Medi-Cal Customer Support Specialist, Intermediate

Position OverviewThe Blue Shield of California Promise Health Plan is seeking a dedicated Enrollment and Retention Specialist to play a crucial role in guiding individuals through the Medi-Cal enrollment process. This position is essential for ensuring that potential members understand their eligibility and the various plan options available to them.Key...

Position OverviewThe Blue Shield of California Promise Health Plan is seeking a dedicated Enrollment and Retention Specialist. This role focuses on guiding and supporting individuals through the Medi-Cal enrollment process, ensuring they understand eligibility requirements and plan options.Key ResponsibilitiesProvide comprehensive education to callers...

About the RoleThe Clinical Services Coordinator will play a vital role in ensuring the effective management of member care through outreach, engagement, and care coordination processes. This individual will interact with members and providers to address their health needs and support the Promise Case Managers and Social Workers in arranging follow-up...

About the RoleThe Clinical Services Coordinator, Intermediate, plays a vital role in the medical management process at Blue Shield of California. As the initial point of contact for providers and members, this position requires strong communication and interpersonal skills to ensure effective and efficient management of member care.Key...

Position OverviewThe Intermediate Clinical Services Facilitator will directly report to the supervisor overseeing care management support operations. This role serves as the primary contact for healthcare providers and members involved in the medical management process, utilizing both telephone and written communication. The Facilitator will engage with...

Job Title: Claims Audit ManagerJob Summary:Advanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring that incoming claims are processed in accordance with policies, procedures, and guidelines, as outlined by Advanced Medical Manage and contractual agreements.Key...

The WelbeHealth PACE initiative is dedicated to assisting seniors in remaining in their homes and communities by delivering comprehensive healthcare and community-based services. Our mission is to provide the most vulnerable seniors with enhanced quality and compassion within a value-driven framework. The Senior Care Enrollment Specialist plays a crucial...

Job Description**Role Overview**The Claims Examiner III is a critical position within the Advanced Medical Manage organization, playing a vital role in the Claims Department. This role requires collaboration with the Claims Team to meet productivity goals and ensure quality. The ideal candidate will possess claims knowledge, prioritization skills, and the...

Job SummaryWe are seeking a highly skilled Claims Audit Manager to join our team at Ultimate Staffing. As a Claims Audit Manager, you will be responsible for ensuring that claims are processed in accordance with company guidelines and contractual agreements, within set time limits, and according to provider contract rates.Key ResponsibilitiesPrepare and...

Job Description**Role Overview**The Claims Examiner III is a critical position within the Advanced Medical Manage organization, playing a vital role in the Claims Department. This role requires collaboration with the Claims Team to meet productivity goals and ensure quality. The ideal candidate will possess claims knowledge, prioritization skills, and the...

Job SummaryWe are seeking a highly skilled Social Services Coordinator to join our team at Blue Shield of California. As a Social Services Coordinator, you will play a vital role in providing telephonic social services support and resource referrals to our members.Key ResponsibilitiesEstablish Trusting Relationships: Develop and maintain strong relationships...

Descripción del TrabajoSu RolEl equipo del Programa de Salud Infantil (CHP) se encarga de la identificación, referencias y gestión de cuidados para todos los miembros de Medi-Cal menores de 21 años, colaborando con el Equipo Clínico de Promesa. El Enfermero de Gestión de Casos, Senior, reportará al Gerente de CHP. En este puesto, usted realizará...

Join Our Team as a Customer Support Specialist Are you a natural leader? At Domino's Pizza LLC, we recognize your potential to guide and inspire others. Your role is crucial in ensuring that both your team and customers receive the best service possible. Key Responsibilities: Oversee daily operations to ensure smooth service delivery. Assist team members in...

Work Mode: Primarily Remote (1 day in office weekly)Location: Long Beach, CAAbout SCANSCAN Group is a not-for-profit organization committed to addressing the most significant challenges faced by older adults in the United States. SCAN Group serves as the sole corporate member of SCAN Health Plan, a leading not-for-profit Medicare Advantage plan, catering to...

Work Mode: Primarily Remote (1 day in office per week)Location: Long Beach, CAAbout SCANSCAN Group is a not-for-profit organization focused on addressing the significant challenges faced by older adults in the United States. As the sole corporate member of SCAN Health Plan, a leading not-for-profit Medicare Advantage plan, SCAN serves over 270,000 members...

About the RoleThe Social Services Representative, Advanced will report to the Supervisor, Social Services. In this role, you will provide telephonic social services support and resource referrals for high acuity Blue Shield Promise members, in addition to administrative support to the Social Services Management Team.Key ResponsibilitiesEstablish trusting...

Job SummaryWe are seeking a highly skilled Sales Development Representative to join our team at Nor Cal Pipeline Services. The ideal candidate will be responsible for identifying and pursuing new business opportunities, building strong relationships with clients, and providing exceptional customer service.Develop and execute sales strategies to drive revenue...

About SCAN Health PlanSCAN Group is a not-for-profit organization committed to addressing the significant challenges faced by older adults across the United States. As the sole corporate member of SCAN Health Plan, we are recognized as one of the nation's premier not-for-profit Medicare Advantage plans, serving over 270,000 members in multiple states. With...

Job OverviewTrue Vision Enterprises, a prominent marketing and sales organization, is seeking enthusiastic individuals to become part of our vibrant team as Sales and Customer Support Specialists. This role offers a wealth of opportunities for those who are motivated and strive for excellence.Your Responsibilities:In this position, you will serve as a vital...

Your RoleThe Promise Compliance Audit Services team oversees all functions of an effective Compliance Program for Blue Shield of California Promise Health Plan. The Compliance Audit Services, Principal will report to the Senior Director, Compliance Audit Services. In this role you will be involved in monitoring and oversight of operational business areas to...