better Job at AMERIGROUP Corporation

YOU'RE INVITED!!! CAREER EVENT Tuesday, Nov. 3 9 a.m. - 7 p.m. AMERIGROUP 22 Century Blvd. 1st Floor Lakeview Conference Room Nashville, TN We bring our expertise-and a high quality of care-to those challenged by disabilities or age who are part of Tennessee's new Medicaid Coordinated Long-Term Care program. Learn why we're the nation's leading publicly traded company dedicated exclusively to Medicaid and Medicare recipients. If you have Managed Care experience

Grade: 17 JOB SUMMARY: Serves as liaison to providers and is responsible for performing activities designed to establish and maintain positive and productive relationships with AMERIGROUP network providers. These activities include responding to inquiries from providers to clarify issues related to member benefits, claim resolution, appeal status, provider recruitment, and authorization or referral information. Also provides training, guidance and assistance to Provider Relations Representatives I

Acts as an advocate for an individual s health care needs 7...conjunction with the member and the health care team 11...Three years experience in health care case management discharge planning or behavioral health...Ability to provide services in an environment that involves multiple health care systems...

Job Title: Call Center Resource Planner TN Job ID: 10771 Location:Nashville, TN Full/Part Time: Full-Time Regular/Temporary: Regular Grade: 19 Recruiter: J. Mays NCC JOB SUMMARY: Under the general direction of the Director of National Contact Center (NCC) Operations, the Resource Planner supports the workforce management team by preparing accurate and timely variable forecasts for the NCC. The incumbent is responsible for accurately matching staffing to workload

Job Title: Web Content Manager - eHealth Job ID: 10770 Location:Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: The Content Manager, eHealth Business reports to the AVP eHealth and assists AMERIGROUP in meeting its strategic initiatives for growth by conducting market/product research and analysis, managing the web writing/development process, EMAP, and providing support for new markets and new products. The position will support either Member and/or Provider content. Related

Job Title: Claims Analyst III Job ID: 10768 Location:Tampa, FL Full/Part Time: Full-Time Regular/Temporary: Regular Grade: 14 JOB SUMMARY: Under general supervision, evaluates advanced level claims to determine the type and amounts of benefits payable. Performs all authorized duties in the processing of claims allocated to the assigned market consistent with all applicable company and departmental policies. PRIMARY RESPONSIBILITIES: 1.Responsible for processing all advanced level claim transactions. 2.Accurately

in the delivery and financing of health care services in the public sector managed care... Understanding and knowledge of the health care industry specifically as it relates to...

Job Title: Claims Analyst II Job ID: 10767 Location:Tampa, FL Full/Part Time: Full-Time Regular/Temporary: Regular Grade: 13 JOB SUMMARY: Under general supervision evaluates intermediate level claims to determine the type and amounts of benefits payable. Performs all authorized duties in the processing of claims allocated to the assigned market consistent with all applicable company and departmental policies. PRIMARY RESPONSIBILITIES: 1.Responsible for processing all intermediate level claims transactions. 2

Job Title: ITS Sr Testing Analyst - System Testing Job ID: 10764 Location:Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: The Senior Testing Analyst utilizes an established knowledge base of the applications, data, and associated technologies for supported business areas, creates, documents and executes test cases and scripts and reports results. Requires a high degree of knowledge in the areas of testing, and testing lifecycle (TLC) operational concepts in a large managed

Job Title Manager Health Care Management Services Long Term Care Job...Required Required Three years experience in health Care Management Knowledge and Technical Skills Required...MSW or related or MBA with Health Care Concentration Years and Type of Experience...

Job Title: SharePoint Administrator Job ID: 10754 Location:Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular Grade: 21 JOB SUMMARY: Acts independently under general direction, designs, develops, modifies, debugs and evaluates programs for functional and operational areas. Functions as a technical expert team member to implement and support various development, design and analysis initiatives employing prescribed methodologies, and follows the AMERIGROUP Quality Assurance process in the

JOB SUMMARY: The Content Manager, eHealth Business reports to the AVP eHealth and assists AMERIGROUP in meeting its strategic initiatives for growth by conducting market/product research and analysis, managing the web writing/development process, EMAP, and providing support for new markets and new products. The position will support either Member and/or Provider content. Related to the development process, the Content Manager, eHealth Business manages the entire web development process. He/She provides

the Chief Medical Officer CMO of AMERIGROUP Corporation...and authorization requests for non urgent health care services 34 The medical director must ensure...Oversees the health care needs of the membership and serves...plan medical costs and assuring appropriate health care delivery for AMERIGROUP health plans products...

