Wellcare jobs in Long Beach, CA

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Grievance Coordinator

WellCare 109 reviews - Cypress, CA
Responds to member and provider inquiries (phone, written or walk in) regarding all aspects of WellCare business, including claims, in a professional, timely,

Business Analyst - Senior

WellCare 109 reviews - Cypress, CA
Leads in the development of complex adhoc reports to enable process and trend analysis. Provides recommendations on the implementation of new/revised

Appeals Review Nurse

WellCare 109 reviews - Cypress, CA
Reviews clinical information provided by the facility and providers to evaluate the medical necessity and clinical appropriateness of requested services for a

HEDIS Practice Advisor

WellCare 109 reviews - Cypress, CA
Educates providers and provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS

Case Manager - RN Required

WellCare 109 reviews - Cypress, CA
Coordinates the care and services of selected member populations across the continuum of illness. Promotes effective utilization and monitors health care

Electronic Data Interchange (EDI) Analyst

WellCare 109 reviews - Cypress, CA
Analyzes, designs, and develops specifications for enhancements and extensions with EDI application interfaces, formats and maps. Reviews programming requests

Case Manager - RN - Bilingual-Spanish

WellCare 109 reviews - Cypress, CA
LOCATION: CYPRESS CALIFORNIA SPANISH SPEAKING RN ONLY Coordinates the care and services of Long Term Care members across the continuum of illness. Promotes

Clinical Delegation Oversight Auditor - Senior

WellCare 109 reviews - Cypress, CA
Supports the delegation of processes across multiple product lines by performing pre-delegation assessments, ongoing delegation oversight and auditing of

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 109 reviews - Cypress, CA
Provides education and consultation to providers' and provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures

Provider Relations Representative

WellCare 109 reviews - Cypress, CA
Manages physician network by developing and maintaining relationships to drive business results within a specific geographic area. Provides service and

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