Complex Case Mgr Job (St. Louis, MO, US)
Description:It's a great time to put the strength of Coventry Health Care behind your career!HealthCare USA, a division of Coventry Health Care is seeking a Complex Case Manager to join our team....
View ArticleHEDIS Medical Record Review Consultant Job (St. Louis, MO, US)
Description:GENERAL SUMMARYResponsible for performing in a consultative style and developing prospectively,a conceptual framework for coaching Coventry health plans in the management of HEDIS medical...
View ArticleClinical Pharmacist Job (Overland Prk, KS, US)
Description:GENERAL SUMMARYThe Health Technology Assessment (HTA) Clinical Pharmacist will be responsible for conducting evidence-based clinical reviews for formulary maintenance and service as a drug...
View ArticleMgr, Network Ops Job (Oklahoma City, OK, US)
Description:GENERAL SUMMARYResponsible for provider contracting and/or provider relations pertaining to fully insured, Health Plan, PPO, corporate accounts, lease networks and workers’ compensation....
View ArticleComplex Case Mgr Job (Wichita, KS, US)
Description:GENERAL SUMMARYFunctions as the central coordinator of care for members/injured employees identified as having chronic disease processes or for members/injured employees in select physician...
View ArticleProvider Contracting Spec Job (Jefferson City, MO, US)
Description:It's a great time to put the strength of Coventry Health Care behind your career!HealthCare USA, a division of Coventry Health Care is seeking a Provider Contracting Specialist to join our...
View ArticleComplex Case Mgr Job (Overland Prk, KS, US)
Description:GENERAL SUMMARYFunctions as the central coordinator of care for members identified as having chronic disease processes or for members in select physician practices. Responsible for...
View ArticleMgr, Medicare Strategy Job (Overland Prk, KS, US)
Description:GENERAL SUMMARYResponsible for health plan Medicare revenue improvements and strategy. Responsible for project management of the STARS program; establishes standards that are compatible...
View ArticleOutreach Coord, HEDIS Job (Wichita, KS, US)
Description:GENERAL SUMMARYFacilitates provider and member outreach to ensure member receipt of important clinical services to improvement member health outcomes. Provides support for Healthcare...
View ArticleAccount Executive Job (Wichita, KS, US)
Description:GENERAL SUMMARY Responsible for selling the health plan to brokers, consultants, employer groups, or individuals. Attains defined business and enrollment goals. Accountable for achieving...
View ArticleAccount Mgr Job (Wichita, KS, US)
Description:GENERAL SUMMARY Responsible for retention, in-group growth, and/or the sales of new products and services into existing accounts. Individual would work directly with the employer and/or...
View ArticleAccount Mgr Job (Wichita, KS, US)
Description:GENERAL SUMMARY Responsible for retention, in-group growth, and/or the sales of new products and services into existing accounts. Individual would work directly with the employer and/or...
View ArticleRegional Dir, Quality Improve Job (Overland Prk, KS, US)
Description:Coventry Health Care is a $14 billion growth oriented national managed health care company with corporate headquarters located in Bethesda, MD with 14,000 employees in 48 states. We provide...
View ArticleComplex Case Mgr Job (Kansas City, MO, US)
Description:Coventry Health Care is currently seeking an Advanced Illness Complex Case Manager for our Kansas City, MO location. The Condition Management Program case management model focuses on...
View ArticlePre-Authorization Coordinator, RN/LPN Job (Overland Prk, KS, US)
Description:GENERAL SUMMARYResponsible for implementing and coordinating all utilization management functions relating to preauthorization of outpatient testing/surgery, and inpatient...
View ArticlePre-Authorization Coord Job (Overland Prk, KS, US)
Description:GENERAL SUMMARYResponsible for implementing and coordinating all utilization management functions relating to preauthorization of outpatient testing/surgery, and inpatient...
View ArticleDir, Network Dev Job (Overland Prk, KS, US)
Description:GENERAL SUMMARYResponsible for network development, provider contracting, contract negotiations and coaching oversight to staff. Establishes and provides oversight of the department’s...
View ArticleOperations Liaison Job (Wichita, KS, US)
Description:GENERAL SUMMARYEvaluates and monitors group/provider set-up, eligibility according to contractual agreement, evidence of coverage, industry standards, and claims payment process....
View ArticleSupvr, Complex Case Mgmt - RN Job (Overland Prk, KS, US)
Description:GENERAL SUMMARYResponsible for the daily supervision of the Complex Case Management team. Serves in an active managerial role to assist in the development, implementation, and evaluation of...
View ArticleSales & Mktg Asst Job (Overland Prk, KS, US)
Description:GENERAL SUMMARY Provides administrative support to sales and marketing staff. Prepares analysis and market reports for sales and marketing staff and management.ESSENTIAL RESPONSIBILITIES -...
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