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Manager, Ambetter Health Benefits Specialists (Non Clinical)

Company: Centene Coproration
Location: Austin
Posted on: December 5, 2019

Job Description:

Description: Position Purpose: Perform duties to conduct and manage the day to day operations of the case management functions Review analyses of activities, costs, operations and forecast data to determine progress toward stated goals and statistical/financial purposes for case management Ensure compliance with federal and state regulations, contractual agreements and National Committee for Quality Assurance (NCQA) standards Develop, implement and maintain compliance with policies and procedures regarding medical and social case management Develop, implement, and maintain case management programs to facilitate the use of appropriate medical and community resources and decrease health plan financial exposure Ensure quality of case management being delivered to members through auditing, retraining and providing ongoing opportunities to department Provide team with educational resources, evaluate effectiveness and recommend changes

Keywords: Centene Coproration, Austin , Manager, Ambetter Health Benefits Specialists (Non Clinical), Healthcare , Austin, Texas

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