Provides business oversight and financial management support to the value based programs, including but not limited to Continuing Health Programs. Creates and populate monthly or weekly dashboards for all key measures in all areas of responsibility, identify variances and assure all variances are addressed and rectified Identifies profits and losses for all areas of respo

Overview Atrium Health, now part of Advocate Health, is one of the nation's leading healthcare organizations, connecting patients with on demand care, world class specialists and the region's largest primary care network. A recognized leader in healthcare delivery, quality and innovation, our foundation rests on providing clinically excellent and compassionate care. For m

Maintains Atrium Healths managed care portfolio performance. Ensures appropriate planning and execution of each negotiation, to ensure appropriate contract rates and language are negotiated within established deadlines with yields that meet or exceed budget. Ensures Atrium Health maintains payor pricing parity and develops contracting strategy for the system, and ensures

Our team members are part of an environment that fosters health, hope and healing for all, driven by the principles of Our Atrium Health Way to create a welcoming and professional environment. The Patient Service Specialist will consistently provide exemplary customer service while proactively executing all front office administrative duties. It is the responsibility of e

The Care Navigator plays a crucial role in providing a positive, welcoming experience for our members and their families. This individual will serve as a guide for the member from the moment they arrive to the moment they leave our centers, ensuring every member has a positive experience and has their care needs met. The ideal candidate will have a strong customer service

The Claims Specialist will manage a caseload of pending insurance claims with minimal supervision. Job functions include the following Analyzing insurance claims to determine applicable coverage; Analyzing claims to determine the extent of the insured's or insurer's liability; Reviewing and evaluating damages and determining strategies for resolution; settling claims in a

Duties WHAT IS THE TAS TAXPAYER ADVOCATE SERVICE DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Taxpayer Advocate Service (TAS) Deputy Executive Director Case Advocacy (DEDCA) The following are the duties of this position at the full working level. If this vacancy includes more than one grade and you

LOCATION Remote must live in or near Rockingham County GENERAL STATEMENT OF JOB The Mental Health/Substance Use ("MHSU") Care Manager ("MHSU Care Manager") is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients ("members") to ensure that these individuals receive appropriate assessment and services. The

LOCATION Remote must live in NC or within 40 miles of the NC border GENERAL STATEMENT OF JOB The Member and Recipient Services Care Coordinator (MRSCC) is responsible for providing proactive intervention and telephonic coordination of care to members that have opted out of Tailored Plan Care Management (TCM) to ensure that these individuals receive appropriate assessment,

LOCATION Remote must live in NC or within 40 miles of the NC border GENERAL STATEMENT OF JOB The Member and Recipient Services Care Coordinator (MRSCC) is responsible for providing proactive intervention and telephonic coordination of care to members that have opted out of Tailored Plan Care Management (TCM) to ensure that these individuals receive appropriate assessment,

LOCATION Remote must live in or near Rowan, Stokes, Rockingham, Caswell, Person, Granville, Vance, Franklin, Alamance or Chatham County, NC. GENERAL STATEMENT OF JOB The Transition Coordinator QP (TC) is responsible for providing proactive coordination of services to persons residing in or being diverted from institutionalized settings prior to their transition to home an

LOCATION Remote must live in or near Alexander County GENERAL STATEMENT OF JOB The Mental Health/Substance Use ("MHSU") Care Manager ("MHSU Care Manager") is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients ("members") to ensure that these individuals receive appropriate assessment and services. The M

LOCATION Remote must live in or near Buncombe, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Polk, Swain, or Transylvania County GENERAL STATEMENT OF JOB The Transition Coordinator QP (TC) is responsible for providing proactive coordination of services to persons residing in or being diverted from institutionalized settings prior to their transition to home

LOCATION Remote must live in or near Alamance and Rowan Counties GENERAL STATEMENT OF JOB The purpose of the Housing Specialist Inspector is to support the implementation of Vaya Health's Transitions to Community Living Voucher (TCLV) Program by providing consistent Housing Quality Standards Inspection services so that Vaya members are assured quality and decent living co

LOCATION Remote must live in or near Granville County, NC. GENERAL STATEMENT OF JOB The Mental Health/Substance Use ("MHSU") Care Manager Licensed Professional ("MHSU Care Manager, LP") is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients ("members") to ensure that these individuals receive appropriate