We are always on the lookout for passionate and talented professionals that are seeking an adventure, not just a job. Learn about our culture, view benefit details and browse open positions below.
Explore Open Positions NowAttracting and retaining outstanding individuals is the key to our long-term success as leaders in the healthcare industry. We know that fulfilling our mission depends on the talents and dedication of our employees, so we work hard to foster an atmosphere that promotes character, respect, and strong values.
A strong benefits plan is an essential part of an employee's total compensation package - and job satisfaction. Our employees benefit from easy and cost-effective access to important insurance coverage, as well as support to help fund their retirement.
Comprehensive benefits
Health, dental, vision, 401k, and more.
Time off
Generous PTO & employee engagement activities
Tax-advantaged benefit accounts
Including FSA, HSA, HRA
Job Summary:
Under administrative direction, to plan, organize, and supervise the utilization review clinical program and related functions; and to perform related duties as required. This position is responsible for assuring that all clients’ patients and providers’ needs are me. Activities implemented are to facilitate the clinical review of any clinical request utilizing pre-approved criteria in compliance with contracted Client's requirements. The supervisor of clinical services, under the direction of the Senior Director of Clinical Services, supervises the Clinical Therapy UM Staff and provides them with leadership to ensure high quality results.
To supervise, monitor and evaluate the needs and objectives of claims department in in the area of production in order to ascertain that company directives and goals are being met. Ensures the claims process from claims creation, adjudication to claims EOP flows successfully.
Due to our rapid growth, we have several positions available for remote/on-site positions in the following states (FL, GA, MD, PA, PR, TN and TX). This position is responsible for servicing the needs of patients by receiving phone calls from both members and referrals from providers to facilitate the authorization and coordination of referrals utilizing pre-approved screening criteria in compliance with contracted Client's requirements.
This positions enters data into computer or onto magnetic tape or disk for subsequent entry by performing the following duties.