsible for marketing the Medicaid product to interested eligible candidates in the service area, according to the prescribed rules and... more

Nov 16 Bilingual Medicaid Benefits Consultant - Kane County WellCare Chicago, IL

The Medicaid Benefit Consultant is responsible for marketing the Medicaid product to interested eligible candidates in the service area, according to the prescribed rules and... more

Nov 16 Case Manager WellCare Tampa, FL

The Case Manager coordinates the care and services of selected member populations across the continuum of illness. Promotes effective utilization and monitors health care... more

Nov 16 Prior Authorization Review Nurse (LPN) WellCare Tampa, FL

The Prior Authorization Review Nurse evaluates the pre-service authorization request received for scheduled inpatient admissions, ambulatory surgeries, outpatient services and out... more

Nov 16 Training Specialist - Operations/Claims & Configuration WellCare Tampa, FL

The Training Specialist supports the Claims & Configuration Departments with future assessment, instructional design, facilitation, teaching and monitoring educational... more

Nov 16 Senior Marketing Analyst Comprehensive Health Management Tampa, FL

Comprehensive Health Management, Inc., d/b/a WellCare Health Plans, Inc. seeks Sr. Marketing Analyst in Tampa, FL to provide analytical support to key decision making processes;... more

Nov 15 Senior Marketing Analyst Comprehensive Health Management Tampa, FL

Comprehensive Health Management, Inc., d/b/a WellCare Health Plans, Inc. seeks Sr. Marketing Analyst in Tampa, FL to provide analytical support to key decision making processes;... more

Nov 12 Ancillary Coordinator WellCare Manhattan, NY

The Ancillary Coordinator manages and controls the workflow coming in and out of the department and is responsible for tracking and reviewing contracts and credentialing... more

Nov 12 Quality Improvement Training Specialist WellCare Health Plans New York, NY

rigorous standards that are set forth by WellCare health services department.Produces ... needed by Director of Training) to other WellCare locations not limited to Florida,... more

Nov 12 Prior Authorization Review Nurse - Waipahu/LPN WellCare Health Plans New York, NY

Company headquartered in Tampa, Florida, WellCare offers a variety of health plans ... members nationwide as of June 30, 2009.At WellCare, we strive to be the leader in... more

Nov 11 Physician Assistant or Nurse Practitioner Health & WellCare Services of Florida Florida

Looking for a full time Nurse Practitioner or Physician Assistant to join our team. We are a Family Medical Practice in Crystal River, Florida. which is on the West coast of... more

Nov 10 Customer Service Representative, Lead - S. Eddings WellCare Tampa, FL

demonstrating a willingness to conform to WellCare policies and procedures. * ... manipulate data Proficiency with all WellCare Based Systems utilized in... more

Nov 10 Dir, National Ancillary Contracting WellCare Tampa, FL

WellCare's mission is to be the leader in government sponsored healthcare programs in ... of National ancillary networks for WellCare. Department accountabilities... more

Nov 10 Quality Improvement Nurse (RN required) WellCare Manhattan, NY

teams in the fulfillment of WellCare and HBH contract ... with persons within and outside of WellCare and HBH * Ability to interpret an... more

Nov 10 Customer Service Representative WellCare Tampa, FL

or walk in) regarding all aspects of WellCare business, including claims, in a ... a win-win-win for members, associates and WellCare. * Demonstrates based behaviors... more

Nov 10 Customer Service Representative - Hilke WellCare Tampa, FL

or walk in) regarding all aspects of WellCare business, including claims, in a ... a win-win-win for members, associates and WellCare. * Demonstrates based behaviors... more

Nov 10 Provider Resolution Specialist, Sr WellCare Tampa, FL

months to 1 year experience at WellCare as a Sr CSR or Sr. Claims Specialist. Licenses/Certifications: Customer service, quality, or training certifications preferred Technical... more

Nov 10 Financial Analyst, Sr WellCare Tampa, FL

for compliance with all CMS, State and WellCare Guidelines * Provides secondary support monitoring of delegated vendors associated with all billing related activities * Reconciles... more

Nov 10 Benefit Consultant - Medicare - Atlanta, Columbus, Savannah WellCare Columbus, GA

by phone * Strictly adhere to all CMS and WellCare Marketing MIPPA regulations. * Performs special duties as assigned. Additional Duties: * Public speaking * Checking enrollment... more

Nov 10 CTM Coordinator WellCare Florida

of a win-win for members, associates and WellCare. * Demonstrates based behaviors such as initiative, accountability and value. * Performs skills necessary to create a... more