Job Title: ITS Business Analyst III Job ID: 10756 Location:Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: Under limited supervision, responsible for functional area of responsibility and how the functional areas interrelate, gathering requirements, performing analysis, supporting the development and testing processes, and incorporating the applications, data, and associated technologies for supported areas. Acts as a resource for associates with less experience. PRIMARY

Job Title: Manager Medical Finance Accounting Job ID: 10755 Location:Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: Performs schedule preparation and review for Medical Expenses and Liabilities, analytical review of related expenses and accounts, and accounting and auditing functions for Medical Liabilities accruals, quarterly adjustments and audits. To include monthly expense calculations, cost analysis and reconciliations, communication with other departments and health

in the delivery and financing of health care services in the public sector managed care... Understanding and knowledge of the health care industry specifically as it relates to...

Job Title: AVP Provider Relations Job ID: 10751 Location:Cincinnati, OH Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: Responsible for providing the Health Plan with expertise in physician, physician group, hospital and ancillary healthcare contracting and provider reimbursement methodologies, taking the lead or assisting on Provider Relations projects in existing, expansion and new markets. Works with senior management to develop contracting and financial strategies, execute strategies, and

Job Title: Intern/Temp - Orlando Job ID: 10748 Location:Orlando, FL Full/Part Time: Part-Time Regular/Temporary: Temporary JOB SUMMARY: The Internship Program is a program consisting of various assignments through corporate departments combined with leadership development. Each internship will be assigned to one department for the entire program, but will attend training and development meetings in an environment with other interns. Internships may work with the following departments: Call Center Operations

Job Title: Provider Relations Rep II Job ID: 10746 Location:Houston, TX Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: Serves as liaison to providers and is responsible for performing activities designed to establish and maintain positive and productive relationships with AMERIGROUP network providers. These activities include responding to inquiries from providers to clarify issues related to member benefits, claim resolution, appeal status, provider recruitment, and authorization or referral

Job Title: Sr Technical Writer Job ID: 10745 Location:Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: The incumbent for this position will produce technically accurate documentation in a user-friendly format to meet customer needs. Responsible for developing, writing and editing material for company-wide business rules, standard operational procedures, user manuals, reference manuals, and checklists to support new and existing market business, conversions, and process improvement

This individual acts as a member advocate seeking and coordinating solutions to member health care needs...Education Required LVN or LPN depending on State required with minimum 1 3 years experience in health care...Education Preferred Bachelors or Master s Degree and or RN and three years experience in health care...

Acts independently under general direction, designs, develops, modifies, debugs and evaluates programs for functional and operational areas. Functions as a technical expert team member to implement and support various development, design and analysis initiatives employing prescribed methodologies, and follows the AMERIGROUP Quality Assurance process in the creation of work products. Uses a full technical knowledge of all phases of applications programming. This position is for a SharePoint administrator

JOB SUMMARY: Responsible for analysis, design, testing and implementation of PeopleSoft HCMS version 8.9 modules and components; to include Core HR, Benefits, Payroll, Time & Labor, Talent Acquisition Management, Position Control, Security, a Proprietary Compensation Administration System, Person Model, ePerformance, Training Admin and all future modules that the organization procures. The HRIS Analyst - Principle 1 will support the HR department, the Payroll department, and the HRIS team in process and

individual will work closely with other health care professionals on the IDCT staff in... Ability to provide services in an environment that involves multiple health care systems...

in the delivery and financing of health care services in the public sector managed care... Understanding and knowledge of the health care industry specifically as it relates to...

