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Provider Engagement Representative

The Provider Engagement Representative Assists in developing and managing the Medicare Advantage physician/provider network for assigned territory. Responsible for relationship management with assigned provider groups and their staff, as well as executing with provider group on initiatives that benefit the customer, provider, and health plan.
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Project Manager – Healthcare

  • Provides excellent written and oral skills and have technical skills using Excel and Access data bases.
  • Undergraduate degree
  • Healthcare Experience (Required) Medicare/Medicaid
  • 4 years of project management experience.
  • Proficient in Microsoft Suite, Project applications, Excel and Access.
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Healthcare Compliance Analyst

  • Managed care: 3 years (Required)
  • Medicare/Medicaid: 3 years (Required)
  • Bachelor's (Preferred)
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Licensed Clinical Social Worker

  • Bachelor's (Required)
  • Clinical Social Work: 1 year (Required)
  • Clinical Social Work License (Required)
  • Healthcare: 1 year (Preferred)
  • Day Shift (Preferred)
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Utilization Review Nurse (RN) Hybrid

  • Bachelor’s – Preferred
  • Utilization management: 2 years (Required)
  • RN License (Required)
  • Medicare Advantage: 1 year (Preferred)
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Member Services Representative (Member/Provider Services)

  • Three-five years minimum Member/Provider service experience in a healthcare environment.
  • Excellent verbal and written communication skills.
  • Excellent organization skills with ability to handle multiple tasks and prioritize work in a fast-paced environment.
  • Three - five-year minimum ACD or comparable multi-line call center experience.
  • Computer literate with high proficiency in Microsoft applications.
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Licensed Medicare Sales Representative – Gwinnett County

  • One year minimum sales experience in a healthcare environment, a broker insurance company, Medicare Advantage insurance plans and/or individual sales environment.
  • High School Diploma or equivalent required.
  • Medicare health insurance license in the state of Georgia required.
  • Highly self-motivated and self-disciplined with ability to work effectively in a sales
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Licensed Medicare Sales Representative – Paulding County

  • One year minimum sales experience in a healthcare environment, a broker insurance company, Medicare Advantage insurance plans and/or individual sales environment.
  • High School Diploma or equivalent required.
  • Medicare health insurance license in the state of Georgia required.
  • Highly self-motivated and self-disciplined with ability to work effectively in a sales
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Licensed Medicare Sales Representative – Henry County

  • One year minimum sales experience in a healthcare environment, a broker insurance company, Medicare Advantage insurance plans and/or individual sales environment.
  • High School Diploma or equivalent required.
  • Medicare health insurance license in the state of Georgia required.
  • Highly self-motivated and self-disciplined with ability to work effectively in a sales
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Licensed Medicare Sales Representative – Cherokee County

  • One year minimum sales experience in a healthcare environment, a broker insurance company, Medicare Advantage insurance plans and/or individual sales environment.
  • High School Diploma or equivalent required.
  • Medicare health insurance license in the state of Georgia required.
  • Highly self-motivated and self-disciplined with ability to work effectively in a sales