Nov 10 Software Engineer, Lead (Java/Omniflow) WellCare Tampa, FL

identified issues. * Defines and maintains WellCare Information Technology development standards and best practices. * Assists with technical training and user education as... more

Nov 10 Benefit Consultant - Medicare - Waipahu WellCare Honolulu, HI

by phone * Strictly adhere to all CMS and WellCare Marketing MIPPA regulations. * Performs special duties as assigned. Additional Duties: * Public speaking * Checking enrollment... more

Nov 10 Benefit Consultant - Medicare - Atlanta, Columbus WellCare Savannah, GA

by phone * Strictly adhere to all CMS and WellCare Marketing MIPPA regulations. * Performs special duties as assigned. Additional Duties: * Public speaking * Checking enrollment... more

Nov 10 Benefit Consultant - Medicare - Atlanta, Columbus, Savannah WellCare Atlanta, GA

by phone * Strictly adhere to all CMS and WellCare Marketing MIPPA regulations. * Performs special duties as assigned. Additional Duties: * Public speaking * Checking enrollment... more

Nov 10 Software Engineer, Sr SFDC/APEX WellCare Tampa, FL

identified issues * Defines and maintains WellCare IT development standards and best practices Qualifications Education: Bachelor's Degree from an accredited college or... more

Nov 10 Compliance Auditor WellCare Tampa, FL

prepared in accordance with IIA and WellCare standards and that sufficient evidentiary material exists to support audit findings. * Review and evaluate the effectiveness of... more

Nov 10 Case Manager WellCare Manhattan, NY

in regular or special meetings. * Represent WellCare at the local community, state or nationwide level meetings. * Perform other duties as assigned. Qualifications Education:... more

Nov 10 Claims Project Specialist - D. Cunningham WellCare Tampa, FL

/ Peradigm system. Thorough knowledge of WellCare claims processing environment and procedures. Knowledge of Legacy and Intelliclaim systems / processes preferred. Primary... more

Nov 10 VP, Corporate Network Services WellCare Tampa, FL

hospital, and ancillary networks for WellCare. Oversees operational components to include Network Vendor Management, Credentialing Operations, Network Administration and... more

Nov 10 Mgr, Enterprise Risk Mgmt WellCare Tampa, FL

reputational, and investment) within all WellCare operating units. By managing the quarterly risk profile, related reporting, and risk response activities, the ERM Manager will... more

Nov 10 Concurrent Review Nurse (GA) WellCare Tampa, FL

Utilizes InterQual criteria and WellCare clinical coverage criteria along with clinical experience to make authorization decisions. Identifies cases not meeting criteria and... more

Nov 10 Concurrent Review Nurse (NY) WellCare Tampa, FL

Utilizes InterQual criteria and WellCare clinical coverage criteria along with clinical experience to make authorization decisions. Identifies cases not meeting criteria and... more

Nov 10 VP, Corporate Network Contracting WellCare Tampa, FL

hospital, and ancillary networks for WellCare. Oversees direct accountability for network contracting strategy, national ancillary contracting, network contracting standards and... more

Nov 10 Concurrent Review Nurse - Waipahu WellCare Honolulu, HI

Utilizes InterQual criteria and WellCare clinical coverage criteria along with clinical experience to make authorization decisions. Identifies cases not meeting criteria and... more

Nov 10 Case Manager (Registered Nurse) WellCare Tampa, FL

The Case Manager coordinates the care and services of selected member populations across the continuum of illness. Promotes effective utilization and monitors health care... more

Nov 10 Business Systems Analyst WellCare Tampa, FL

The Business Systems Analyst acts as primary point of contact for interface between the business users and IS teams and is responsible for formulating and defining system scopes... more

Nov 10 Quality Improvement Analyst WellCare Chicago, IL

The Quality Improvement Analyst coordinates and conducts quality review activities, screens medical records for quality of care issues, coordinates referrals and processes for... more

Nov 10 Pharmacy Technician WellCare Tampa, FL

Receives and responds to calls from both provider/physicians offices and pharmacies. Enters pharmacy overrides into the WHI system based on approved guidelines and approvals from... more

Nov 10 Benefit Consultant - Medicaid WellCare Manhattan, NY

The Benefit Consultant is responsible for marketing the Medicaid product to interested eligible candidates in the service area, according to the prescribed rules and regulations... more

Nov 10 Configuration Specialist, Sr - R. Santana WellCare Tampa, FL

Ensures accurate and timely loading of the Institutional/ASC or professional provider contracts. Oversees the maintenance and termination processes through appropriate... more