One Call Closers Needed! The #1 VA Lender in the USA, a Veteran owned company, is hiring licensed loan originators.. Job Requirements: Candidates must have sales experience and want to earn a six-figure income helping Veterans in today's mortgage crisis. We pre-set qualified appointments for you to go to Veterans' homes and help them save money on their VA mortgage. No cold calling! Benefits: insurance, 401k & training. Good work ethic and reliable transportation a must. We're looking to hire you now! Military

One Call Closers Needed! The #1 VA Lender in the USA, a Veteran owned company, is hiring licensed loan originators.. Job Requirements: Candidates must have sales experience and want to earn a six-figure income helping Veterans in today's mortgage crisis. We pre-set qualified appointments for you to go to Veterans' homes and help them save money on their VA mortgage. No cold calling! Benefits: insurance, 401k & training. Good work ethic and reliable transportation a must. We're looking to hire you now! Military

Job Title: Bronx Marketing Rep II - NY Job ID: 10744 Location:New York City, NY Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: The Marketing Representative II is responsible for providing community outreach and educating Medicaid eligible individuals about various Medicaid products, generating enrollment leads and referrals. In addition the representative will present plan information at various marketing locations, including community events to increase awareness and sales of our products

Job Title: Bronx Marketing Rep I - NY Job ID: 10742 Location:New York City, NY Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: The Marketing Representative I is responsible for providing community outreach and educating Medicaid eligible individuals about various Medicaid products, generating enrollment leads and referrals. In addition the representative will present plan information at various marketing locations, including community events to increase awareness and sales of our products.

Job Title: VP Underwriting & Forecasting Job ID: 10741 Location:Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular Grade: 25 JOB SUMMARY: Lead and direct the premium rate setting process, underwriting of new business, underwriting of acquisition targets, underwriting of benefit changes and process changes, forecasting, trend development, and state/regulatory reporting for rate setting for all assigned markets. Key participant in the development and implementation of standard, replicable

Job Title: Manager Plan Accounting Job ID: 10739 Location:Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: An accounting manager will assist in all accounting and financial reporting activities of a health plan. This will include financial statement preparation, monthly closing activities, communication with health plan executives, audit schedule preparation and regulatory reporting requirements. PRIMARY RESPONSIBILITIES: 1.Preparation, review and entry of journal entries

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

4 years experience with geriatric care health care case management or discharge planning...Degree and 4 years experience in health care case management or discharge planning Years... Ability to provide services in an environment that involves multiple health care systems...

Job Title: Sr Administrative Asst - Dedicated Service Unit Job ID: 10734 Location:Tampa, FL Full/Part Time: Full-Time Regular/Temporary: Regular Grade: 15 JOB SUMMARY: Under general supervision, performs a variety of administration functions and provides administrative support to an executive and/or department. Relies on experience and judgment to plan and accomplish responsibilities. PRIMARY RESPONSIBILITIES: 1.Manages executive schedule and time. 2.Assists in meeting planning and preparation work, i.e., drafting

Job Title: Korean Speaking Preferred Customer Care Rep II New York Job ID: 10733 Location:New York City, NY Full/Part Time: Full-Time Regular/Temporary: Temporary Grade: 14 JOB SUMMARY: Responsible for responding to either inbound inquiries or outreach calls from/to members, providers, and billing agencies. Effectively researches and communicates information to clarify and/or resolve benefit inquiries, claim inquiries, payment dispute status, medical appeal status, and authorization/referral information. Handles

Job Title: Enrollment Analyst II-Medicare SSO Job ID: 10731 Location:Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular Grade 14 SSO Recruiter: J.Mays JOB SUMMARY: The Medicare Enrollment Analyst is responsible for the enrollment and member reconciliation processes, including data entry from member applications, maintenance of the Transaction Reply Report (TRR) submissions from CMS, and production of enrollment reports. This

Experience Required Three years experience in health Care Management Knowledge and Technical Skills Required...components of the health and behavioral health care systems Self starter with the ability...

JOB SUMMARY: Lead/drive areas of professional learning and leadership development for AMERIGROUP. Drive improvements in all leadership forums and partner with all plans and functions to create appropriate curriculum based on needs analysis and business needs. Create and manage pipeline development / learning initiatives and other talent management programs to support associate development and drive business improvement. Assist in coaching, assessments and deployment of Talent Management tool kit.

