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AMERIGROUP Corporation-Omaha, NE, 68182, USA
JOB SUMMARY * Has responsibility in conjunction with management for developing, coordinating, implementing, and evaluating the continuous quality improvement activities throughout the company according to the established Quality Management program * Establishes indicators for monitoring and evaluating the full spectrum of care and services provided to members for quality, appropriateness, continuous improvement and satisfaction * Provides education in the area of quality management to all departments and assists in ensuring compliance with regulatory and accrediting organizations JOB SUMMAR...
AMERIGROUP Corporation Jobs
AMERIGROUP Corporation | Austin, TX, 78789, USA | >5
Job Title: Provider Relations Rep II Job ID: 10738 Location:Austin, TX Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: Serves as liaison to providers (including physicians, hospitals, and/or ancillary providers) and internal departments at the health plan. Responsible for performing activities designed to establish and maintain positive and productive relationships with AMERIGROUP network providers for Medicaid and Medicare products. These activities include responding to inquiries from providers regarding benefits, claim resolution, appeal status, and authorization or ref...
Amerigroup Corporation | Tampa, FL, 33601 | 3
Grade: 17 Recruiter: Carolina Cairo Shift: 10:30am to 7:00pm Start date: January 4, 2010 JOB SUMMARY: The Care Coordinator in the Support Center and/or National Contact Center is responsible for day to day medical management or pre-authorization activities. This contact center position manages member care ensuring essential, effective, appropriate and coordinated behavioral and physical health and social services. This individual acts as a member advocate, seeking and coordinating solutions to member health care needs. PRIMARY RESPONSIBILITIES: 1. Provides telephonic advice to members. 2. M...
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