Nov 10 Mgr, Actuary (level II) WellCare Tampa, FL

Lead a team of analysts that provide timely, accurate, actionable data and analysis supporting the department, area, and corporate key initiatives. Participate as a key strategic... more

Nov 10 Medical Economics Analyst WellCare Tampa, FL

The Medical Economics Analyst assists in the development and presentation of timely, accurate, actionable data and analysis supporting the department, regional market, and... more

Nov 10 Budget Analyst WellCare Tampa, FL

The Budget Analyst supports financial decision making by reviewing department budgets, monitoring and implementing appropriate changes to departmental budgets as directed, and... more

Nov 10 Ops & IT Purchasing Administrator WellCare Tampa, FL

The IT Purchasing Administrator enters all IT purchasing requisitions into the appropriate applications/spreadsheets including equipment, software licensing, maintenance... more

Nov 10 Mgr, Quality Improvement WellCare Tampa, FL

The Quality Improvement Manager supports the development and implementation of quality improvement initiatives assuring Plan compliance with regulatory and accreditation... more

Nov 10 Senior Systems and Reporting Analyst - Pharmacy WellCare Tampa, FL

The Senior Systems and Reporting Analyst provides functional knowledge and technical support to the design, implementation and customization of departmental applications, systems... more

Nov 10 Service Coordinator Other WellCare Honolulu, HI

Coordinates, monitors and ensures that appropriate and timely primary, acute and long-term care services are provided to members across the continuum of care excluding within... more

Nov 10 Business Systems Analyst, Sr WellCare Honolulu, HI

The Senior Business Systems Analyst is the primary point of contact for interface between the business users and IS teams. This Senior Analyst formulates and defines systems'... more

Nov 10 Quality Improvement Specialist - Requires 75% Travel WellCare Tampa, FL

This opportunity requires 75% travel The Quality Improvement Specialist supports the development and implementation of quality improvement interventions and audits and assists in... more

Nov 10 Mgr, Infrastructure Sys Eng WellCare Tampa, FL

The Infrastructure Systems Engineer provides leadership, operational management, and administrative support for the Infrastructure engineering team, and acts as a liaison to... more

Nov 10 Sr Dir, Quality Improvement WellCare Tampa, FL

The Senior Director for Quality Improvement plans, provides resources and directs activities for the business of the function (or multiple functions) within the Department of... more

Nov 10 Actuary (level 1) WellCare Tampa, FL

Work with or lead a team of analysts to provide timely, accurate, actionable data and analysis supporting the department, area, and corporate key initiatives. Participate as a key... more

Nov 10 Business Analyst - Operations Enrollment WellCare Tampa, FL

The Business Analyst identifies and recommends operational improvement opportunities through reporting, process and trend analysis. The Business Analyst develops ad-hoc reports... more

Nov 10 Dir, State Regulatory Affairs WellCare Florida

Leads the State Regulatory Affairs department responsible for developing and executing the Medicaid Regulatory Affairs strategy focused on publicly funded healthcare programs. more

Nov 10 Treasury Analyst WellCare Tampa, FL

Position conducts cash management and treasury activities for the Company. Particular responsibilities may include cash management, liquidity projections, treasury operations,... more

Nov 10 Dir, Human Resources - Chicago WellCare Illinois

Works with the area/function leader and other members of the management team to build and manage the Human Resources organization, which includes recruiting, talent management and... more

Nov 10 Mgr, Network Management WellCare Jacksonville, FL

Manages IPA networks and Network Development Specialists by developing and maintaining network of risk-bearing IPAs. Achieves company targets through aggressive IPA primary care,... more

Nov 10 Claims Specialist, Sr - Correspondence WellCare Tampa, FL

Researches and processes institutional and/or professional claims. Serves as a mentor to less experienced associates and acts as a resource to resolve more complex... more

Nov 10 Production Control Analyst WellCare Tampa, FL

The Production Control Analyst ensures continued delivery of production services through identification and problem resolution in a client/server environment and devises and... more

Nov 10 SCIU Investigator WellCare Tampa, FL

The SCIU Investigator handles the research, investigation and remediation of agent and enrollment FWA allegations received from Corporate Compliance CIU and SIU, DOI, CMS, MEDIC... more

Nov 10 Network Management Rep - Miami Lakes WellCare Tampa, FL

Manages physician contracting, network development and provider relations functions for developing, executing and maintaining a provider network strategy. Works in concert with... more

Nov 10 Medical Economics Analyst, Sr WellCare Tampa, FL

The Medical Economics Analyst, Sr assist in the development and presentation of timely, accurate, actionable data and analysis supporting the department, regional market, and... more