JOB SUMMARY: The Marketing Representative I is responsible for providing community outreach and educating Medicaid eligible individuals about various Medicaid products, generating enrollment leads and referrals. In addition the representative will present plan information at various marketing locations, including community events to increase awareness and sales of our products. The Marketing representative will determine eligibility for enrollment and will assist with the completion of enrollment forms

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 referral information. Also may be responsible

Job Grade 17 JOB SUMMARY: Responsible for performing and collecting data collection and medical record activities to support the Health Plan's Quality Management Work Plan PRIMARY RESPONSIBILITIES: 1. Integrates data collected from a variety of sources including to but not limited to: medical records, immunization registries, member documents and provider office 2. Requests and review appropriate medical records. 3. Participates in medical record collection and validation

Grade: 15 JOB SUMMARY: Under general supervision, performs a variety of administration functions and provides administrative support to an executive and/or department. Relies on experience and judgment to plan and accomplish responsibilities. PRIMARY RESPONSIBILITIES: 1. Manages executive schedule and time. 2. Assists in meeting planning and preparation work, i.e., drafting agendas, minutes, and information on meetings. Seeks agenda items from other attendees. 3. Prepares

4 years experience with geriatric care health care case management or discharge planning...Degree and 4 years experience in health care case management or discharge planning Years... Ability to provide services in an environment that involves multiple health care systems...

Job Title: HEDIS Nurse Reviewer Job ID: 10730 Location:Tampa, FL Full/Part Time: Full-Time Regular/Temporary: Temporary Job Grade 17 JOB SUMMARY: Responsible for performing and collecting data collection and medical record activities to support the Health Plan's Quality Management Work Plan PRIMARY RESPONSIBILITIES: 1.1. Integrates data collected from a variety of sources including to but not limited to: medical records, immunization registries, member documents and provider office 2.2. Requests and review

This individual acts as a member advocate seeking and coordinating solutions to member health care needs...Education Required LVN or LPN depending on State required with minimum 1 3 years experience in health care...Education Preferred Bachelors or Master s Degree and or RN and three years experience in health care...

Job Title: DSU Process & Quality Improvement Manager Job ID: 10728 Location:Tampa, FL Full/Part Time: Full-Time Regular/Temporary: Regular Job Grade:20 JOB SUMMARY: Recommends, develops, and implements quality improvement strategies for the Claims, Call Center and Telesales units of the Dedicated Service Unit department. Responsible for planning, developing, coordinating, and implementing quality improvement initiatives stretching across business lines to various health plans and corporate units. Responsible

Job Title: AVP, DSU Process & Quality Impr. and Telesales Job ID: 10727 Location:Tampa, FL Full/Part Time: Full-Time Regular/Temporary: Regular Job Grade: 22 JOB SUMMARY: Responsible for the planning, development, and implementation activities in support of DSU Claims, Call Center and Telesales operations. Responsible for organizing and leading a team of Medicare telesales, retention, regional consultants, quality and operational analysts to meet Medicare product membership, quality, and productivity goals.

Job Title: Director Contracting - NY Job ID: 10726 Location:New York City, NY Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: Responsible for the management of all aspects related to Hospital Contracting functions or for the development, implementation, and maintenance of the hospital relations program at the Health Plan or for developing and expanding physician, physician groups, IPAs, and ancillary networks. Responsibilities may include coordinating all provider network related activities

Job Title: ITS Programmer Analyst III, SQL Server and Facets Job ID: 10722 Location:Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular JOB SUMMARY: Under limited supervision, designs, develops, modifies, debugs and evaluates programs for functional and operational areas. Functions as an active team member to implement and support various development, design and analysis initiatives employing prescribed methodologies, and follows the AMERIGROUP Quality Assurance process in the creation of

Job Title: Director LeadershipDevelopment Job ID: 10723 Location:Virginia Beach, VA Full/Part Time: Full-Time Regular/Temporary: Regular Grade: 21 Recruiter: J.Mays JOB SUMMARY: Lead/drive areas of professional learning and leadership development for AMERIGROUP. Drive improvements in all leadership forums and partner with all plans and functions to create appropriate curriculum based on needs analysis and business needs. Create and manage pipeline development / learning initiatives and other talent management