11/23 | SSO Recruiter: J.Mays JOB SUMMARY: To develop, maintain and enhance mechanisms to track, trend, and report quality measures and compliance reports for multiple health plans. To support the continuous quality improvement process needs of the Quality Department and Risk Control and Compliance Operations through comprehensive analysis, documentation and reporting of data pertaining to company perform | Amerigroup Corpo... | | | map | | | action |
11/18 | JOB SUMMARY: This is a senior technical position. Performs complex configuration activities. The incumbent for this position possesses a high degree of expertise in the configuration of business rules that support reimbursement policies and methodologies in a large managed care organization. This position plays a key role in the configuration and implementation of new markets and products. PRIMARY | Amerigroup Corpo... | | | map | | | action |
11/18 | JOB SUMMARY: Responsible for establishing a variance in the perception of regulators and elected officials of AMERIGROUP's mission and values as contrasted with the HMO industry today by forming alliances and coalitions with community-based organizations, local, state and federal officials and industry groups. Responsible for promoting sound public policy that is in concert with AMERIGROUP's missi | Amerigroup Corpo... | | | map | | | action |
11/17 | JOB SUMMARY: The Case Coordinator is responsible for identification of Members needs, including physical health, mental health, social services and long term support services and the development of the members Individualized Service Plan or Treatment Plan to address those needs. The Case Coordinator is responsible for ensuring timely and coordinated access to an array of providers and services and | Amerigroup Corpo... | | | map | | | action |
11/17 | 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 Me | Amerigroup Corpo... | | | map | | | action |
11/17 | 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 referra | Amerigroup Corpo... | | | map | | | action |
11/13 | 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 | Amerigroup Corpo... | | | map | | | action |
11/11 | 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 | Amerigroup Corpo... | | | map | | | action |
11/11 | 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 te | Amerigroup Corpo... | | | map | | | action |
11/09 | JOB SUMMARY: Recruiter: J. Mays This position will report directly to the National Medical Director of the Senior and Special Services Organization (SSO) with a dotted line to corporate Pharmacy department. The individual will be the pharmacotherapy subject matter expert on the Medicare Advantage Special Needs Plan Model of Care (MoC) Interdisciplinary Care Team (IDCT). The individual will work cl | Amerigroup Corpo... | | | map | | | action |
11/06 | JOB SUMMARY: Responsible for establishing a variance in the perception of regulators and elected officials of AMERIGROUP's mission and values as contrasted with the HMO industry today by forming alliances and coalitions with community-based organizations, local, state and federal officials and industry groups. Responsible for promoting sound public policy that is in concert with AMERIGROUP's missi | Amerigroup Corpo... | | | map | | | action |
11/05 | JOB SUMMARY: The HCMS manager is responsible for providing clinical supervision to a team responsible for coordinating member service, utilization, access, and concurrent review to ensure cost effective utilization of health, mental health, and substance abuse services. PRIMARY RESPONSIBILITIES: 1. Manages and oversees team responsible in case finding and coordinating those cases that involve como | Amerigroup Corpo... | | | map | | | action |
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11/04 | 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 driv | Amerigroup Corpo... | | | map | | | action |
11/04 | 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 repre | Amerigroup Corpo... | | | map | | | action |
11/03 | 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 rega | Amerigroup Corpo... | | | map | | | action |
11/03 | 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 m | Amerigroup Corpo... | | | map | | | action |
11/03 | 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 i | Amerigroup Corpo... | | | map | | | action |
11/03 | Grade: 18 JOB SUMMARY: The case manager LTC program is responsible for facilitating members gaining access to needed medical, social, and education services. Coordinates the integration of acute and long-term care services. Responsible for ensuring cost effective and efficient utilization of health plan services. Case manager functions as member advocates, seeking and coordinating creative solutio | Amerigroup Corpo... | | | map | | | action |
10/29 | 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 in conjunction wi | Amerigroup Corpo... | | | map | | | action |
10/28 | JOB SUMMARY: The Case Manager RN is responsible for managing members experiencing complex or catastrophic illness, injury and/or specialty illnesses such as diabetes, HIV, transplant, etc, to insure cost effective and efficient utilization of health services. She/he acts as a member advocate, seeking and coordinating creative solutions to member's health care needs without compromising quality of o | Amerigroup Corpo... | | | map | | | action |
10/26 | JOB SUMMARY: Responsible for gathering requirements, performing analysis, supporting the development and testing processes, and understanding and documenting the applications, data, and associated technologies for supported areas. PRIMARY RESPONSIBILITIES: 1. Provide analytical support to department through execution of reports and analysis of results. 2. Update and execute routine programs to bui | Amerigroup Corpo... | | | map | | | action |
10/26 | JOB SUMMARY: Provide leadership and direction to staff responsible for making reimbursement recommendations according to established medical policy based on the review of claims data. This key resource is accountable for the tactical management and coordination of departmental staff to ensure consistent quality of service for the coding validation initiatives (CVI). Manage the achievement and main | Amerigroup Corpo... | | | map | | | action |
10/23 | JOB SUMMARY: The Case Manager RN is responsible for managing members experiencing complex or catastrophic illness, injury and/or specialty illnesses such as diabetes, HIV, transplant, etc, to insure cost effective and efficient utilization of health services. She/he acts as a member advocate, seeking and coordinating creative solutions to member's health care needs without compromising quality of o | Amerigroup Corpo... | | | map | | | action |
10/19 | JOB SUMMARY: The Medicare Account Representative is responsible educating seniors and the community about Medicare products; generating enrollment leads and referrals; enrolling seniors in the AMERGROUP Medicare Advantage plan; and presenting plan information at community-based seminars. This position is responsible for developing and maintaining leads which includes timely reporting and documenta | Amerigroup Corpo... | | | map | | | action |
10/16 | RN Preferred Grade: 18 JOB SUMMARY: Performs technical and administrative work required to evaluate the necessity, appropriateness and efficiency of the use of medical services procedures and facilities. Licensed LVN, LPN, or certified Social Worker responsible for clinical review of all acute and subacute services for appropriateness based on medical criteria. This individual is responsible for t | Amerigroup Corpo... | | | map | | | action |