Director of Sales (220969-955)
HealthSpring - Miami, FL
220969-955Directs all prospect, sales activities, sales support services, and operations for Medicare products. Responsible for the development and implementation of strategies and policies.Required SkillsResponsible for developing, planning, and carrying out departmental project...
Application Development Manager
HealthSpring - Nashville, TN
In this position you will manage a team responsible for technical support and enhancement of the TriZetto QNXT claims system ensuring business needs are met and productivity is maintained. You will serve as an IT business partner to the enrollment, customer service, and claims de...
Sales Representative (220965-955)
HealthSpring - Philadelphia, PA
220965-955Responsible for selling Medicare products and services. May make sales presentations to potential qualified Medicare participants at their homes, doctors' offices, etc. using approved governmental guidelines. Initiates sales opportunities with seniors individually or in...
HealthSpring - Birmingham, AL
Responds to and diagnoses problems trough discussion with users. Includes problem recognition, research, isolation, and resolution steps.Required SkillsAssists other Service Desk Technicians when request volumes are high. Act as an escalation point for advanced help requests. Bui...
Data Analyst 2/Elearning Specialist (220963-955)
HealthSpring - Nashville, TN
220963-955Provides statistical modeling and analysis for company products and other analytical studies aligned to STAR Measures.Develops and analyzes STAR Measure data.Validates data to ensure accuracy, quality, and integrity.Creates and publishes periodic reports, as well as any...
HealthSpring - Nashville, TN
Plans, organizes, and manages the case management, medical review, utilization review, appeal management, audit, and/or health education programs. Analyzes utilization trends. Develops and implements action plans to improve utilization and quality.Required SkillsResponsible for a...
HealthSpring - Philadelphia, PA
Position Summary: Working in partnership with the Director of Health Services, Case Management, to develop and execute care management initiatives to improve the health of Special Needs members, to facilitate, support quality, cost effect outcomes and minimize fragmentation of he...
HealthSpring - USA
The nurse practitioner has responsibility for continuous, coordinated and comprehensive care of Health Spring members at designated institutional sites in New Jersey.As coordinator of the care management team, the nurse practitioner assumes responsibility for collaborative practi...
HealthSpring - Nashville, TN
Plans, organizes, and manages the case management, medical review, utilization review, appeal management, audit, and/or health education programs. Analyzes utilization trends. Develops and implements action plans to improve utilization and quality.Required SkillsResponsible for a...
Social Work Case Manager 1 (220952-955)
HealthSpring - Sugar Land, TX
220952-955Responsible for providing guidance to members regarding barriers to managing health conditions. Provides health coaching and consultation. Assists members to change behaviors and to locate and access interpersonal, family and community resources that will make it easier...
HealthSpring - Irving, TX
220336-955Under the supervision of the Manager CCIP, the Care Transition Coach (CTC) and Community Case Manager (CCM) assumes the overall accountability for the identification of high risk members appropriate for transition of care and/or long term chronic care management service...
Marketing Coordinator (220946-955)
HealthSpring - Houston, TX
220946-955Assists in preparing, analysis, production, and/or delivery of advertising, member communication, marketing materials, and/or print production projects. Coordinates the distribution of internal and external marketing literature.Required SkillsCreate and implement an int...
HealthSpring - El Paso, TX
220381-955Under the supervision of the Manager CCIP, the Care Transition Coach (CTC) and Community Case Manager (CCM) assumes the overall accountability for the identification of high risk members appropriate for transition of care and/or long term chronic care management service...
HealthSpring - Franklin, TN
220943-955Responsible for analyzing, reporting, and developing recommendations on data. Uses multiple sources of data, analyzes trends, reconciles data, and identifies areas for improvement.Required SkillsUnder general supervision, develops and analyzes functional and operational...
Practice Coordinator LPN/RN - Pensacola
HealthSpring - Mobile, AL
Coordinates and manages relationships with single office practices to multiple provider practices in HealthSprings P4Q or P4Q 2 programs. Consistently monitors participating provider performance on the identified P4Q and/or HEDIS STAR measures and regularly communicates status of...
HealthSpring - Nashville, TN
Responsible for analyzing, reporting, and developing recommendations on delegation compliance data, analyzes compliance trends, reconciles data, and identifies areas for improvement.Required SkillsUnder general supervision, develops and analyzes functional and operational data, p...
Medical Assistant (Per Diem Position) (220925-955)
HealthSpring - Baltimore, MD
220925-955Responsible for assisting Care Team Nurses with the evaluation and management of all members presenting to the LWHC. Conducts basic care, including rooming patients, taking vitals, phlebotomy, injections, scheduling, coordinating referrals, EKG, spirometry, and data ent...
Director, Quality Improvement & Pay for Quality (Can sit in PA, TX or TN)
HealthSpring - Nashville, TN
Coordinates, directs, and manages the activities of the department and the quality management program. Responsible for the analysis of the quality of member care received and for the development of plans and programs to support continuous quality improvement. Establishes strategi...
Director of Quality Improvement
HealthSpring - Baltimore, MD
Responsible for the program development, implementation, and management of Quality Management and Quality initiatives within the PA and Mid-Atlantic HealthSpring market. Collaborates with Senior Medical Director in overseeing medical policies, medical service delivery, and qualit...
Provider Network Specialist - Medicare
HealthSpring - Huntsville, AL
Develops and maintains positive relationships with physicians, providers, and practice managers within the provider network.Required SkillsProvides internal support to Network Operations Representatives. Researches and resolves provider issues. Prepares documentation for meetings...